Rivermead Mobility Index: Difference between revisions
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== Intended Population == | == Intended Population == | ||
Those with a diagnosis of [[Stroke]], [[Overview of Traumatic Brain Injury|Acquired Brain Injury]], Lower Limb [[Amputations|Amputation]] or [[Multiple Sclerosis (MS)|Multiple Sclerosis]]<ref>Sabrina Figueiredo. Rivermead Mobility Index (RMI). Available from: https://strokengine.ca/en/assessments/rivermead-mobility-index-rmi/ (Accessed 23/06/2022)</ref><ref name=":1" />. It can be used for a wide range of functional ability levels. | Those with a diagnosis of [[Stroke]], [[Overview of Traumatic Brain Injury|Acquired Brain Injury]], Lower Limb [[Amputations|Amputation]] or [[Multiple Sclerosis (MS)|Multiple Sclerosis]]<ref>Sabrina Figueiredo. Rivermead Mobility Index (RMI). Available from: https://strokengine.ca/en/assessments/rivermead-mobility-index-rmi/ (Accessed 23/06/2022)</ref><ref name=":1">Ryall, N. H., Eyres, S. B., et al. "Is the Rivermead Mobility Index appropriate to measure mobility in lower limb amputees?" Disabil Rehabil 2003 25(3): 143-153</ref>. It can be used for a wide range of functional ability levels. | ||
== Method of Use == | == Method of Use == | ||
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=== Reliability === | === Reliability === | ||
<u>Test-retest reliability</u> | |||
< | Excellent for chronic stroke and lower limb amputees<ref>Chen, H. M., Hsieh, C. L., et al. "The test-retest reliability of 2 mobility performance tests in patients with chronic stroke." Neurorehabil Neural Repair 2007 21(4): 347-352</ref><ref name=":1" />. | ||
<u>Interrater reliability</u> | |||
<u>Interrater | |||
Excellent for acute stroke<ref>Hsueh, I. P., Wang, C. H., et al. "Comparison of psychometric properties of three mobility measures for patients with stroke." Stroke 2003 34(7): 1741-1745</ref>. | |||
=== Validity === | === Validity === | ||
<u>Criterion Validity:</u> | <u>Criterion Validity:</u> | ||
Found in acute stroke to have excellent predictive validity with [[Barthel Index]] and scores above 4 to be the best predictor of early discharge home<ref>Hsieh, C. L., Hsueh, I. P., et al. "Validity and responsiveness of the rivermead mobility index in stroke patients." Scandinavian Journal of Rehabilitation Medicine 2000 32(3): 140-142</ref>. | |||
Adequate concurrent validity with the timed walk test for lower limb amputees <ref>Ryall, N. H., Eyres, S. B., et al. "Is the Rivermead Mobility Index appropriate to measure mobility in lower limb amputees?" Disabil Rehabil 2003 25(3): 143-153</ref>. | |||
<u>Construct Validity: </u> | <u>Construct Validity: </u> | ||
Excellent correlation with Barthel Index at 14, 30, 90 and 180 days post stroke <ref>Hsueh, I. P., Wang, C. H., et al. "Comparison of psychometric properties of three mobility measures for patients with stroke." Stroke 2003 34(7): 1741-1745</ref>. | |||
Excellent correlation with motFIM and Timed Walk Test at the end of prosthetic training for lower limb amputees<ref>Franchignoni, F., Brunelli, S., et al. "Is the Rivermead Mobility Index a suitable outcome measure in lower limb amputees?--A psychometric validation study." J Rehabil Med 2003 35(3): 141-144</ref>. | |||
<u>Content Validity:</u> | <u>Content Validity:</u> | ||
The Rivermead Mobility Index was found to be valid and sensitive to change over time, and achieved reproducibility and scalability <ref name="Hsieh et al">Hsieh, C. L., Hsueh, I. P., et al. [https://pubmed.ncbi.nlm.nih.gov/11028799/ Validity and responsiveness of the rivermead mobility index in stroke patients]. Scandinavian Journal of Rehabilitation Medicine 2000 32(3): 140-142</ref>. It was significantly correlated with physical function variables in stroke patients. <ref>Park GT, Kim M. [https://pubmed.ncbi.nlm.nih.gov/27630440/ Correlation between mobility assessed by the Modified Rivermead Mobility Index and physical function in stroke patients]. J Phys Ther Sci. 2016 Aug;28(8):2389-92. </ref>. Moreover, it is also recommended for assessing ambulation levels in chronic stroke patients during rehabilitation.<ref>Lim JY, An SH, Park DS. [https://pubmed.ncbi.nlm.nih.gov/31889763/ Walking velocity and modified rivermead mobility index as discriminatory measures for functional ambulation classification of chronic stroke patients]. Hong Kong Physiother J. 2019 Dec;39(2):125-132</ref> | |||
=== Responsiveness === | === Responsiveness === | ||
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| Days Post Stoke | | Days Post Stoke | ||
| ''n'' | | ''n'' | ||
| | | Rivermead Mobility Index | ||
| | | Modified Rivermead Mobility Index | ||
| | | Mobility Subscale of the Stroke Rehabilitation Assessment of Movement | ||
| | | Barthel Index | ||
|- | |- | ||
| 14-30 | | 14-30 | ||
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Values reported as SRM (Standardized Response Mean) | Values reported as SRM (Standardized Response Mean) | ||
== Links == | == Links == |
Revision as of 14:06, 23 June 2022
Original Editor - Sinead Greenan
Top Contributors - Sinead Greenan, Chloe Waller, Kim Jackson, Evan Thomas, Oyemi Sillo, WikiSysop, Scott Buxton, Naomi O'Reilly and Amrita Patro
Objective[edit | edit source]
The Rivermead Mobility Index assesses functional mobility in gait, balance and transfers. It was developed in 1991 to be used after stroke or head injury[1].
Intended Population[edit | edit source]
Those with a diagnosis of Stroke, Acquired Brain Injury, Lower Limb Amputation or Multiple Sclerosis[2][3]. It can be used for a wide range of functional ability levels.
Method of Use[edit | edit source]
The Rivermead Mobility Index consists of 15 items (14 self reported items and 1 direct observation)[1]. The items are scored 0 if the patient is is not able to complete the task or 1 if they are able to complete it. The points are then added together, to score a maximum of 15, with higher scores stipulating better functional mobility[4].
The items are[5]:
- 1. Turning over in bed: Do you turn over from your back to your side without help?
- 2. Lying to sitting: From lying in bed, do you get up to sit on the edge of the bed on your own?
- 3. Sitting balance: Do you sit on the edge of the bed without holding on for 10 seconds?
- 4. Sitting to standing: Do you stand up from any chair in less than 15 seconds and stand there for 15 seconds, using hands and/or an aid, if necessary?
- 5. Standing unsupported: Ask client to stand without aid and observe standing for 10 seconds without any aid.
- 6. Transfer: Do you manage to move from bed to chair and back without any help?
- 7. Walking inside (with an aid if necessary): Do you walk 10 meters, with an aid if necessary, but with no standby help?
- 8. Stairs: Do you manage a flight of stairs without help?
- 9. Walking outside (even ground): Do you walk around outside, on pavements, without help?
- 10. Walking inside, with no aid: Do you walk 10 meters inside, with no caliper, splint, or other aid (including furniture or walls) without help?
- 11. Picking up off floor: Do you manage to walk 5 meters, pick something up from the floor, and then walk back without help?
- 12. Walking outside (uneven ground): Do you walk over uneven ground (grass, gravel, snow, ice, etc.) without help?
- 13. Bathing: Do you get into/out of a bath or shower to wash yourself unsupervised and without help?
- 14. Up and down four steps: Do you manage to go up and down four steps with no rail but using an aid if necessary?
- 15. Running: Do you run 10 meters without limping in 4 seconds (fast walk, not limping, is acceptable)?
- This video gives a demonstration of using the Rivermead Mobility Index
Evidence[edit | edit source]
Reliability[edit | edit source]
Test-retest reliability
Excellent for chronic stroke and lower limb amputees[6][3].
Interrater reliability
Excellent for acute stroke[7].
Validity[edit | edit source]
Criterion Validity:
Found in acute stroke to have excellent predictive validity with Barthel Index and scores above 4 to be the best predictor of early discharge home[8].
Adequate concurrent validity with the timed walk test for lower limb amputees [9].
Construct Validity:
Excellent correlation with Barthel Index at 14, 30, 90 and 180 days post stroke [10].
Excellent correlation with motFIM and Timed Walk Test at the end of prosthetic training for lower limb amputees[11].
Content Validity:
The Rivermead Mobility Index was found to be valid and sensitive to change over time, and achieved reproducibility and scalability [12]. It was significantly correlated with physical function variables in stroke patients. [13]. Moreover, it is also recommended for assessing ambulation levels in chronic stroke patients during rehabilitation.[14]
Responsiveness[edit | edit source]
Acute Stroke: (Hsueh et al, 2003) [15]
Days Post Stoke | n | Rivermead Mobility Index | Modified Rivermead Mobility Index | Mobility Subscale of the Stroke Rehabilitation Assessment of Movement | Barthel Index |
14-30 | 51 | 1.14 | 1.31 | 1.17 | 1.51 |
30-90 | 43 | 0.86 | 0.83 | 0.95 | 1.07 |
90-180 | 43 | 0.24 | 0.20 | 0.40 | 0.35 |
14-90 | 43 | 1.67 | 1.56 | 1.61 | 2.09 |
14-180 | 43 | 1.94 | 1.53 | 1.65 | 2.01 |
Values reported as SRM (Standardized Response Mean)
Links[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Collen FM, Wade DT, Robb GF, Bradshaw CM. The Rivermead Mobility Index: a further development of the Rivermead Motor Assessment. Int Disabil Stud. 1991;13(2):50-4
- ↑ Sabrina Figueiredo. Rivermead Mobility Index (RMI). Available from: https://strokengine.ca/en/assessments/rivermead-mobility-index-rmi/ (Accessed 23/06/2022)
- ↑ 3.0 3.1 Ryall, N. H., Eyres, S. B., et al. "Is the Rivermead Mobility Index appropriate to measure mobility in lower limb amputees?" Disabil Rehabil 2003 25(3): 143-153
- ↑ Shirley Ryan Ability Lab. Rivermead Mobility Index. Available from: https://www.sralab.org/rehabilitation-measures/rivermead-mobility-index (Accessed 23/06/2022)
- ↑ Donato S, Halliday Pulaski K, Gillen G. Chapter 19 - Overview of Balance Impairments: Functional Implications. In: Gillen G. Stroke Rehabilitation (Fourth Edition) Mosby, 2016. p394-415.
- ↑ Chen, H. M., Hsieh, C. L., et al. "The test-retest reliability of 2 mobility performance tests in patients with chronic stroke." Neurorehabil Neural Repair 2007 21(4): 347-352
- ↑ Hsueh, I. P., Wang, C. H., et al. "Comparison of psychometric properties of three mobility measures for patients with stroke." Stroke 2003 34(7): 1741-1745
- ↑ Hsieh, C. L., Hsueh, I. P., et al. "Validity and responsiveness of the rivermead mobility index in stroke patients." Scandinavian Journal of Rehabilitation Medicine 2000 32(3): 140-142
- ↑ Ryall, N. H., Eyres, S. B., et al. "Is the Rivermead Mobility Index appropriate to measure mobility in lower limb amputees?" Disabil Rehabil 2003 25(3): 143-153
- ↑ Hsueh, I. P., Wang, C. H., et al. "Comparison of psychometric properties of three mobility measures for patients with stroke." Stroke 2003 34(7): 1741-1745
- ↑ Franchignoni, F., Brunelli, S., et al. "Is the Rivermead Mobility Index a suitable outcome measure in lower limb amputees?--A psychometric validation study." J Rehabil Med 2003 35(3): 141-144
- ↑ Hsieh, C. L., Hsueh, I. P., et al. Validity and responsiveness of the rivermead mobility index in stroke patients. Scandinavian Journal of Rehabilitation Medicine 2000 32(3): 140-142
- ↑ Park GT, Kim M. Correlation between mobility assessed by the Modified Rivermead Mobility Index and physical function in stroke patients. J Phys Ther Sci. 2016 Aug;28(8):2389-92.
- ↑ Lim JY, An SH, Park DS. Walking velocity and modified rivermead mobility index as discriminatory measures for functional ambulation classification of chronic stroke patients. Hong Kong Physiother J. 2019 Dec;39(2):125-132
- ↑ Hsueh, I. P., Wang, C. H., et al. "Comparison of psychometric properties of three mobility measures for patients with stroke." Stroke 2003 34(7): 1741-1745
- Outcome Measures
- Assessment
- Neurology
- Neurological - Assessment and Examination
- Neurological - Outcome Measures
- Stroke
- Stroke - Assessment and Examination
- Stroke - Outcome Measures
- Head
- Head - Assessment and Examination
- Head - Outcome Measures
- Spinal Cord Injuries
- Acquired Brain Injuries
- Amputees
- Occupational Health