Rivermead Mobility Index
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Objective
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The Rivermead Mobility Index assesses functional mobility in gait, balance and transfers after stroke
Intended Population
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Those with a diagnosis of Stroke, Spinal Cord Injury, Acquired Brain Injury, Lower Limb Amputees
Method of Use[edit | edit source]
Description:
- The Rivermead Mobility Index is appropriate for a range of disabilities that include anything from being bedridden to being able to run
15 items:
- 14-self-reported items
- 1 direct observation item
- Items progress in difficulty
- Items are coded as either 0 or 1, depending on whether the patient can complete the task according to specific instructions
- Items receive a score of 0 for a "No" response and 1 for a "Yes" response
- Total scores are determined by summing the points for all items
- A maximum of 15 points is possible; higher scores indicate better mobility performance
- A score of "0" indicates an inability to perform any of the activities on the measure
Reference
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Evidence[edit | edit source]
Reliability[edit | edit source]
Test-retest Reliability:
Chronic Stroke:
(Chen et al, 2007; Green, Foster & Young, 2001; n = 22; 1 year post-stroke, assessed twice, with one week between assessments) [1]
- Excellent overall test-retest reliability (ICC = 0.96)
- Excellent test-retest reliability for the following subcategories:
Kappa for turning in bed = 1.0
Kappa for walking inside without aid = 0.89
Kappa for walking outside on uneven ground = 0.83
Kappa for bathing = 0.81
Kappa for picking objects off the floor = 0.79
- Adequate test-retest reliability for the following subcategories:
Kappa for stairs = 0.68
Kappa for lying to sitting = 0.64
Kappa for sitting balance = 0.64
Kappa for transfers = 0.64
Kappa for walking up and down 4 steps = 0.67
Lower Limb Amputees:
(Ryall et al, 2003; n = 62; mean age = 56.8 (18.8) years; mean time post amputation: 4.9 (14.7) years) [2]
- Excellent test-retest reliability (ICC = 0.99)
Interrater/Intrarater Reliability:
Acute Stroke: (Hsueh et al, 2003; n = 57; mean age of 64.2 (11.5) years; assessed at 14, 30, 90, and 180 days post stroke; Taiwanese sample) [3]
- Excellent interrater reliability for total score (ICC = 0.92)
- Poor to excellent interrater reliability for individual subcategories (Weighted Kappa = 0.37 - 0.94)
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous
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Links[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ 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
- ↑ 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
