Modified Rivermead Mobility Index

Original Editor - Candace Goh

Top Contributors - Candace Goh and Vidya Acharya  

Objective[edit | edit source]

The Modified Rivermead Mobility Index (MRMI) is adapted from the Rivermead Mobility Index (RMI) to evaluate the effectiveness of physiotherapy on mobility post-stroke[1].

Intended Population[edit | edit source]

Stroke survivors.

Method of Use[edit | edit source]

The main difference of MRMI compared to RMI is that the MRMI depends on the patient's ability to perform an activity, involving direct observation from the assessor. Unless safety of patient is at risk, the assessor must allow the patient to perform the required activity independently.

The MRMI consists of 8 activities evaluated using an extended six-point scoring system. The items include:

  1. Turning over
  2. Lying to sitting
  3. Sitting balance
  4. Sitting to standing
  5. Standing
  6. Transfers
  7. Walking indoors
  8. Stairs

Time to administer: Approximately 15 mins

Evidence[edit | edit source]

  • The MRMI is a reliable measure of physical mobility in the early post-stroke phase[2].
  • The MRMI score was significantly correlated with physical function of stroke patients. Coordination (heel to shin test) was closely related to mobility function[3].

Reliability[edit | edit source]

High inter-reliability (ICC =0.98; p<0.001) with a minimum of training in assessors of varying levels of experience[1]. Requires difference of > 4.5 points in the overall score to detect true change in the patient’s level of mobility[1].

Validity[edit | edit source]

High internal consistency (Cronbach’s alpha =0.93)[1].

Responsiveness[edit | edit source]

Responsive to change (effect size =1.15)[1]

Links[edit | edit source]

The modified Rivermead Mobility Index: validity and reliability

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 Lennon S, Johnson L. The modified rivermead mobility index: validity and reliability. Disability and rehabilitation. 2000 Jan 1;22(18):833-9.
  2. Rådman L, Forsberg A, Nilsagård Y. Modified Rivermead Mobility Index: a reliable measure in people within 14 days post-stroke. Physiotherapy theory and practice. 2015 Feb 17;31(2):126-9.
  3. Park GT, Kim M. Correlation between mobility assessed by the Modified Rivermead Mobility Index and physical function in stroke patients. Journal of physical therapy science. 2016;28(8):2389-92.