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The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: A systematic review

Tyson, S and Connell, L 2009, 'The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: A systematic review' , Clinical Rehabilitation, 23 (11) , pp. 1018-1033.

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Abstract

Objective: To identify psychometrically robust and clinically feasible measures of walking and mobility in people with neurological conditions Data sources: MEDLINE, CINAHL, EMBASE, PEDro and AMED. Review methods: Independent reviewers selected and extracted data from articles that assessed the reliability, validity, sensitivity to change or clinical utility of measures of walking and mobility in adult neurological conditions. Measures with ‘good’ psychometrics and 9/10 clinical utility scores were recommended. Results: Seventeen measures were selected. Of these, the 5-m and 10-m walk tests, six-minute walk test, High Level Mobility Assessment Tool (HiMAT) and the Rivermead Mobility Index (RMI) reached the required standards and are usable in clinical practice. None of the recommended measures assessed wheelchair mobility. The least frequently assessed property was sensitivity to change. Further measures could be recommended if the minimal detectable change were demonstrated. Conclusion: The 5-m, 10-m and six-minute walk test, High Level Mobility Assessment Tool and the Rivermead Mobility Index are psychometrically robust measures of walking and mobility and are feasible for use in clinical practice.

Item Type: Article
Themes: Subjects / Themes > R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Clinical Rehabilitation
Publisher: Sage
Refereed: Yes
ISSN: 0269-2155
Depositing User: Users 29196 not found.
Date Deposited: 11 Mar 2010 15:34
Last Modified: 20 Aug 2013 17:04
URI: http://usir.salford.ac.uk/id/eprint/3276

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