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The Mobility Scale for Acute Stroke Patients: concurrent validity.

J A Simondson1, P Goldie, K M Greenwood

  • 1Physiotherapy Department, St Vincent's Hospital Melbourne, Australia.

Clinical Rehabilitation
|September 4, 2003
PubMed
Summary
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The new Mobility Scale for Acute Stroke Patients (MSAS) demonstrates high concurrent validity, proving effective for assessing early mobility in stroke survivors. This scale accurately correlates with established measures for stroke patient assessment.

Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Clinical Assessment Tools

Background:

  • Acute stroke significantly impairs patient mobility.
  • Early assessment of mobility is crucial for effective stroke rehabilitation.
  • Existing scales may not adequately capture the nuances of early-stage mobility deficits in stroke patients.

Purpose of the Study:

  • To evaluate the concurrent validity of the newly developed Mobility Scale for Acute Stroke Patients (MSAS).
  • To compare the MSAS against established measures like the Motor Assessment Scale (MAS), Functional Ambulation Classification (FAC), Functional Independence Measure (FIM), and Barthel Index (BI).

Main Methods:

  • Concurrent validity was assessed by correlating MSAS scores with scores from MAS, FAC, FIM (mobility and ADL), and BI.

Related Experiment Videos

  • The study included 106 acute stroke patients admitted over a two-year period.
  • Selected comparison measures contained items similar to those in the MSAS.

    • Main Results:

    • The MSAS demonstrated high concurrent validity (r > 0.80) against the total scores of MAS, FAC, FIM, and BI.
    • Strong associations were observed between MSAS non-bed mobility items and FIM/BI mobility items.
    • Weaker associations were found between MSAS items and ADL items of the BI and FIM.

    Conclusions:

    • The MSAS is a valid tool for assessing mobility in acute stroke patients.
    • The scale shows high concurrent validity when compared with established assessment tools.
    • The MSAS effectively discriminates mobility levels in the early phase of stroke recovery.