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The high-level mobility assessment tool (HiMAT) for traumatic brain injury. Part 1: Item generation.

G Williams1, V Robertson, K Greenwood

  • 1Epworth Hospital, Victoria, and The University of Newcastle, New South Wales, Australia. gavinw@epworth.org.au

Brain Injury
|October 26, 2005
PubMed
Summary

Researchers developed a new scale to assess high-level mobility in individuals with traumatic brain injury (TBI). The scale includes walking, running, hopping, jumping, skipping, and balance items, showing initial validity for TBI patients.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Traumatic brain injury (TBI) often results in significant mobility impairments.
  • Assessing high-level mobility is crucial for effective rehabilitation and functional recovery in TBI survivors.
  • Existing mobility scales may not adequately capture the complexities of advanced motor skills post-TBI.

Purpose of the Study:

  • To create a comprehensive item pool for a scale designed to evaluate high-level mobility in individuals with TBI.
  • To identify key mobility components relevant to functional recovery after TBI.

Main Methods:

  • A systematic review of existing adult and pediatric mobility scales was conducted.
  • Expert clinicians were surveyed to gather opinions on appropriate items for a high-level mobility scale.

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  • Items were critically evaluated, collated, condensed, and ranked by experts.

    • Main Results:

    • The review identified 18 items from 31 scales, including walking, stair use, running, jumping, and hopping.
    • Expert clinicians generated 157 items, which were refined to 88 for a questionnaire.
    • Fifteen items, such as varied walking and running tasks and single-limb stance balance, were rated as highly important by 80% of experts.

    Conclusions:

    • The finalized item list includes walking, running, hopping, skipping, jumping, and balance components.
    • The initial version of the High-Level Mobility Assessment Tool (HiMAT) demonstrates face and content validity.
    • Further research is needed to confirm the scale's unidimensionality and validity in the TBI population.