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Correlation between mobility assessed by the Modified Rivermead Mobility Index and physical function in stroke
1Department of Physical Therapy, Graduate School, Inje University, Republic of Korea.
Journal of Physical Therapy Science
|September 16, 2016
Summary
Mobility in stroke patients, measured by the Modified Rivermead Mobility Index, is linked to physical function. Specifically, coordination, assessed via the heel-to-shin test, showed a strong association with mobility outcomes.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Stroke significantly impacts patient mobility and physical function.
- Assessing mobility is crucial for effective stroke rehabilitation planning.
Purpose of the Study:
- To examine the correlation between mobility (Modified Rivermead Mobility Index) and physical function in stroke survivors.
- To identify key physical function variables influencing mobility post-stroke.
Main Methods:
- 100 stroke patients (35 male, 65 female; mean age 58.6 years) were assessed.
- Evaluated Modified Rivermead Mobility Index, muscle strength, tone, range of motion, sensory function, and coordination.
- Utilized manual muscle testing, Modified Ashworth Scale, and specific coordination tests (heel-to-shin).
Main Results:
- Modified Rivermead Mobility Index scores correlated with all physical function measures, excluding knee extension.
- Stepwise linear regression identified coordination (heel-to-shin test) as a significant predictor of mobility.
- Strong associations were found between mobility and various physical function components.
Conclusions:
- The Modified Rivermead Mobility Index is a reliable indicator of physical function in stroke patients.
- Coordination, particularly via the heel-to-shin test, is a critical factor for mobility.
- Findings can inform the development of targeted stroke rehabilitation programs.
