The online version of this article (doi:10.1186/s12891-015-0638-7) contains supplementary material, which is available to authorized users.
Veronika Fialka-Moser deceased
The authors declare that they have no competing interests.
KP and MH included the patients, get the informed consent, adapted the BMS, drafted the funding and the manuscript. TP, PN, MQ and RC participated in the study design and conception and interpretation of data. EP performed the statistical analysis. VFM initiated the study as formerly head of the department. RC was the leading head concerning further analysis and interpretation of data, drafting the article and revising it critically for important intellectual content. All authors read and approved the final manuscript.
The assessment of mobility is important in the acute care setting. Existing tests suffer from limitations. The aim of the study was to examine the inter-rater reliability, the validity, the sensitivity to change, and the internal consistency of an ICF based scale.
In a prospective study inpatients in the acute care setting with restricted mobility aged above 50 years assigned to rehabilitative treatment were included. Assessment of subscales of the Functional Independence Measure (FIM) and the ICF based Basic Mobility Scale (BMS) were performed at admission and before discharge. Furthermore pain, length of stay in hospital, and post-discharge residential status were recorded. Inter-rater reliability, criterion-concurrent validity, sensitivity to change, and internal consistency were calculated. Furthermore, floor and ceiling effects were determined.
One hundred twenty-five patients (79 women/46 men) were included. The BMS showed an excellent inter-rater reliability for the total BMS (ICC BMS: 0.85 (95 % CI: 0.81–0.88). The criterion-concurrent validity was high to excellent (Spearman correlation coefficient: −0.91 in correlation to FIM) and the internal consistency was good (Cronbach’s alpha 0.88). The BMS proved to be sensitive to improvements in mobility (Wilcoxon’s signed rank test: p < 0.0001; The effect size for the BMS was 1.075 and the standardized response mean 1.10. At admission, the BMS was less vulnerable to floor effects.
The BMS may be used as a reliable and valid tool for the assessment of mobility in the acute care setting. It is easy to apply, sensitive to change during the hospital stay and not vulnerable to floor and ceiling effects.
Additional file 1: Basic mobility scale. (DOCX 20 kb)12891_2015_638_MOESM1_ESM.docx
Paternostro-Sluga T. Mobil im Spital. Das Österreichische Gesundheitswesen - ÖKZ. 2010;51(3):20–1.
Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61–5. PubMed
Hamilton BB, Laughlin JA, Fiedler RC, Granger CV. Interrater reliability of the 7-level functional independence measure (FIM). Scand J Rehabil Med. 1994;26(3):115–9. PubMed
Harvey RF, Jellinek HM. Functional performance assessment: a program approach. Arch Phys Med Rehabil. 1981;62(9):456–60. PubMed
Cieza A, Stucki G, Weigl M, Disler P, Jackel W, van der Linden S, et al. ICF core sets for low back pain. J Rehabil Med. 2004;(44 Suppl):69–74. doi: 10.1080/16501960410016037.
Gialanella B, Ferlucci C, Monguzzi V, Prometti P. Determinants of outcome in hip fracture: role of daily living activities. Eur J Phys Rehabil Med. 2015;51(3):253–60. PubMed
Yamada S, Liu M, Fujimoto M, Hase K, Tsuji T, Fujiwara T, et al. Identification of Quasi-In-Need-Of-Care State (QUINOCS) among community dwelling elderly people using a seven-item subset of the Functional Independence Measure (FIM). Disabil Rehabil. 2009;31(5):381–6. doi: 10.1080/09638280801983486. CrossRefPubMed
Montecchi MG, Muratori A, Lombardi F, Morrone E, Brianti R. Trunk Recovery Scale: a new tool to measure posture control in patients with severe acquired brain injury. A study of the psychometric properties. Eur J Phys Rehabil Med. 2013;49(3):341–51. PubMed
Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J. 1982;284(6329):1607–8. CrossRef
- Reliability, validity, sensitivity and internal consistency of the ICF based Basic Mobility Scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study
- BioMed Central
Neu im Fachgebiet Orthopädie und Unfallchirurgie
Mail Icon II