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Measurement Characteristics and Clinical Utility of the High-level Mobility Assessment Tool Among Individuals With Traumatic Brain Injury

      Approximately 5.3 million Americans live with disabilities related to traumatic brain injury (TBI).1 TBI causes a wide range of impairments; even high-functioning individuals with TBI often have physical impairments that impede their ability to return to their prior activities, including accessing the community and employment. Many outcome measures do not detect high-level deficits because of a ceiling effect. The High-level Mobility Assessment Tool (HiMAT) is a free, 13-item, unidimensional scale that measures mobility in people who can ambulate independently at least 20m without an assistive device.2 It assesses high-level activities, such as running and jumping, which are not typically included in other measures. It is clinically feasible, as it requires minimal time and equipment, requiring only a stopwatch, a brick, and 14 stairs with handrails. A revised 8-item version of the HiMAT eliminating the stairs items exists, but more studies are needed before recommendations for its use can be made.3
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