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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© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
