Highlights
- •Disability is more frequently assessed than functioning in mobility patient-reported outcomes.
- •Only a third of the mobility patient-reported outcomes are based on the International Classification of Functioning, Disability and Health.
- •The Outpatient Physical Therapy Improvement in Movement Assessment Log, the Movement Ability Measure, and the Mobility Activities Measure for Inpatient Rehabilitation Settings obtained the best scores in the critical appraisal.
Abstract
Objectives
To identify the self-administered instruments to assess mobility in adults with disability,
to link the mobility assessed by these instruments to the International Classification of Functioning, Disability and Health (ICF), and to evaluate their methodological quality.
Data Sources
Scopus, Science Direct, and Web of Science were systematically searched up to July 2015.
Study Selection
Studies on the development and validation of self-administered questionnaires in which
at least half of the items were related to movement or mobility were included.
Data Extraction
The mobility assessed by the instruments was classified according to the ICF categories.
The methodological quality was assessed according to the Consensus-based Standards
for the Selection of Health Measurement Instruments checklist.
Data Synthesis
Of 5791 articles, 34 studies were eligible for inclusion. Only 10 of the instruments
contained items that exclusively assessed mobility. The most frequently linked ICF
categories were “changing basic body position” (19.4%), “walking” (14.8%), and “moving
around” (13.5%). Measurement properties evaluated included internal consistency (5
studies), reliability (5 studies), measurement error (1 study), content validity (9
studies), structural validity (4 studies), hypotheses testing (6 studies), and responsiveness
(1 study). Only content validity obtained the highest quality, probably because the
studies included in the review reported the development and initial validation of
the instruments.
Conclusions
Self-administered mobility questionnaires published in the scientific literature assess
mobility activities rather than functions related to movement, and do so from the
perspective of disability, frequently including self-care and domestic life as domains
for assessment. The instruments that presented the highest methodological quality
were the Outpatient Physical Therapy Improvement in Movement Assessment Log, the Movement
Ability Measure, and the Mobility Activities Measure for Inpatient Rehabilitation
Settings.
Keywords
List of abbreviations:
ICF (International Classification of Functioning, Disability and Health), MAM (Movement Ability Measure), Mobam-in (Mobility Activities Measure for Inpatient Rehabilitation Settings), OPTIMAL (Outpatient Physical Therapy Improvement in Movement Assessment Log), WHO (World Health Organization)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 17, 2016
Footnotes
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
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- Criteria for Recommending a Patient Self-Report Functional OutcomeArchives of Physical Medicine and RehabilitationVol. 98Issue 1
- PreviewI am writing in response to the Pinto-Carral et al article “Patient-Reported Mobility: A Systematic Review.”1 Based on their results reported in tables 2 and 5, the authors recommended 3 instruments for clinical use (ie, Outpatient Physical Therapy Improvement in Movement Assessment Log [OPTIMAL], Mobility Activities Measure, Mobility Activities Measure for Inpatient Rehabilitation Settings).
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