Proposing development and utility of a mobility composite measure in patients with a neurologic disorder

Date
2017-10-25
Authors
Swank, Chad
Almutairi, Sattam
Medley, Ann
Journal Title
Journal ISSN
Volume Title
Publisher
Hindawi
Abstract

BACKGROUND: Outcome measures typically assess single domains making holistic assessment difficult. Our purpose was to develop a mobility composite measure (MCM) based on four commonly used outcome measures and compare this composite score to the individual measures in patients with neurologic disorders.


METHODS: We retrospectively reviewed 148 medical records for inclusion of primary neurologic diagnosis and scoring for 5 times sit-to-stand test (5TSST), 10-meter walk test (10MWT), 2-minute walk test (2MWT), and activities-specific balance confidence (ABC) scale.


RESULTS: After establishing that a single concept was being assessed with interitem correlations, raw scores were converted to percentage of normal and combined into the MCM for analysis from admission to discharge. Scores on each measure significantly improved after intervention (5TSST, ; 10MWT, ; 2MWT, ; ABC, ). Mean MCM () admission scores were % and discharge scores were % (). On average, patients improved 7.26% on the MCM exceeding the threshold of expected error (MDC95 = 3.59%).


CONCLUSIONS: MCM detected change in patient outcomes statistically and clinically and appears to capture a holistic picture of functional status. We recommend a prospective study to further investigate a “composite measure” incorporating measures from several functional domains.

Description
Article originally published in Rehabilitation Research and Practice, 2017, 1–7. English. Published Online 2021. https://doi.org/10.1155/2017/8619147
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Citation
This is the published version of an article that is available at https://doi.org/10.1155/2017/8619147. Recommended citation: Swank, C., Almutairi, S., & Medley, A. (2017). Proposing development and utility of a mobility composite measure in patients with a neurologic disorder. Rehabilitation Research and Practice, 2017, 1–7. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.