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Patient-Reported Mobility

PINTO CARRAL A; FERNANDEZ VILLA T; MOLINA DE LA TORRE AJ
ARCH PHYS MED REHABIL , 2016, vol. 97, n° 7, p. 1182-1194
Doc n°: 180579
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2016.01.025
Descripteurs : AD3 - MOTRICITE
Article consultable sur : http://www.archives-pmr.org

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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