The himat can be used as an outcome measure of balance and mobility problems in patients with mtbi. Prior to providing any intervention, an outcome measure. It includes a highlevel section on professional practice in. The combi contains information on over 25 outcome or assessment. Function in sitting test rehabmeasures database abilitylab. Change less than this may be attributable to measurement. Excluding those measures in neuropsychological batteries, 38 unique outcome measures were used. The himat is a new unidimensional scale with moderate concurrent validity for measuring highlevel mobility. It was created by gavin williams in 2005 to address a gap in unidimensional tools for recording highlevel motor function in people with traumatic brain injury tbi. Internal validity of the revised himat for people with. Highlevel mobility assessment tool instructions subject suitability. This website will train rehabilitation and medical professionals on how to administer a standardized test of sitting. Multiple sclerosis outcome measures taskforce compendium of instructions for outcome measures compendium of instructions for outcome measures.
Spinal cord injury edge task force outcome measures recommendations task force members. Internal validity of the revised himat for people with neurological conditions article in clinical rehabilitation 268. The concurrent validity and responsiveness of the highlevel. Pdf measurement properties of the highlevel mobility.
Make recommendations for use of outcome measures in the sci population in the clinical, academic and research settings. The combi is an online resource center catologuing information on brain injury outcome and assessment scales. The concurrent validity and responsiveness of the high. The wechsler intelligence scales, pediatric stroke outcome measure, and bayley scales of infant development were among the most used, but 79% of outcome measures. High level mobility assessment tool himat natalie lynch. The himat is an unidimensional scale designed to assess highlevel motor performance in tbi patients.
Function in sitting test fist results fist test item. The himat is more responsive and has less of a ceiling effect than either the. The himat is appropriate for assessing people with highlevel balance and mobility problems. Scale for the assessment and rating of ataxia sara 1 gait proband is asked 1 to walk at a safe distance parallel to a wall including a halfturn turn around to face the opposite direction. Spinal cord injury edge task force outcome measures. Highlevel mobility assessment tool normative values for. Measuring the effectiveness of interventions is accepted as being central to good practice. Main outcome measures highlevel mobility assessment tool himat and the revised version of the himat performed at a mean of 2. Subject should be tested with flatheeled shoes or shoes and socks off. The minimal mobility requirement for testing is independent walking over. This page presents the best available information on how outcome measures for stroke might be classified and selected for use, based upon their measurement. Stretch out your fingers and reach forward as far as you can. With over 400 measures and supported by some of the worlds best doctors, clinicians, therapists and physical medicine and rehabilitation researchers, the rehabilitation measure database rmd is the goto resource for benchmarks and outcomes. Resource fact sheet list of pediatric assessment tools.
To investigate if a reduced number of stairs was valid for himat scoring, a sample of 20 people with extremely severe traumatic. Measures of health status and healthcare outcomes are tools to assess a persons current or future health status and demonstrate the effectiveness of treatment. High level mobility and assessment tool himat physiopedia. The primary outcome measure was the highlevel mobility assessment tool himat. Each bound is measured from the line to the heel of the landing leg. The fga is used to assess postural stability during walking and assesses an individuals ability to perform multiple motor tasks while walking. Assessment rma with the himat, a new measure of high level mobility. The purpose of this scale is to identify difficulties that you may be experiencing because of your dizziness. The himat can be used as an outcome measurement of balance and mobility problems in patients with mtbi. The himat items were generated from existing adult and paediatric neurological mobility scales and the opinions of expert clinicians williams et al.
Measurement properties of the highlevel mobility assessment tool. Fingers should not touch the ruler while reaching forward. Welcome to the function in sitting test fist webbased training. The function in sitting test fist is a bedside evaluation of sitting balance that evaluates sensory, motor, proactive, reactive, and steady state balance factors.
Existing scales used in neurological rehabilitation are unable to. Shoulder pain and disability index please place a mark on the line that best represents your experience during the last week attributable to your shoulder. Overall, there is a dearth of published outcome measures for persons with dm2. Patient time x 14number of steps converted himat time. The himat is a new tool specifically designed to measure high level mobility, which currently is not a component of existing. The himat assesses patients who have highlevel balance and mobility problems. The functional independence measurement fim is an outcome measurement tool used by physical therapists and other healthcare professionals to measure overall independence during. Outcome measures tac transport accident commission. Further development of the highlevel mobility assessment.
The high level mobility and assessment tool himat is a standardised outcome measure used to quantify motor performance in individuals with highlevel balance and mobility deficits. Function in sitting test fist samuel merritt university. Compendium of instructions for outcome measures strokedge taskforce apta neurology section, 2011 3 the patient should be positioned at the starting line. The minimal mobility requirement for testing is independent walking over 20m without gait aids. The high level mobility and assessment tool himat is a standardised outcome measure used to quantify motor performance in individuals with highlevel. The himat is an unidimensional scale designed to assess highlevel.
Himat rating form the center for outcome measurement in. The himat was developed as a unidimensional measure of mobility performance for adolescents and young adults with tbi to minimize the effect that cognitive deficits had on physical performance. Below you can access measures used by clinicians on the tac clinical panel. The himat is a new tool specifically designed to measure highlevel mobility, which currently is not a component of existing scales. List of pediatric assessment tools categorized by icf model the purpose of this document is to organize tests and measures by the domains of the icf model. Patients are allowed 1 practice trial for each item. Introduction to the high level mobility assessment tool restricted participation has been well documented following tbi. Dynamic gait index dgifunctional gait assessment fga tests and measures. Highlevel mobility assessment tool rehabmeasures database. Dynamic gait index dgifunctional gait assessment fga. The himat was developed to quantify highlevel mobility outcomes following traumatic brain injury tbi. Participants were predominantly male and young average age 33.
Brain injuries, neurologic gait disorders, outcome assessment, reliability. An outcome measure is a tool used to assess a patients current status1. Examiner places a ruler at the end of fingertips when arm is at 90 degrees. Pdf the highlevel mobility assessment tool himat in. Outcome measures may provide a score, an interpretation of results and at times a risk categorization of the patient. The himat is a measure of highlevel mobility skills, and it is expected that age, sex, and physical fitness will influence the outcome of the himat score. Outcome measures designed specifically to assess highlevel mobility e.
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