The Modified Rivermead Mobility Index: Reliability and convergent validity in a mixed neurological population

Walsh, Julie; Barrett, Aileen; Murray, Deirdre; Ryan, Joseph P.; Moroney, Joan T.; Shannon, Michelle

doi:10.3109/09638280903171576

Cited by 15 publications

(12 citation statements)

References 25 publications

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“…Therefore, the scale is focused on impairment and disability. It has excellent inter‐rater reliability and good internal consistency and convergent validity in a mixed neurologic population …”

Section: Case Seriesmentioning

confidence: 99%

“…It has excellent inter-rater reliability and good internal consistency and convergent validity in a mixed neurologic population. 2 All patients received inpatient treatment. They underwent an assessment by the physiotherapist, including an analysis of their ability to perform functional tasks, such as moving from lie to sit, sitting balance and alignment, sit to stand, assessment of weight bearing, and standing alignment.…”

Section: Case Seriesmentioning

confidence: 99%

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Inpatient Physiotherapy for Functional (Psychogenic) Gait Disorder: A Case Series of 35 Patients

Matthews

Brown

Stone

2016

Movement Disord Clin Pract

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Patients with functional gait disorder (FGD) are often referred for physiotherapy, but data on their outcome is limited. The authors present a case series of 35 patients who received targeted physiotherapy for FGD at a regional neuroscience center (mean number of sessions, 11). Significant improvements in the Modified Rivermead Mobility Index (score range, 0-40) were recorded between pretreatment and posttreatment (mean pretreatment vs. posttreatment score, 20 vs. 37, respectively). Improvements also were seen in patients who had chronic symptoms, including those with symptom duration over 6 months (mean pretreatment vs. posttreatment score, 21 vs. 33, respectively) and in patients who had no psychological intervention. These data support the hypothesis that specific physiotherapy for FGD can be surprisingly effective and further encourage the development of larger randomized trials to test efficacy.There is increasing interest and data are accumulating on the outcomes of patients with functional (psychogenic) movement disorder (FMD) who receive physiotherapy. In collaboration with Glenn Nielsen and colleagues in London, we previously described in detail the content of FMD-specific physiotherapy 1 This emphasizes the importance of understanding the reversible nature of the diagnosis and sharing evidence for this, such as Hoover's sign and the entrainment test, with the patient. Physiotherapy for many neurologic diseases, such as stroke, relies on focused attention on the poorly functioning limb. For patients with FMD, attention away from the limb may be more appropriate. The aim is to "train" patients away from habitual abnormal movements back to more normal automatic movements.We describe our experience prospectively evaluating a series of 35 patients treated by 2 of us (A.M. and M.B.) in a regional neuroscience center using these principles to add to the literature in this area. Case SeriesWe carried out a prospective study of patients seen between November 2012 and December 2014 with disabling FGD (predominantly associated with limb weakness) who were referred to A.M. or M.B. for inpatient physiotherapy in an acute neurology ward in the regional neuroscience service in Glasgow. All patients had been diagnosed with FGD by a consultant neurologist, most with extensive supplementary radiologic and neurophysiological testing. Some were admitted acutely because of their symptoms. Most were subacute or chronic presentations who had been admitted for investigation and treatment by their treating neurologist. There was no formal triage process. We recorded demographic data, duration of motor symptoms, and Modified Rivermead Mobility Index (MRMI) scores (before treatment and immediately after the end of treatment). Approval by an ethics committee was not applicable, because the study was carried out as part of routine care.

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Section: Case Seriesmentioning

confidence: 99%

Section: Case Seriesmentioning

confidence: 99%

Inpatient Physiotherapy for Functional (Psychogenic) Gait Disorder: A Case Series of 35 Patients

Matthews

Brown

Stone

2016

Movement Disord Clin Pract

View full text Add to dashboard Cite

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“…Following this, an 8min walking test was completed on a 60-m floor walking track, with walking heart rate and distance recorded. Finally, the Modified Rivermead Mobility Index (MRMI), a measure of functional mobility, was completed (Lennon and Johnson, 2000;Walsh et al, 2010).…”

Section: Methodsmentioning

confidence: 99%

Assessment of subjective and motor fatigue in Polio survivors, attending a Postpolio clinic, comparison with healthy controls and an exploration of clinical correlates

Murray

Hardiman

Meldrum

2013

Physiotherapy Theory and Practice

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“…Secondary outcome measures include; lower limb joint kinematics (thigh and shank global orientations) & kinetics (knee and hip flexion/extension moments, ground reaction force FZ 2 peak magnitude), step length, symmetry ratio based on step length [23], Modified Ashworth Scale [24], Modified Rivermead Mobility Index [25,26], EuroQol (EQ-5D) [27]. …”

Section: Methodsmentioning

confidence: 99%

Visualisation to enhance biomechanical tuning of ankle-foot orthoses (AFOs) in stroke: study protocol for a randomised controlled trial

Carse

Bowers

Meadows

et al. 2011

Trials

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BackgroundThere are a number of gaps in the evidence base for the use of ankle-foot orthoses for stroke patients. Three dimensional motion analysis offers an ideal method for objectively obtaining biomechanical gait data from stroke patients, however there are a number of major barriers to its use in routine clinical practice. One significant problem is the way in which the biomechanical data generated by these systems is presented. Through the careful design of bespoke biomechanical visualisation software it may be possible to present such data in novel ways to improve clinical decision making, track progress and increase patient understanding in the context of ankle-foot orthosis tuning.MethodsA single-blind randomised controlled trial will be used to compare the use of biomechanical visualisation software in ankle-foot orthosis tuning against standard care (tuning using observation alone). Participants (n = 70) will have experienced a recent hemiplegia (1-12 months) and will be identified by their care team as being suitable candidates for a rigid ankle-foot orthosis. The primary outcome measure will be walking velocity. Secondary outcome measures include; lower limb joint kinematics (thigh and shank global orientations) & kinetics (knee and hip flexion/extension moments, ground reaction force FZ2 peak magnitude), step length, symmetry ratio based on step length, Modified Ashworth Scale, Modified Rivermead Mobility Index and EuroQol (EQ-5D). Additional qualitative measures will also be taken from participants (patients and clinicians) at the beginning and end of their participation in the study. The main aim of the study is to determine whether or not the visualisation of biomechanical data can be used to improve the outcomes of tuning ankle-foot orthoses for stroke patients.DiscussionIn addition to answering the primary research question the broad range of measures that will be taken during this study are likely to contribute to a wider understanding of the impact of ankle-foot orthoses on the lives of stroke patients.Trial registration numberISRCTN: ISRCTN52126764

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The Modified Rivermead Mobility Index: Reliability and convergent validity in a mixed neurological population

Abstract: The MRMI was shown to have high levels of reliability in a mixed neurological population but we recommend that its psychometric properties are further investigated to establish the true clinical utility of this measure.

Cited by 15 publications

References 25 publications

Inpatient Physiotherapy for Functional (Psychogenic) Gait Disorder: A Case Series of 35 Patients

Inpatient Physiotherapy for Functional (Psychogenic) Gait Disorder: A Case Series of 35 Patients

Assessment of subjective and motor fatigue in Polio survivors, attending a Postpolio clinic, comparison with healthy controls and an exploration of clinical correlates

Visualisation to enhance biomechanical tuning of ankle-foot orthoses (AFOs) in stroke: study protocol for a randomised controlled trial

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