Rivermead Mobility Index
The Rivermead Mobility Index (RMI) is a hierarchical mobility scale used in neurological rehabilitation. It includes 15 items related to bed mobility, transfers, walking, stair use, and running. The RMI is presented in a questionnaire format with the examiner required to make one observation (standing unsupported >10 s). All items are rated in a yes/no format with positive responses scoring a 1 for a maximal RMI score of 15.
The RMI is a unidimensional mobility scale, meaning that it has minimal cognitive demands, that is, subjects are not required to interpret, remember, or understand complex or multiple instructions. The more challenging RMI items are more difficult because they require greater physical abilities, while cognitive and social capacity has little impact on performance. Since the RMI is unidimensional, it does not measure the community mobility or the community integration aspect of mobility.
The hierarchical nature of the RMI means that the...
References and Readings
- Roorda, L. D., Green, J. R., Houwink, A., Bagley, P. J., Smith, J., Molenaar, I. W., & Geurts, A. C. (2012). Item hierarchy–based analysis of the Rivermead mobility index resulted in improved interpretation and enabled faster scoring in patients undergoing rehabilitation after stroke. Archives of Physical Medicine and Rehabilitation, 93(6), 1091–1096.PubMedCrossRefPubMedCentralGoogle Scholar
- Shum, S.-T., Chiu, J. K.-W., Tsang, C. P.-L., Wong, C. H.-P., Tsang, R. C.-C., Ma, S.-L., Ho, Y. L., & Tsang, P. (2014). Predicting walking function of patients one month Poststroke using modified Rivermead mobility index on admission. Journal of Stroke and Cerebrovascular Diseases, 23(8), 2117–2121.PubMedCrossRefPubMedCentralGoogle Scholar
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