Rivermead Mobility Index

Chronic Stroke: (Chen et al. 2007; n = 50; mean age = 60.9 (12.8) years; time since onset = 15.9 (5.3) months; Taiwanese sample)

• SEM = 0.8 points

Chronic Stroke: (Chen et al, 2007)

• SEM = 0.8 points

Acute Stroke: (Antonucci et al, 2002; n = 302*; mean age = 62.79 (11.94) years; mean number of days between stroke and admission = 52.48 (36.22) days)

Chronic Stroke: (Chen et al, 2007; Green, Foster & Young, 2001; n = 22; 1 year post-stroke, assessed twice, with one week between assessments)

• Excellent overall test-retest reliability (ICC = 0.96)
• Excellent test-retest reliability for the following subcategories:
  • Kappa for turning in bed = 1.0
  • Kappa for walking inside without aid = 0.89 
  • Kappa for walking outside on uneven ground = 0.83
  • Kappa for bathing = 0.81
  • Kappa for picking objects off the floor = 0.79
• Adequate test-retest reliability for the following subcategories:
  • Kappa for stairs = 0.68
  • Kappa for lying to sitting = 0.64
  • Kappa for sitting balance = 0.64
  • Kappa for transfers = 0.64
  • Kappa for walking up and down 4 steps = 0.67

Acute Stroke: (Hsueh et al, 2003; n = 57; mean age of 64.2 (11.5) years; assessed at 14, 30, 90, and 180 days post stroke; Taiwanese sample)

• Excellent interrater reliability for total score (ICC = 0.92)
• Poor to excellent interrater reliability for individual subcategories (Weighted Kappa = 0.37 - 0.94)

Acute Stroke: (Franchignoni et al, 2003b; n = 73; inpatients undergoing rehabilitation; assessed at rehab admission and 5 weeks)

Chronic and Acute Stroke: (Roorda et al, 2008; n = 620 mixed Dutch and English sample; onset ranged from 3 weeks to > 1 year)

• Excellent (assessed with coefficient ρ) 

  • English speaking sample (ρ = 0.96)

  • Dutch speaking sample (ρ = 0.97)

  • Reliability coefficient ρ range 0–1; ρ ≥ 0.90 is recommended for decisions regarding individual patients

Acute Stroke: (Hsueh et al, 2003)

• Excellent concurrent validity with:
  • Modified Rivermead Mobility Index:
    • Day 14:  (r = 0.78)
    • Day 30:  (r = 0.90)
    • Day 90:  (r = 0.90)
    • Day 180:  (r = 0.93)
  • STREAM
    • Day 14:  (r = 0.69)
    • Day 30:  (r = 0.87)
    • Day 90:  (r = 0.82)
    • Day 180:  (r = 0.85)

Acute Stroke: (Hsieh et al, 2000; n = 38 inpatients; Sommerfeld & vo Arbin, 2001; n = 115 inpatients aged > 65; Hsueh et al, 2003)

• Excellent predictive validity with Barthel Index 24 days post stroke (r = 0.77)
• RMI scores of > 4 best predictor of early discharge home

Acute Stroke: (Hsueh et al, 2003)

• Excellent correlation with BI at 14 days post stroke (r = 0.72)
• Excellent correlation with BI at 30 days post stroke (r = 0.88)
• Excellent correlation with BI at 90 days post stroke (r = 0.86)
• Excellent correlation with BI at 180 days post stroke (r = 0.88)

Acute Stroke: (Hsieh et al, 2000) 

• Critical values for two indicess, coefficient of reproducibility (> 0.9) and coefficient of scalability (> 0.7), were all exceeded

Acute Stroke: (Hsueh et al, 2003)

Acute Stroke: (Hsueh et al, 2003)

Lower Limb Amputees: (Ryall et al, 2003; n = 62; mean age = 56.8 (18.8) years; mean time post amputation: 4.9 (14.7) years)

• Excellent test-retest reliability (ICC = 0.99)

Lower Limb Amputees: (Ryall et al, 2003)

• concurrent validity with TWT (r = -0.58)
• Only one value is outside the 95% limits of agreement

Convergent validity in lower limb amputees: (Franchignoni et al, 2003a, n = 140; mean age = 57 (18) years)

• Excellent correlation with motFIM at beginning of prosthetic training (r = 0.83)
• Excellent correlation with motFIM at end of prosthetic training (r = 0.69)
• Excellent correlation of the change scores for the RMI with changes in motFIM (r = 0.75)
• Excellent correlation with TWT (timed walking test) at end of prosthetic training (r = -0.70)

Lower limb amputees: (Franchignoni et al, 2003a) 

• Coefficient of reproducibility was exceeded and ranged from 0.71-1.0 
• Coefficient of scalability was not exceeded and ranged from 0.38-0.62 

Lower limb amputees: (Ryall et al, 2003) 

• Coefficient of reproducibility was exceeded and ranged from 0.91-0.94

Lower limb amputees: (Ryall et al, 2003)

• 35% of patients in study affirmed all 15 items, resulting in a poor ceiling effect