PMID- 22897700
OWN - NLM
STAT- MEDLINE
DCOM- 20130403
LR  - 20191210
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 35
IP  - 4
DP  - 2013 Feb
TI  - Validity of the de Morton Mobility Index (DEMMI) for measuring the mobility of 
      patients with hip fracture during rehabilitation.
PG  - 325-33
LID - 10.3109/09638288.2012.705220 [doi]
AB  - PURPOSE: Many patients suffer long term loss of mobility after hip fracture but 
      there is no gold standard method for measuring mobility in this group. We aimed 
      to validate a new mobility outcome measure, the de Morton Mobility Index (DEMMI) 
      in a hip fracture population during inpatient rehabilitation. METHOD: The DEMMI 
      was compared with the existing measures of activity limitation: 6 minute walk 
      test, 6 metre walk test and Barthel Index on 109 consecutive patients admitted to 
      rehabilitation after surgery for hip fracture. Patients were assessed by a 
      physiotherapist at admission and discharge. Scale width, validity, minimal 
      clinically important difference (MCID), responsiveness, and unidimensionality 
      were investigated. RESULTS: Evidence of convergent, discriminant and known groups 
      validity were obtained for the DEMMI. Responsiveness was similar across 
      instruments and the MCIDs were consistent with previous reports. A floor effect 
      was identified for the 6 metre walk test and 6 minute walk test at hospital 
      admission. Rasch analysis identified that the DEMMI maintains its unidimensional 
      properties in this population. CONCLUSIONS: The DEMMI has a broader scale width 
      than existing measures of activity limitation and provides a unidimensional 
      measure of mobility for hip fracture patients during inpatient rehabilitation.
FAU - de Morton, Natalie A
AU  - de Morton NA
AD  - La Trobe University, Musculoskeletal Research Centre and School of Physiotherapy, 
      Bundoora, Australia.
FAU - Harding, Katherine E
AU  - Harding KE
FAU - Taylor, Nicholas F
AU  - Taylor NF
FAU - Harrison, Glenys
AU  - Harrison G
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20120816
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - *Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Exercise Test
MH  - Female
MH  - Geriatric Assessment
MH  - Hip Fractures/*rehabilitation
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Mobility Limitation
MH  - Outcome Assessment, Health Care/*methods
MH  - Psychometrics
MH  - Psychomotor Performance/physiology
MH  - Reproducibility of Results
MH  - Walking/physiology
EDAT- 2012/08/18 06:00
MHDA- 2013/04/04 06:00
CRDT- 2012/08/18 06:00
PHST- 2012/08/18 06:00 [entrez]
PHST- 2012/08/18 06:00 [pubmed]
PHST- 2013/04/04 06:00 [medline]
AID - 10.3109/09638288.2012.705220 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2013 Feb;35(4):325-33. doi: 10.3109/09638288.2012.705220. Epub 
      2012 Aug 16.