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The High-level Mobility Assessment Tool (HiMAT) is a unidimensional measure of mobility. It comprises 10 items that are recorded by stopwatch or measure-tape. Patients are allowed a practice trial for each item. They are instructed to perform each item at their maximum safe speed, except for the stair items, where they are instructed to complete the task at “their normal speed.” Performances are then classified by performance quartiles outlined on a scorecard.
The test items are:
- 1.
Walking
- 2.
Walking backward
- 3.
Walking on toes
- 4.
Walking over an obstacle (house-brick)
- 5.
Running
- 6.
Skipping
- 7.
Hopping forward on the more affected leg
- 8a.
Bound (onto the more affected leg)
- 8b.
Bound (onto the less affected leg)
- 9a.
Up stairs – dependent
- 9b.
Up stairs – independent
- 10a.
Down stairs – dependent
- 10b.
Down stairs – independent
Most items are scored from 0 to 4. A score of 0 indicates the inability to perform the item, while scores of 1–4 represent improving...
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References and Readings
Williams, G., Greenwood, K., Robertson, V., Goldie, P., & Morris, M. E. (2006a). High-level Mobility Assessment Tool (HiMAT): Inter-rater Reliability, Retest Reliability and Internal Consistency. Physical Therapy, 86, 395–400.
Williams, G., Greenwood, K., Robertson, V., Goldie, P., & Morris, M. E. (2006b). The concurrent validity and responsiveness of the High-level Mobility Assessment Tool (HiMAT) for measuring the mobility limitations of people with traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 87, 437–442.
Williams, G., Robertson, V., & Greenwood, K. (2004). Measuring high-level mobility after traumatic brain injury. American Journal of Physical Medicine and Rehabilitation, 83, 910–920.
Williams, G., Robertson, V., Greenwood, K., Goldie, P., & Morris, M. E. (2005a). The High-level Mobility Assessment Tool (HiMAT) for traumatic brain injury. Part 1: Item Generation. Brain Injury, 19(11), 925–932.
Williams, G., Robertson, V., Greenwood, K., Goldie, P., & Morris, M. E. (2005b). The High-level Mobility Assessment Tool (HiMAT) for traumatic brain injury. Part 2: Content Validity and Discriminability. Brain Injury, 19(10), 833–843. http://www.tbims.org/combi/
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Williams, G. (2011). High-Level Mobility Assessment Test. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_1942
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