The Rivermead Mobility Index Allows Valid Comparisons Between Subgroups of Patients Undergoing Rehabilitation After Stroke Who Differ With Respect to Age, Sex, or Side of Lesion

Leo D. Roorda*, John R. Green, Annemieke Houwink, Pam J. Bagley, Jane Smith, Ivo W. Molenaar, Alexander C. Geurts

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    10 Citations (Scopus)

    Abstract

    Roorda LD, Green JR, Houwink A, Bagley PJ, Smith J, Molenaar IW, Geurts AC. The Rivermead Mobility index allows valid comparisons between subgroups of patients undergoing rehabilitation after stroke who differ with respect to age, sex, or side of lesion. Arch Phys Med Rehabil 2012;93:1086-90.

    Objective: To investigate differential item functioning or item bias of the Rivermead Mobility Index (RMI) and its impact on the drawing of valid comparisons with the RMI between subgroups of patients after stroke who differ with respect to age, sex, or side of lesion.

    Design: Cross-sectional study.

    Setting: A rehabilitation center in the Netherlands and 2 stroke rehabilitation units and the wider community in the United Kingdom.

    Participants: The RMI was completed for patients undergoing rehabilitation after stroke (N=620; mean age +/- SD, 69.2 +/- 12.5y; 297 [48%] men; 269 [43%] right hemisphere lesion, and 304 [49%] left hemisphere lesion).

    Interventions: Not applicable.

    Main Outcome Measures: Mokken scale analysis was used to investigate differential item functioning of the RMI between subgroups of patients who differed with respect to age (young vs older), sex (men vs women), and side of stroke lesion (right vs left hemisphere).

    Results: No differential item functioning was found for any of the comparison subgroups.

    Conclusions: The RMI allows valid comparisons to be made between subgroups of patients undergoing rehabilitation after stroke who differ with respect to age, sex, or side of lesion.

    Original languageEnglish
    Pages (from-to)1086-1090
    Number of pages5
    JournalArchives of Physical Medicine and Rehabilitation
    Volume93
    Issue number6
    DOIs
    Publication statusPublished - Jun-2012

    Keywords

    • Activities of daily living
    • Disability evaluation
    • Mobility limitation
    • Psychometrics
    • Rehabilitation
    • Stroke
    • MEASURING ACTIVITY LIMITATIONS
    • LOWER-EXTREMITY DISORDERS
    • TEST-RETEST RELIABILITY
    • PSYCHOMETRIC PROPERTIES
    • INPATIENT REHABILITATION
    • HIERARCHICAL SCALE
    • PROSPECTIVE COHORT
    • WALKING
    • TRIAL
    • HOME

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