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Title: High-level mobility skills in children and adolescents with traumatic brain injury.
Authors: Williams, Gavin
Other Authors: Kissane, Anne
Eldridge, Beverley
Kelly, Stacy
Vidmar, Suzanna
Galea, Mary
Keywords: Brain Injury
Traumatic Brain Injury
Mobility Skills
Assessment Tool
High-level Mobility Assessment Tool
Pediatric Evaluation of Disability Inventory
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Dec-2015
Publisher: Taylor and Francis
Citation: Brain Inj. 2015;29(13-14):1711-6.
Abstract: AIM: To evaluate the reliability, validity and responsiveness of the High-level Mobility Assessment Tool (HiMAT) in children and adolescents with traumatic brain injury (TBI) and to compare the mobility skills of children with TBI to those of healthy peers. METHOD: The mobility skills of 52 children with moderate and severe TBI (36 males; mean age = 12 years, range = 6-17) were assessed using the HiMAT and the Pediatric Evaluation of Disability Inventory (PEDI). Inter-rater reliability, re-test reliability and responsiveness of the HiMAT were evaluated in sub-groups by comparing results scored at several time-points. The HiMAT scores of children with TBI were compared with those of a healthy comparative cohort. RESULTS: The HiMAT demonstrated excellent inter-rater reliability (ICC = 0.93), re-test reliability (ICC = 0.98) and responsiveness to change (p = 0.002). The PEDI demonstrated a ceiling effect in mobility assessment of ambulant children with TBI. The HiMAT scores of children with TBI were lower than those of their healthy peers (p < 0.001). INTERPRETATION: The HiMAT is a reliable, valid and sensitive measure of high-level mobility skills following childhood TBI. The high-level mobility skills of children with TBI are less proficient than their peers.
DOI: 10.3109/02699052.2015.1075174
PubMed URL:
ISSN: 0269-9052
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: Murdoch Children's Research Institute, Melbourne, Australia
Royal Children's Hospital, Melbourne, Australia
University of Melbourne, Melbourne, Australia
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Neurosciences

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