The Rivermead Mobility Index assesses functional mobility in gait, balance and transfers after stroke. Intended Population. Those with a diagnosis of Stroke, Spinal Cord Injury, Acquired Brain Injury, Lower Limb Amputees Method of Use. . Life Space Assessment. Modified Rivermead Mobility Index. Rivermead Mobility Index. Rivermead Motor Assessment. Short Physical Peformance Battery. Stroke Rehabilitation Assessment of Movement Gait These outcome measures assessed various phases of the gait cycle. Cadence. Double Limb Support Period. Novel bhramanam. The Rivermead Mobility Index assesses functional mobility in gait, balance and transfers after stroke Intended Population. Those with a diagnosis of Stroke, Spinal Cord Injury, Acquired Brain Injury, Lower Limb Amputees Method of Use.
Rivermead Test
| Lord, S. E., Halligan, Peter and Wade, D. T. 1998. Visual gait analysis: the development of a clinical assessment and scale. Clinical Rehabilitation 12 (2) , pp. 107-119. 10.1191/026921598666182531 |
Abstract
Objectives: To develop and evaluate a four-point scale visual gait assessment form, the Rivermead Visual Gait Assessment (RVGA), for clinical use with patients with neurological deficits. Design: Preliminary clinical testing of reliability, validity and sensitivity to change. Setting: Patients were recruited from the Rivermead Rehabilitation Centre (RRC), a centre specializing in rehabilitation for patients with neurological disease. Patients: Ten inpatients were assessed by up to seven physiotherapists for the main reliability study, and eight different patients were also assessed by two raters one week apart. Twenty outpatients with multiple sclerosis (MS) who were receiving physiotherapy to improve their mobility and 27 inpatients with various neurological conditions were also assessed and the data used to examine validity, reliability and sensitivity to change. Outcome: The other comparative measures used were walking time, stride length, step length asymmetry, balance and the Rivermead Mobility Index. Results: Inter-rater reliability between multiple raters was reasonable both for the global scores from the gait assessment form (Kendall's coefficient of concordance; p <0.001), and for individual items (complete agreement occurred on 63.8% of all observations). There was a significant correlation between the global RVGA score and the various criterion measures (r = 0.53–0.79; p <0.001) and between change in the RVGA score and change in walking time in patients who received treatment (r = 0.68; p <0.01). Conclusions: The RVGA provides the clinician with a clinical assessment of the quality of gait which may be used in conjunction with other measures to inform and monitor the value of physiotherapy treatment for people with MS and stroke, and possibly other neurological deficits.
| Item Type: | Article |
|---|---|
| Date Type: | Publication |
| Status: | Published |
| Schools: | Psychology |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
| Publisher: | SAGE Publications |
| ISSN: | 0269-2155 |
| Last Modified: | 04 Jun 2017 04:14 |
| URI: | http://orca.cf.ac.uk/id/eprint/35232 |
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Rivermead Visual Gait Assessment
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Rivermead Motor Assessment Scale
Gait Assessment Form
Design: Observational, Reliability Study
Setting: Participants: A convenience sample of 20 chronic post stroke hemiparetic patients.
Outcome Measures: Rivermead visual gait assessment (RVGA), Fugl meyer assessment - lower extremity (FMA-LE); 10 Meter walk test (10-MWT), Time up & go test, Berg balance scale (BBS).
Procedure: A walking video of the subjects were recorded from anterior aspect, posterior aspect, affected side, and less-affected side. After coding the tapes, the staff provided them to the 4 different raters (2 experienced and 2 novice) in random order. Each rater score the coded video on the RVGA data collection sheet twice, one at the baseline and other after one month to eliminate any recollection of the initial assessment.
Results – The findings exhibited that there was good to excellent correlation between the scores of the raters and also between the assessments (correlation coefficient = 0.9; p<0.001). The measure also exhibit acceptable validity with scores of FMA and BBS (r = 0.6 to 0.8; p < 0.005).
Conclusions – Video-based RVGA is a reliable and valid tool to assess the gait in stroke. It is a simple & economical method to assess gait, a complex phenomenon in clinical & research practice.
Summary:
Visual gait-observation, a clinical & cost-effective technique may also discern gait deviations
Rivermead Visual Gait Assessment (RVGA) is a clinically useful tool to assesses kinematic aspect of gait
Available information on psycho-clinocometric properties of RVGA is not adequate
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