{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:31:18Z","timestamp":1792171878545,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,9,18]],"date-time":"2013-09-18T00:00:00Z","timestamp":1379462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the concurrent validity, responsiveness, and ceiling effect of the revised High\u2010Level Mobility Assessment Tool (HiMAT) in persons after orthopedic multitrauma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional sample of convenience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A large tertiary rehabilitation hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Forty\u2010three participants with orthopedic multitrauma lower limb injuries that resulted from motor vehicle accidents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study compared the concurrent validity, responsiveness, and ceiling effects of the revised HiMAT, motor subsection of the Functional Independence Measure (FIM) instrument. Performances for all participants were concurrently scored on the motor FIM, revised HiMAT, and the Lower Extremity Functional Scale (LEFS) at initial testing, and 6 and 12 weeks after the decision to fully bear weight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>Revised HiMAT, motor FIM, and LEFS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The correlation between the revised HiMAT and the motor FIM was moderate (<jats:italic>r<\/jats:italic> = 0.49; <jats:italic>P<\/jats:italic> &lt;.001) and partly induced by a ceiling effect in the motor FIM. After 12 weeks of full weight bearing, 51.2% of participants achieved the maximum score on the motor FIM. The correlation between the revised HiMAT and LEFS was weak (<jats:italic>r<\/jats:italic> = 0.39; <jats:italic>P<\/jats:italic> = .012), which indicated a weak relationship between self\u2010reported mobility problems and actual performance. The revised HiMAT was more responsive than the motor FIM and the LEFS, based on the proportion of persons who exceeded the minimal detectable change score over a period of 6 and 12 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The revised HiMAT is more responsive to change than the LEFS and motor FIM, and less susceptible to a ceiling effect than the motor FIM for persons with orthopedic multitrauma. It has poor\u2010to\u2010moderate concurrent validity with the LEFS and motor FIM, which suggests that it may be measuring a different aspect of mobility.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2013.09.007","type":"journal-article","created":{"date-parts":[[2013,9,18]],"date-time":"2013-09-18T18:01:17Z","timestamp":1379527277000},"page":"235-240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Concurrent Validity and Responsiveness of the High\u2010Level Mobility Assessment Tool for Mobility Limitations in People With Multitrauma Orthopedic Injuries"],"prefix":"10.1002","volume":"6","author":[{"given":"Gavin","family":"Williams","sequence":"first","affiliation":[{"name":"Physiotherapy Department Epworth Hospital 89 Bridge Rd Richmond 3121 Victoria Australia"},{"name":"School of Physiotherapy The University of Melbourne Melbourne Australia"},{"name":"School of Physiotherapy La Trobe University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Hill","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Epworth Hospital Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Kahn","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Epworth Hospital Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,18]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198807000-00005"},{"key":"e_1_2_7_3_2","volume-title":"World Report on Traffic Injury Prevention","author":"World Health Organization","year":"2004"},{"key":"e_1_2_7_4_2","unstructured":"Centers for Disease Control and Prevention. 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