High inter-tester reliability of the new mobility score in patients with hip fracture.

Authors

  • Morten Tange Kristensen
  • Thomas Bandholm
  • Nicolai Bang Foss
  • Charlotte Ekdahl
  • Henrik Kehlet

DOI:

https://doi.org/10.2340/16501977-0217

Keywords:

hip fracture, activities of daily living, rehabilitation, reproducibility of results.

Abstract

OBJECTIVE: To assess the inter-tester reliability of the New Mobility Score in patients with acute hip fracture. DESIGN: An inter-tester reliability study. SUBJECTS: Forty-eight consecutive patients with acute hip fracture at a median age of 84 (interquartile range, 76-89) years; 40 admitted from their own home and 8 from nursing homes to an acute orthopaedic hip fracture unit at a university hospital. METHODS: The New Mobility Score, which evaluates the prefracture functional level with a score from 0 (not able to walk at all) to 9 (fully independent), was assessed by 2 independent physiotherapists at the orthopaedic ward. Inter-tester reliability was evaluated using the intraclass correlation coefficient (ICC1.1) and the standard error of measurement (SEM). RESULTS: The ICC between the 2 physiotherapists was 0.98, 95% confidence interval (CI) 0.96-0.99 and the SEM was 0.42, 95% CI -0.40-1.24 New Mobility Score points. No systematic between-rater bias was observed (p>0.05). Patients who were scored differently by the 2 physiotherapists had significantly lower mental scores (p=0.02). CONCLUSION: The inter-tester reliability of the New Mobility Score is very high and can be recommended to evaluate the prefracture functional level in patients with acute hip fracture.

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Published

2008-08-30

How to Cite

Kristensen, M. . T., Bandholm, T., Foss, N. . B., Ekdahl, C., & Kehlet, H. (2008). High inter-tester reliability of the new mobility score in patients with hip fracture. Journal of Rehabilitation Medicine, 40(7), 589–591. https://doi.org/10.2340/16501977-0217

Issue

Section

Short Communication