Description

A Clinical Mobility Scale can be used to assess a patient's degree of mobility over time.


 

Parameters:

(1) upright posture

(2) walking

(3) gait

(4) sitting

(5) stair climbing

(6) hand-held appliances

(7) wheelchair

(8) time usage

 

Mobility Parameter

Finding

Rating

upright posture (how patient functions with or without prosthesis)

does not stand

0

 

stands only with personal assistance

1

 

stands with the assistance of a hand-held appliance (crutch, cane, walker)

2

 

stands without assistance

3

walking (how patient functions with or without prosthesis)

does not walk

0

 

walks only with personal assistance

1

 

walks with the assistance of a hand-held appliance (crutch, cane, walker)

2

 

walks without assistance

3

gait (how patient functions with or without prosthesis)

walks slowly or not at all

0

 

walks at a moderately slow pace

1

 

walks briskly

2

 

can jog or run

3

sitting (how patient functions with or without prosthesis)

sits only for short periods of time and prefers to lie down

0

 

sits without discomfort for short periods of time (1 hour)

1

 

sits without discomfort for longer periods of time (over 1 hour)

2

 

sits without discomfort

3

stair climbing (how patient functions with or without prosthesis)

cannot climb stairs

0

 

climbs stairs with assistance of another person

1

 

climbs stairs with assistance of hand rail and/or crutches

2

 

climbs stairs unassisted

3

hand-held appliances (crutches and canes)

cannot use crutches or cane

0

 

must use crutches

1

 

uses single crutch or cane or two crutches intermittently

2

 

uses no hand-held appliance

3

wheelchair

moves with the aid of wheelchair most of time

0

 

moves with the aid of wheelchair only for long distances

1

 

occasionally uses wheelchair

2

 

never uses wheelchair

3

time usage

spends most day in bed or on couch at home

0

 

spends most of day in chair at home

1

 

spends most of day ambulatory but confined to the house

2

 

spends most of day ambulatory

3

 

mobility assessment score =

= (points for upright posture) + (points for walking) + (points for gait) + (points for sitting) + (points for stair climbing) + (points for hand-held appliances) + (points for wheelchair) + (points for time usage)

 

Interpretation:

• minimum score 0 = least mobile

• maximum score 24 = most mobile

• The higher the score the better the patient's mobility.

 


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