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      Mobility after stroke: reliability of measures of impairment and disability.

      International disability studies
      Activities of Daily Living, Aged, Aged, 80 and over, Cerebrovascular Disorders, complications, Disability Evaluation, Female, Gait, Humans, Male, Middle Aged, Observer Variation, Reproducibility of Results

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          Abstract

          This paper investigates the reliability of six measures of impairment and disability related to mobility after stroke: the Rivermead Motor Assessment (RMA, gross function subsection); gait speed (over 5 and 10 m); the motricity index (leg scores only); functional ambulation categories; sitting to standing (by observation); and mobility categories. Twenty-five patients who had suffered a stroke 2-6 years earlier leaving them with mobility disability were seen as part of a home-based physiotherapy trial. Assessments were made by three people on three occasions over 5 weeks. All six measures were reliable in statistical terms. A variation in gait speed of up to 25% and a difference of 3 points in the RMA were the actual limits of reliability.

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