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.
Purpose: To use the Clinical Mobility Scale to monitor mobility in patients over time.
Specialty: Sports Medicine & Rehabilitation
Objective: disability and performance
ICD-10: ,