[PDF] Elderly Mobility Scale PDF Download 2021

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Elderly Mobility Scale PDF
Elderly Mobility Scale PDF
No. Of Pages: 8
PDF Size: 135 KB
Language: English
Category: Government
Source: Elderly Mobility Scale
Elderly Mobility Scale PDF

Elderly Mobility Scale

The EMS was aimed as a standardised, validated scale for the assessment of frail geriatric patients, in or outside clinical settings.

It focuses on evaluation functional performance in abilities that support activities of daily living. Therefore, the EMS refers to the ability of the elderly person to perform ADLs.

EMS itemEvaluation options (points)
Lying To SittingIndependent (2)
Needs help of 1 person (1)
Needs help of 2+ people (0)
Sitting To LyingIndependent (2)
Needs help of 1 person (1)
Needs help of 2+ people (0)
Sitting To StandingIndependent in under 3 seconds (3)
Independent in over 3 seconds (2)
Needs help of 1 person (1)
Needs help of 2+ people (0)
StandingStands without support and able to reach (3)
Stands without support but needs support to reach (2)
Stands but needs support (1)
Stands only with physical support of another person (0)
GaitIndependent (+ / – stick) (3)
Independent with frame (2)
Mobile with walking aid but erratic / unsafe (1)
Needs physical help to walk or constant supervision (0)
Timed Walk (6 metres)Under 15 seconds (3)
16 – 30 seconds (2)
Over 30 seconds (1)
Unable to cover 6 metres (0)
Functional ReachOver 20 cm (4)
10 – 20 cm (2)
Under 10 cm (0)

EMS score interpretation

Based on the practical evaluation, each of the 7 functional tests described above, is awarded a number of points, varying from 0 to 4.

The highest score obtainable, 20, is consistent with full independent capacity.

A threshold at 10 has been established, with patients obtaining scores below this value requiring supervision, fall prevention and, in some cases, permanent care.

Scores are divided in three categories, according to the result interpretation:

EMS scoreResult interpretation
14 – 20Patient is independent in basic activities of daily life. He/she may require some help but is generally safe alone at home.
10 – 13Patient scores borderline independence in activities of daily life. He/she requires some degree of help with mobility related manoeuvres.
0 – 9Patient requires help with basic activities of daily life and is dependent of long term care.

The EMS’s functionality, clinical and personal relevance, and the fact that it can be provided in roughly 15 minutes with minimum training are just a few of its advantages.

One of the most common critiques levelled at the scale is that it needs a specific context, namely the 6 metre course, that the ceiling effect is obtained fast by patients with more skill, and that it does not account for other personal aspects, such as confidence concerns.

About the original study

The Senior Mobility Scale was created as a 20-point validated evaluation instrument (on an ordinal scale) for frail elderly adults.

The scale takes into account movement, balance, and position changes.

It has been assessed for inter-rater reliability (using clinical physiotherapy data), and its predictive capability has been verified in subsequent investigations.

Concurrent validity was determined by comparing results to the Functional Independence Measure and the Barthel Index. The EMS was shown to be more probable than the Barthel Index to identify improvements in mobility.

Healthy community-dwelling participants were tested for discriminant validity.

Activities of daily living

ADL is an acronym for activities of daily living, which are actions that are likely to occur on a daily basis, such as self-care. Such scenarios are used in healthcare settings to assess a subject’s capacity to execute self-care tasks.

Walking, job or leisure activities, bathing, dressing, or eating are some of the most prevalent instances of ADLs. Physical health is regarded as the most important factor influencing geriatric mobility, whether chronic or acute.

Another form of ADL is instrumental ADLs, which are not required for basic functioning but are used to measure independent living. These are shortened IADLs that may involve housekeeping, shopping, phone calls, food preparation, and transportation.

Original source

Smith, R. Validation and Reliability of the Elderly Mobility Scale. Physiotherapy, vol. 80, no. 11, pp. 744–747, 1994.

Validation study

The Reliability and Validity of the Elderly Mobility Scale in the Acute Hospital Setting, Nolan JS, Remilton LE, Green MM. IJAHSP, 6th edition, 2008. (4)

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