![]() 2ģ EMS > 14 = home EMS between 10 and 14 = borderline in terms of safe mobility and independence in activities of daily living (ADL) i.e. Predictive Validity / interpretation of results Although this was not the purpose of the original research, a trend was demonstrated. This group all scored 20/20 demonstrating the scale discriminated between those with mobility deficits and those with none. Discriminant Validity was assessed by testing 20 healthy community dwelling volunteers of a similar age group. Results of Mann Whitney Test was 196, p=0.75 showing no significant difference between testers. Various grades of clinical staff were used. The EMS was also found to correlate with the Modified Rivermead Mobility Index (Spearman s rho = 0.887) (Nolan et al 2008) Inter-rater Reliability was established by comparing results of clinical physiotherapists compared to the researcher. EMS scores correlated highly at and respectively. (For the theoretical basis of Functional Reach see FR details) Properties Concurrent Validity was assessed for the EMS by correlating scores with the Functional Independence Measure and Barthel Index. This differentiation is important as frame and rollator users have been shown to have weaker lower limbs (in terms of leg extensor power), and poorer functional performance in terms of walking speed, stair climbing and chair raise (Bassey et al 1992). Where a frame, rollator, 2 sticks or crutches are used the score reduces. The subject achieves maximum points if they walk safely with no aid or 1 stick. In EMS gait is assessed based on the type of assistance required to walk. Bassey et al (1992) found that frail elderly people often used upper limbs to assist with sit to stand and took longer to carry out the procedure. Increasing frailty will reduce walking speed further. Studies have shown that walking speed diminishes with age with the average walking speed of healthy women over 75 being 1 metre per second (Leiper et al 1991). Speed of sit to stand and walking speed are analysed. Theoretical Basis EMS evaluates an individual s mobility problems through seven functional activities including bed mobility, transfers and bodily reaction to perturbation (Chiu et al 2003). Appropriateness This test is appropriate for elderly patients in a hospital setting (Prosser and Canby 1997, Smith 1994) once the acute medical condition has resolved, or as out patients in Day Hospital environment (Chiu et al 2003). The Functional Reach component as well as the whole EMS can predict an individual who is at risk of falling (Duncan et al 1992, Spilg et al 2003) Description The Elderly Mobility Scale (EMS) is a 20 point validated assessment tool for the assessment of frail elderly subjects (Smith 1994). Updated June 2012Ģ Elderly Mobility Scale - EMS Purpose To provide a scale for assessment of mobility, considering locomotion, balance and key position changes. Limitations: Difficult to use in community environments, ceiling effect for more able patients, not sensitive for patients with issues of poor confidence. Time to complete: 15 minutes Good things about it: Functional, clinically significant, minimal training needed, can be used as an assessment tool and an outcome measure. Space needed: Space for bed, chair, wall, space for 6m walk. Properties: Reliability: Inter-rater YES Validity: Predictive YES Concurrent YES Responsive to change: Not established Sensitivity: Not established Specificity: Not established Training: Minimal Equipment: Metre rule, stop watch, access to a bed and chair, and usual walking aid. Who s it for: Older people in a hospital setting either on a ward or in a day hospital. Description: The EMS is a 20 point validated assessment tool for the assessment of frail elderly subjects (Smith 1994). A Patient Results Management System (e.g.1 Elderly Mobility Scale (EMS) Summary: Measures: Scale of assessment of mobility. It also has a “Help” section, which provides assistance in relation to the use of the tool. The tool automatically generates the scale total and based upon the user's input, categorises the score.įree-To-Download, Doctot EMS has an "Information" section that provides the user with relevant background details. This assessment scale is presented in a wizard format, which allows the health care professional to easily navigate through the interview components to record a patient's status. Doctot are proud to present the Elderly Mobility Scale (EMS), a validated assessment tool for the assessment of frail elderly patients.Ī highly functional and clinically significant Mobile App, Doctot Elderly Mobility Scale's user-friendly design enables medical practitioners to assess 7 dimensions of functional performance in patients.
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