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Clinical Rehabilitation, Vol. 20, No. 7, 584-597 (2006)
DOI: 10.1191/0269215506cr972oa
© 2006 SAGE Publications

Evaluation of the Swedish version of the Modified Elderly Mobility Scale (Swe M-EMS) in patients with acute stroke

Annika Linder

Lisa Winkvist

Northern Alvsborg County Hospital, Uddevalla, Sweden

Lena Nilsson

Institute of Occupational Therapy and Physiotherapy, University of Gothenburg, Uddevalla, Sweden

Ninni Sernert

Fyrbodal Research Department, Uddevalla, Sweden

Objective: To investigate the inter-rater reliability and validity of the Swedish version of the Modified Elderly Mobility Scale (Swe M-EMS).

Design: A correlation study.

Setting: A stroke unit which provides acute care and rehabilitation for all stroke admissions in Northern Alvsborg County Hospital, Sweden.

Subjects: Thirty consecutive patients with an acute first-time stroke. Seventeen were women and 13 were men, with a median age of 79 years (41-92) and with a median hospital stay of 21 days (8-35).

Intervention: The patients were assessed twice with the Swe M-EMS on admission and at discharge, before and after midday, by two independent physiotherapists. They were assessed by an independent physiotherapist using the three evaluation instruments on admission, once a week during their hospital stay and at discharge.

Main outcome measures: The primary evaluation instrument was the Swe M-EMS. The two other evaluation instruments were the Modified Motor Assessment Scale of Uppsala Akademiska Sjukhus-95 (M-MAS UAS-95) and the Berg Balance Scale (BBS).

Results: The Swe M-EMS was a reliable instrument (ICC 0.98-0.99). It correlated well with both the M-MAS UAS-95 (rs=0.69-0.88) and the BBS (rs=0.86-0.94). The Swe M-EMS was sensitive to change over time, but the patients obtained the maximum score quickly.

Conclusion: The instrument shows a high inter-rater reliability. The Swe M-EMS correlates well with both the M-MAS UAS-95 and the BBS and is sensitive to change. However, it is not sensitive enough to use as a single instrument in evaluating the improvement of a patient with acute stroke.


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