High Level Mobility and Assessment Tool (HiMAT)
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Objective
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The High Level Mobility and Assessment tool (HiMAT) is a standardized outcome measure used to quantify motor performance in individuals with high-level balance and mobility deficits. It was created by Gavin Williams in 2005 as an assessment tool for people with traumatic brain injury (TBI). The 31 items included (and were derived from the opinions' of expert clinicians and evidence from existing neurological mobility scales [1] [2]
Intended Population
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Most published evidence implementing the HiMAT gives data on assessment of patients with TBI. The HiMAT can be used for a number of other neurological and musculoskeletal conditions that result in high-level vestibular and motor deficits. As per the tool instructions, those being assessed using the HiMAT must at least have the ability to walk greater than 20 meters independently without gait aids and with or without orthoses.
Method of Use[edit | edit source]
Equipment Required
- at least 20m even surface walkway
- 1 house brick
- access to a flight of 14 stairs
- stopwatch
- tape measure
- pen and a copy of the HiMAT tool
Preparation of Environment:
- Measure and mark a 20m walkway to count the middle 10m
Instructions:
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Links[edit | edit source]
References[edit | edit source]
- Williams, G. P., Robertson, V., Greenwood, K. M., Goldie, P. A. & Morris, M. E. (2009). The high-level mobility assessment tool (HiMAT) for traumatic brain injury. Part 1: Item Generation, Brain Injury,19:11, 925-932, DOI: 10.1080/02699050500058687
- Williams, G. P., Robertson, V., Greenwood, K. M., Goldie, P. A. & Morris, M. E. (2009). The high-level mobility assessment tool (HiMAT) for traumatic brain injury. Part 2: Content validity and discriminability, Brain Injury, 19:10, 833-843, DOI: 10.1080/02699050500058711
- Williams, G. (2006). The High Level Mobility Assessment Tool. The Center for Outcome Measurement in Brain Injury. <https://www.tandfonline.com/doi/abs/10.1080/02699050500058687> ( accessed June 12, 2018 ).
