| EMS | HABAM | PPME |
---|---|---|---|
Versions | 1. Original [22]. | 1. Original [26,42] 2. Rasch refined [27] | 1. Original [29] |
Number of items | Seven | 1. 27 in the original version 2. 22 in the modified version | 1. Six items |
Content | Lying to sitting, sitting to lying, sit to stand, stand, gait, timed walk (6 meters), functional reach. | MOBILITY: bedfast, chairfast, 2 person assist +/- aid, 1 person hands on +/- aid, 1 person standby +/- aid, with aid 8–50 m, with aid > 50 m, unlimited with aid, limited 8–50 m, limited > 50 m, unlimited. TRANSFERS: total lift, 2 person assist, 1 person assist, 1 person pivot, 1 person hands-on, 1 person standby, independent with aid, independent. BALANCE: impaired static sitting, stable static sitting, stable dynamic sitting, stable static standing, stable dynamic standing, stable transfer, stable with aid, stable ambulation. | Bed mobility, transfer skills, multiple stands from chair, standing balance, step-up and ambulation. |
Time to complete | "No more than 5 minutes" [32] | Average of 2.6 (+/- 1) minutes [41]. | Approximately 10 minutes [29] 8.6 minutes (SD = 3.6 minutes) [41] |
Equipment requirements | A bed, chair, stop watch, walking aid if necessary, a space for a standardised 6 meter walk and a functional reach test. | A bed, chair and walking aid if required. | A bed, chair, stop watch, standardised step and gait aid if required. |
Scaling method | One response is selected by the clinician administering the test for the 7 mobility tasks. Two items are scored from 0 – 2, four items are scored from 0 – 3 and one item from 0 – 4. | The original version of the HABAM is an ordinal measure. Interval level data is provided by the Rasch converted version of the HABAM. | The PPME has two scaling methods. The pass-fail PPME provides 2 response options (pass or fail) and the 3 level PPME provides 3 response options for each item (high pass, low pass or fail). Each response option is clearly defined [29]. |
Scoring | Each item score is summed to provide a total possible score from 0 to the maximum score of 20 which represents independent mobility. Scores under 10 are considered to represent "dependence in mobility manoeuvres", 10 – 13 to indicate "borderline in terms of safe mobility" and 14 or more to be "likely to be independent in mobility" [22]. | The original version of the HABAM has a total score range of 0 – 24. One point is scored for each increment in ability. Higher scores indicate higher levels of mobility. The Rasch converted HABAM has a broader interval score range of 0 to 26. A score is listed next to each item on the HABAM. Harder items have higher scores. The highest score obtained across the 3 sections of the HABAM represents the HABAM interval score. Higher scores indicate higher levels of mobility. | The pass-fail PPME provides a dichotomous scoring system for the 6 PPME items. Zero is scored for a fail. One point is scored for successfully completing each item. Items sum to obtain a maximum score of 6. In the 3 level PPME scoring system, zero is scored for a fail, one point for a low pass and two points for a high pass. The total score range is 0 – 12. |
Floor and ceiling effects | A ceiling effect was identified for community dwelling older adults who had experienced a single fall in the previous 6 months, "approximately 50% of single fallers scored 19 – 20" [30]. Twenty healthy 81 to 90 year old women all scored the highest possible score of 20 on the EMS [22]. | A ceiling effect was identified in an older acute medical patient population. Approximately 25% of patients scored the maximum possible score at hospital admission [27]. | An absence of floor and ceiling effects has been reported for the 3 level scoring system [29]. |