Mini motor test: a clinical test for rehabilitation of patients showing psychomotor disadaptation syndrome (PDS).
Direct observation of postural and motor abilities appears as very important in assessment of patients showing psychomotor disadaptation syndrome (PDS). We examine feasibility and reliability of mini motor test (MMT) which has been developed in order to establish rehabilitation goals in this population. MMT is a 20-item score which assesses abilities in bed, quality of sitting position, abilities in the standing position, and quality of gait. MMT has been conducted by two different independent investigators, a physiotherapist and a physician, in four different geriatric centers. One hundred and one subjects (mean age: 84.9 +/- 6.0 years) were included in the study. The agreement between the two investigators was highly satisfying for both MMT total score and each item of MMT. Redundancy between items appeared very limited. The difference between investigators for MMT total score did not vary significantly with score of the mini-mental-state examination (MMSE). The correlation between MMT and the Katz index was found significantly negative. MMT is an easy direct-observation test which may be particularly useful in patients who present with severe postural and gait impairment. This test can be used in clinical practice by different professional actors in order to allow an interdisciplinary approach for a common rehabilitation goal in the PDS patients.
Mourey
France
F
Service de Médecine Gériatrique, Centre Hospitalier Régional, Université de Dijon, Centre de Champmaillot, 2 rue Jules Violle BP 87909, 21079 Dijon Cédex, France. france.mourey@chu-dijon.fr
Camus
Agnès
A
d'Athis
Philippe
P
Blanchon
Marie-Ange
MA
Martin-Hunyadi
Catherine
C
de Rekeneire
Nathalie
N
Pfitzenmeyer
Pierre
P
D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D005684:Gait; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D016014:Linear Models; D008297:Male; D011187:Posture; D011596:Psychomotor Disorders / Q000175:diagnosis* / Q000534:rehabilitation; D015203:Reproducibility of Results; D018709:Statistics, Nonparametric