title: Patient-Reported Mobility: A Systematic Review.
abstract: To identify the self-administered instruments to assess mobility in adults with disability, to link the mobility assessed by these instruments to the International Classification of Functioning, Disability and Health (ICF), and to evaluate their methodological quality.
  
  
  
  Scopus, Science Direct, and Web of Science were systematically searched up to July 2015.
  
  
  
  Studies on the development and validation of self-administered questionnaires in which at least half of the items were related to movement or mobility were included.
  
  
  
  The mobility assessed by the instruments was classified according to the ICF categories. The methodological quality was assessed according to the Consensus-based Standards for the Selection of Health Measurement Instruments checklist.
  
  
  
  Of 5791 articles, 34 studies were eligible for inclusion. Only 10 of the instruments contained items that exclusively assessed mobility. The most frequently linked ICF categories were "changing basic body position" (19.4%), "walking" (14.8%), and "moving around" (13.5%). Measurement properties evaluated included internal consistency (5 studies), reliability (5 studies), measurement error (1 study), content validity (9 studies), structural validity (4 studies), hypotheses testing (6 studies), and responsiveness (1 study). Only content validity obtained the highest quality, probably because the studies included in the review reported the development and initial validation of the instruments.
  
  
  
  Self-administered mobility questionnaires published in the scientific literature assess mobility activities rather than functions related to movement, and do so from the perspective of disability, frequently including self-care and domestic life as domains for assessment. The instruments that presented the highest methodological quality were the Outpatient Physical Therapy Improvement in Movement Assessment Log, the Movement Ability Measure, and the Mobility Activities Measure for Inpatient Rehabilitation Settings.
authors.affiliation: School of Health Science, SALBIS Research Group, University of León, León, Spain. Electronic address: arrate.pcarral@unileon.es.
authors.forename: Arrate
authors.initials: A
authors.lastname: Pinto-Carral
authors.affiliation: Research Group on Gene-Environment Interactions and Health (GIIGAS), University of León, León, Spain.
authors.forename: Tania
authors.initials: T
authors.lastname: Fernández-Villa
authors.affiliation: Research Group on Gene-Environment Interactions and Health (GIIGAS), University of León, León, Spain.
authors.forename: Antonio José
authors.initials: AJ
authors.lastname: Molina de la Torre
mesh_terms: D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D051346:Mobility Limitation; D026741:Physical Therapy Modalities / Q000592:standards*; D015203:Reproducibility of Results; D057566:Self Report / Q000592:standards*
keywords: Disability evaluation; Mobility limitation; Outcome assessment (health care); Patient outcome assessment; Physical therapy specialty; Rehabilitation