Urdu Translation of Revised High-Level Mobility Assessment Tool (HiMAT) in Healthy Children

Riphah International University80 enrolled

Overview

The ability to move with ease is labelled as mobility. Limitations in mobility are frequent, recovery of these skills is crucial for physical performance which gives children valuable social possibilities and has long-term advantages for their physical and mental health. The high-level mobility assessment tool (HiMAT) is a unidimensional performance to measure the degree of high-level mobility in traumatic brain injury patients. The revised HiMAT has been utilised recently in paediatric populations to assess clinical trial outcomes and measure high-level motor skills. Urdu translation of revised HiMAT will be executed by using forward backwards translation method. Two bilingual translators fluent in both Urdu and English languages will facilitate the researcher in the translation of the tool. This final translated version will be then tested for validity and reliability on all participants of the study. The psychometric properties of the tool will be assessed including reliability, internal consistency, and item discrimination.

Following steps will be followed for translation: 1. Forward Translation: Two independent translators who spoke Urdu as their native language will conduct initial translation into Urdu (U-HiMAT). 2. Synthesis: In this step both translated versions (U1 \& U2) will be synthesized to obtain a common translated version of U-HiMAT. Full Urdu version of scale will be completed. 3. Backward Translation: Urdu translated version will be translated back into English by a different team consisting of professional independent bilingual translators. 4. Expert Committee: Expert committees consisting of pediatric physical therapists and pediatric clinical practitioners will evaluate and review the difference between a translated version and an original draft. They will create a pre final version for field testing. 5. Pre-Final Version Testing: Pre-final Urdu and English version of scale will be tested on patients. Expert panel will review the findings from this process. After completion of translation process, psychometric properties of the tool will be analysed.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Healthy Children

Eligibility

Sex: ALLMin age: 5 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Children with age group 5-12 years * No condition affecting mobility of children * Able to understand and follow instruction. * Can speak \& understand language Exclusion Criteria: * Children with visual impairments. * Children with conditions affecting their mobility. * Children with any history of surgery in the past one year. * Children with any cardiorespiratory comorbidities. * Children with muscle strain, ligament sprain or joint laxity in lower extremities. * Cognition less than 20 on Mini Mental State Examination (MMSE). * Children with any history of any foot deformity

Outcomes

Primary Outcomes

Revised High Level Mobility Assessment Tool (HiMAT)

HiMAT is a single dimensional inspection of high-level movability for those suffering from TBI. The revised HiMAT comprises of 8 items that evaluate (1) walk forward, (2) walk backwards, (3) walk on toes and (4) walk over obstacle, (5) running, (6) skipping, (7) hopping, and (8) bounding. HiMAT has also been used to assess mobility in children with healthy conditions or suffering from any neurological disorder

Time frame: 6 months