Wheelchair-dependent patients rely on their upper extremities for mobility and transfers.
Items were selected to assess observable physical limitations generally related to standard ADL categories, such as grooming, bathing, dressing, eating/drinking, writing/drawing, sitting, toileting, mobility, and transfers.
This 15-item IMPA scale is the first reported tool to measure the impact of physical impairments on basic ADLs in individuals with juvenile MLD (i.e., grooming, bathing, dressing, eating/drinking, writing/drawing, sitting, toileting, mobility, and transfers).
The interventions included educating patients about their conditions, providing gait aids, assisting with patient mobility and transfers, and liaising with medical, nursing and pharmacy staff for medication reviews and discharge planning requirements.
Residents had impaired mobility and transfers, and a high prevalence of incontinence, implying a need for access to physiotherapy, occupational therapy and specialist nursing.
This application to the acute patient pathway is supported by findings from other studies that have found physiotherapy services to improve and support mobility, providing gait aids, assisting with patient mobility and transfers, chest physiotherapy and discharge planning.
We selected 19 items related to mobility, walking, and transfer based on a previous study on reliability [ 4].
The 19 items were then modified into 33 items which specified performance in relation to mobility, walking and transfer.
Understanding the effect of soil redox conditions on contaminant dynamics is of significant importance for evaluating their lability, mobility and potential transfer to other environmental compartments.
