HiMAT has been specifically designed to be quick and easy to use
without any formal training program. Any health professional or
assistant may conduct testing following familiarization with the
administration and scoring outlined in the User Manual (Williams
et al., 2004b).
Data collection for scoring the HiMAT is simple and requires only
5-15 minutes. Testing can take place in almost any clinical setting
and requires minimal equipment. The equipment that is required includes
walkway: The walkway is marked by cones/markers at the start,
5m, 15m and at the end (20m mark). The middle 10m (from the 5m
to the 15m markers) is used for recording client performances;
brick or similar sized object; and,
should wear suitable clothing and footwear for walking, running
Each client should have a practice trial for each item before testing.
Reliability testing shows that even long-term TBI clients improve
on retesting, indicative of a practice effect or improved confidence.
A practice trial before testing will enable a more ‘true’
measure of client ability. The tester should position himself or
herself beside the client during testing to ensure client safety.
may be administered in any order, but since the minimal mobility
requirement for the HiMAT is independent mobility, we advise that
the testing commence with the “Walking item”. This ensures
initial success for the client where many of the subsequent items
may be beyond their ability. The items on the scoresheet are grouped
together in testing location, not order of difficulty.
information regarding the testing procedure and client instructions
are outlined in the manual, but a brief outline of each item is
available for download. The scoresheet and instructions are designed
to be printed out on one double sided sheet.
Scoresheet & Instructions (40K)
there are 13 items listed on the scoresheet, only 11 are tested.
Ascending stairs has two components, ‘dependent’ and
‘independent’. A patient is tested ascending stairs
only once, and scored on either the ‘dependent’ or the
‘independent’ item. The same scoring system is also
applied for descending stairs which is explained in further detail
HiMAT total score is the sum of scores obtained on all the items
successfully attempted by each client. Each item is rated on a 5-point
scale from 0-4, except the two dependent ‘Stair’ items,
which are rated on a 6-point scale from 0-5. The maximum score for
the HiMAT is 54.
client has their scores recorded on the scoring sheet as the testing
proceeds. If a client fails an item, they score a ‘0’
for that item. Performances are written in the performance column,
and then the corresponding score is assigned in the adjoining column.
For example, if a client scores 6.1 seconds for ‘Walking’,
the second column is circled (5.4-6.7) indicating the client’s
score for ‘Walking’ is a ‘2’.
‘Bound’ items are scored separately, designated ‘affected’
and ‘less-affected’ rather than left and right. ‘Bound
– affected’ means the patient attempts a bound pushing
off their less affected leg and landing on their more affected leg.
stairs’ and ‘Down stairs’ are scored separately.
For each item, clients are scored according to how they attempted
the stairs. If a client uses a handrail or is unable to ascend the
stairs reciprocally, they are scored as ‘dependent’.
Their time is recorded on the score sheet and they are scored only
on the ‘Up stairs – dependent’ item. If a client
successfully ascends the stairs reciprocally without use of a handrail,
they are scored on the ‘Up stairs - independent’ item
AND get an additional 5 points scored on the ‘Up stairs –
dependent’ item. The same scoring procedure is followed for
testing is completed, scores in each column are summed. When all
the columns are summed, the column scores are added to determine
the total HiMAT score.
of testing and scoring of results can be found under FAQ.