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Reimers Migration Index

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Purpose
Identifies hip dysplasia / dislocation Initial assessment and outcome measure. Suitable or all ages.

Assesment Type

Objective

Patient Group

Cerebral Palsy

Age Group

Infants (0-2 years) | Children (3-12 years) | Adolescents (13-17 years) | Young Adult (18+ years)

ICF domain

Body Structure & Function

Area of assessment

Joints and muscles

Key description

Description
Radiograph of hips Identifying the position of the femoral head in the acetabulum and degree of uncovering to monitor for orthopaedic interventions.

 

Cost

Free

Equipment required

X-ray machine and radiographers

Training required

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Considerations & references

Reliability / validity
Excellent in both traditional and modified methods
(PDF) Reliability of Hip Migration Index in Children with Cerebral Palsy: The Classic and Modified Methothds:

https://www.researchgate.net/figure/Migration-Index-MI-is-measured-with-the-classic-method-A-and-the-modified-method-B_fig2_224053495

https://www.researchgate.net/publication/224053495_Reliability_of_Hip_Migration_Index_in_Children_with_Cerebral_Palsy_The_Classic_and_Modified_Methods

Useful youtube video link:

https://www.youtube.com/watch?v=Wvg8jms0Nxs

https://www.orthopractis.com/reimers-index-app#:~:text=The%20Reimer%20or%20migration%20index,as%20the%20Femoral%20Extrusion%20Index.

Strengths / weaknesses

Simple to calculate
Access to Radiological X-ray may be a barrier.
Precautions & contraindications related to X-ray exposure

Time to complete
5 mins
Comments
Requires reliable x rays

 

If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk