Discriminative, Predictive and Evaluative Properties of the Simplified Stroke Rehabilitation Assessment of Movement Instrument in Patients with Stroke
Resource
JOURNAL OF REHABILITATION MEDICINE v.39 n.6 pp.454-460
Journal
JOURNAL OF REHABILITATION MEDICINE
Journal Volume
v.39
Journal Issue
n.6
Pages
454-460
Date Issued
2007
Date
2007
Author(s)
HSIEH, YU-WEI
LIN, JAU-HONG
WANG, CHUN-HOU
SHEU, CHING-FAN
HUSEH, I-PING
HSIEH, CHING-LIN
Abstract
Objective: To justify the utility of the Simplified Stroke Rehabilitation Assessment of Movement Instrument (S-STREAM), we examined the discriminative, predictive and evaluative properties of the 3 subscales of the S-STREAM (i.e. upper- limb movements, lower-limb movements and mobility) in patients after stroke. Subjects: A total of 388 patients after stroke participated in this study. To examine the discriminative property, the patients were divided into 3 groups according to their Barthel Index scores. A comprehensive measure of activities of daily living was administered at 6 months after hospital discharge as an external criterion to examine the predictive property. Changes in the S- STREAM scores from the time of admission for rehabilitation, to hospital discharge, were used to examine the evaluative property. Results: All pair -wise comparisons of mean scores among the 3 groups on the 3 subscales of the S-STREAM were significant. The scores of the S-STREAM showed moderate to good correlations with the comprehensive activities of daily living scores. There were large changes in the 3 subscales of the S-STREAM. Conclusion : All 3 subscales of the S-STREAM demonstrate good discriminative, predictive and evaluative properties in patients after stroke. These findings provide strong evidence that the S-STREAM is useful in measuring motor and mobility function in patients after stroke.
Subjects
psychometrics
stroke
simplified stroke rehabilitation
assessment of movement
Rasch analysis