title: Discriminative, predictive and evaluative properties of the simplified stroke rehabilitation assessment of movement instrument in patients with stroke.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei.
authors.forename: Yu-Wei
authors.initials: YW
authors.lastname: Hsieh
authors.forename: Jau-Hong
authors.initials: JH
authors.lastname: Lin
authors.forename: Chun-Hou
authors.initials: CH
authors.lastname: Wang
authors.forename: Ching-Fan
authors.initials: CF
authors.lastname: Sheu
authors.forename: I-Ping
authors.initials: IP
authors.lastname: Hsueh
authors.forename: Ching-Lin
authors.initials: CL
authors.lastname: Hsieh
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D011237:Predictive Value of Tests; D011379:Prognosis; D011594:Psychometrics; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D034941:Upper Extremity / Q000503:physiopathology