Discriminative, predictive and evaluative properties of the simplified stroke rehabilitation assessment of movement instrument in patients with stroke.
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.
Hsieh
Yu-Wei
YW
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei.
Lin
Jau-Hong
JH
Wang
Chun-Hou
CH
Sheu
Ching-Fan
CF
Hsueh
I-Ping
IP
Hsieh
Ching-Lin
CL
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