Assessment of the Stroke Rehabilitation Assessment of Movement as a Clinical Tool

State University of New York - Upstate Medical University34 enrolled

Overview

The Stroke Rehabilitation Assessment of Movement (STREAM) is a relatively new measurement tool, which measures specific movement deficits (impairments) caused by a stroke. The STREAM is used to evaluate recovery of voluntary movement and basic mobility following the onset of a stroke. Several important clinical measurement properties of the STREAM remain to be explored, including its ability to measure impairments and clinical change in acute rehabilitation patients in the USA. We hypothesize that the STREAM will be able to detect and quantify a statistically significant change in the motor abilities of stroke patients from admission to discharge. An additional aim of the study is to compare the STREAM with two accepted and widely used clinical measures of function and disability, the Stroke Impact Scale (SIS)and the Functional Independence Measure (FIM). By linking movement deficits that are commonly assessed by physical therapists with measures of function and disability, the impact of the movement deficits can be understood.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Stroke

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * comprehension of English * age 18 and older * first-time stroke * receiving in-patient rehabilitation at the Rusk Institute of Rehabilitation Medicine, New York, NY Exclusion Criteria: * hemorrhagic stroke * brain stem or cerebellar infarct * other pre-existing neurologic conditions

Locations (1)

Outcomes

Primary Outcomes

Stroke Rehabilitation Assessment of Movement (STREAM)

The STREAM measures quality of movements in the arm and leg, and the quality of mobility during important functional tasks, such as walking 10 feet. There are 10 items for each of the 3 assessments (arm, leg and mobility), resulting in a total of 30 items. Each item is rated on a scale of 0 = unable to perform, to 2 or 3 = normal movement. Ratings on the 30 items are added together for a total score which is divided by the total number of items resulting in a percentage score: minimum=0, maximum=100, range=100 The score reported is mean +/- standard deviation of discharge STREAM scores.

Time frame: 4 weeks