StrokEDGE Documents
The stroke task force was led by Jane Sullivan, PT, DHS (coordinator of the Functional Toolbox course) and Genevieve Pinto-Zipp, PT, EdD (co-leader of the Consensus Guideline process). Working members of the task force were invited based on clinical, educational or research experience related to stroke with an aim to include geographic and practice diversity. Recommendations were approved by the Board of Directors in December 2010. The Board of Directors wishes to thank the members of the StrokEDGE taskforce for their significant and superlative work to sort through the outcomes literature and initiate a process of recommendations that carefully weighs psychometrics and clinical utility.
Task force members included:
Jane Sullivan, PT, DHS, Northwestern University, Chicago, IL (co-chair)
Genevieve Pinto-Zipp, PT, EdD, Seton Hall University, South Orange, NJ (co-chair)
Beth Crowner, PT, DPT, NCS, Washington University, St Louis, MO
Patty Kluding, PT, PhD, University of Kansas, Kansas City, KS
Diane Nichols, PT, NCS, National Rehabilitation Hospital, Washington, DC
Dorian Rose, PT, PhD, University of Florida, Gainesville, FL
Rie Yoshida, PT, DHS, Sacred Heart Medical Center at Riverbend, Springfield, OR
recommendations
All of the recommendations are available in this pdf file. You can also download one page documents that highlight the recommended outcome measures for entry level physical therapy students and for use in the acute hospital and in- and out-patient rehabilitation.
Recommendations are based on the following 4 point ordinal scale:
4= highly recommended; the outcome measure has excellent psychometric properties and clinical utility
3= recommended; the outcome measure has good psychometric properties and good clinical utility
2= unable to recommend at this time; there is insufficient information to support a recommendation of this outcome measure
1= not recommended; the outcome measure has poor psychometric properties and/or poor clinical utility
Recommendations for use of each outcome measure reviewed are categorized by 5 practice settings (acute care hospital, in-patient rehabilitation, home health, skilled nursing facility, and out-patient rehabilitation center) as well as by acuity level (acute <2 months post-stroke, subacute 2-6 months post-stroke, and chronic >6 months post-stroke).
Recommendations for each outcome measure are also offered related to entry level PT education. Measures are characterized as those that students should learn to administer, should be exposed to, or are not recommended. Finally, measures are categorized as being appropriate for research purposes on a yes/no basis.
Click here for completed EDGE documents of all the outcome measures reviewed, which contains detailed information on the psychometric properties of the outcome measures and references.
In addition, a compendium of information about reviewed tests including unpublished instructions, sources for test ordering, score sheets, etc. was assembled and can be downloaded here.
outcome measures reviewed
A total of 54 outcome measures were reviewed in the following ICF categories.
Body Structure/Function
Motor Function
Sensation
Activity
Gait and balance
Arm Function
Trunk Control
Posture
ADL/IADL
Participation
1. 5 times sit to stand
2. 6 minute walk
3. 9 hole peg test
4. 10 meter walk
5. Action Research Arm Test
6. Activities-Specific Balance Confidence Test
7. Arm Motor Ability Test
8. Ashworth Test (Modified Ashworth)
9. Assessment of Life Habits
10. Balance Evaluation Systems Test (BEST Test)
11. Berg Balance Scale
12. Box & Blocks Test
13. Brunnel Balance Test
14. Canadian Occupational Performance Measure
15. Chedoke Arm Hand Inventory
16. Chedoke McMaster Stroke Assessment
17. Dynamic Gait Index
18. Dynomometry
19. EuroQOL
20. Functional Ambulation Categories
21. Falls Efficacy Scale
22. Functional Independence Measure
23. Fugl-Meyer Assessment of Motor Performance
24. Fugl-Meyer Sensory Assessment
25. Functional Reach
26. Goal Attainment Scale
27. High-level Mobility Assessment Tool (HiMAT)
28. Jebsen Taylor Arm Function Test
29. Modified Fatigue Impact Scale
30. Modified Rankin Scale
31. Motor Activity Log
32. Motricity Index
33. NIH Stroke Scale
34. Nottingham Assessment of Somatosensation
35. Orpington Prognostic Scale
36. Postural Assessment Scale for Stroke Patients
37. Rate of Perceived Exertion (RPE)
38. Reintegration to Normal Living
39. Rivermead Assessment of Somatosensory Performance
40. Rivermead Motor Assessment
41. Satisfaction with Life Scale
42. Semmes Weinstein Monofilaments
43. Stroke-Adapted Sickness Impact Scale-30
44. SF-36
45. Stroke Impact Scale
46. Stroke Rehabilitation Assessment of Movement
a. Mobility Subscale
b. Limb Mvoement Subscales
47. Stroke –Specific Quality of Life Scale
48. Tardieu Spasticity Scale (Modified Tardieu)
49. Timed Up & Go
50. Tinetti POMA
51. Trunk Control Test
52. Trunk Impairment Scale
53. VO2 Max
54. Wolf Motor Function Scale