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StrokEDGE II Documents

StrokEDGE II Members:

Heather Anderson, PT, DPT, NCS, Physical Therapy Program, Neumann University, Aston, PA
 
Maggie Bland, PT, DPT, NCS, MSCI, Program in Physical Therapy, Washington University, St. Louis, MO
 
Nancy Byl, PhD, PT, MPH, PhD, FAPTA, Department of Physical Therapy and Rehabilitation Science, UCSF (Professor Emeritus) San Francisco, CA
 
Carmen Capo-Lugo, PT, PhD, Center for Education in Health Sciences, Northwestern University, Chicago, IL
 
Dorian Rose PT, PhD, Department of Physical Therapy, University of Florida; Malcom
Randall VAMC, Gainesville, FL (co-chair)
 
Michele Sulwer, PT, DPT, NCS New Hanover Regional Medical Center Rehabilitation Hospital, Wilmington, NC
 
Rie Yoshida, PT, DPT, Sacred Heart Medical Center at River Bend, Springfield OR
 
Genevieve Pinto Zipp, PT, EdD, School of Health and Medical Sciences, Seton Hall University, South Orange, NJ (co-chair)

 

StrokEDGE II Process:

  • Relevant literature published between 2010 and 2015 on the measures recommended in StrokEDGE I was reviewed.
  • StrokEDGE I measures on gait and balance were reviewed by the Clinical Practice Guideline Task Force; and therefore were not reviewed by the StrokEDGE II Task Force (see list of measures here).
  • A pair of task force members reviewed the most recent literature for each measure and updated and revised psychometric properties using the modified EDGE (Evidence Database to Guide Effectiveness) template.
  • Each measure was then independently reviewed by one of the task force co-chairs.
  • New measures were identified for review if at least 2 of the 7 task force members identified the measures as currently in use in clinical practice.
  • Recommendations for use of an outcome measure were rated as follows:
    • Highly Recommended (HR); the outcome measure has excellent psychometric properties and clinical utility
    • Recommended (R); the outcome measure has good psychometric properties and good clinical utility
    • Unable to Recommend/Limited Study (UR/LS); unable to recommend at this time; there is insufficient information in target group to support a recommendation of this outcome measure
    • Not recommended (NR); the outcome measure has poor psychometric properties and/or poor clinical utility

Recommendations:

All of the recommendations are available are summarized in this spreadsheet. 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 for use of each outcome measure reviewed were categorized by 5 practice settings: acute care hospital, in-patient rehabilitation, home health, skilled nursing facility, and out-patient as well as by acuity level. Recommendations for each outcome measure were also offered related to entry level PT education. Measures were characterized as those that students should learn to administer, should be exposed to, or are not recommended. Finally, measures were categorized as being appropriate for research purposes on a yes/no basis.

A compendium of information about the StrokEDGE II reviewed tests including instructions, sources for test ordering, score sheets, etc. was assembled, shared with the Rehab Measures Database and can be downloaded here.

 

Outcome Measures Reviewed

Thirty-six outcome measures were reviewed in the following ICF categories.
Body Structure/Function
1. Motor Function
2. Sensation
Activity
1. Arm Function
2. Trunk Control
3. Posture
4. ADL/IADL
Participation
1. Action Research Arm Test
2. Arm Motor Ability Test
3. Assessment of Life Habits
4. Balance Evaluation Systems Test (BEST Test)
5. Box & Blocks Test
6. Canadian Occupational Performance Measure
7. Chedoke Arm Hand Inventory
8. Chedoke McMaster Stroke Assessment
9. Dynamometry
10. EuroQOL
11. Functional Independence Measure
12. Fugl-Meyer Assessment of Motor Performance
13. Fugl-Meyer Sensory Assessment
14. Modified Ashworth Scale
15. Modified Fatigue Impact Scale
16. Modified Rankin Scale
17. Motor Activity Log
18. Motricity Index
19. NIH Stroke Scale
20. Nottingham Assessment of Somatosensation
21. Orpington Prognostic Scale
22. Postural Assessment Scale for Stroke Patients
23. Rate of Perceived Exertion (RPE)
24. Reintegration to Normal Living
25. Rivermead Assessment of Somatosensory Performance
26. Rivermead Motor Assessment
27. Satisfaction with Life Scale
28. Semmes Weinstein Monofilaments
29. SF-36
30. Stroke Impact Scale
31. Stroke Rehabilitation Assessment of Movement
  • Mobility Subscale
  • Limb Movement Subscales
  • 32. Stroke –Specific Quality of Life Scale
    33. Tardieu Spasticity Scale (Modified Tardieu)
    34. Trunk Control Test
    35. Trunk Impairment Scale
    36. Wolf Motor Function Test 
    Literature search did not reveal new psychometric data available for the following four measures:
    1. 9 hole peg test
    2. VO2 Max
    3. Stroke-Adapted Sickness Impact Scale-30
    4. Jebsen Taylor Arm Function Test
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