Selected Stroke Outcome Measures
Assessment Description and Rationale for Inclusion Discipline
ICF Category: Activities
Functional Independence Measure Required in Inpatient Rehabilitation Facilities. Valid in stroke population [39]. MCID stroke values established [40]. Highly recommended for use in acute rehabilitation and research by APTA StrokEDGE [7]. PT, OT, ST, RN
10 Meter Walk Test Brief gait speed assessment. Reliable and valid in stroke population [41,42]. Established stroke specific MCID values [43]. Differentiates between household and community ambulatory [44]. Strongly recommended by APTA StrokEDGE for use in inpatient rehabilitation and research [7]. PT
6 Minute Walk Test Assesses distance walked over 6 minutes as a sub-maximal test of aerobic capacity. Reliable and valid in acute stroke [45,46]. MCID stroke values available [43]. Strongly recommended by the APTA StrokEDGE [7]. PT
Berg Balance Scale Assesses non vestibular balance impairment and functional mobility.  Reliable and valid in patients with stroke [47,48]. Chosen as a balance measure because of established MDC values and ease of administration clinically [49]. Recommended for use in acute rehabilitation and research by APTA StrokEDGE [7]. PT
Dynamic Gait Index Measures gait stability and balance in patients with and without vestibular disorders. Reliable and valid in stroke population with established MDC values [50,51]. Chosen to capture gait stability impairments in higher level patients. Highly recommended for use in acute rehabilitation and research by APTA StrokEDGE [7]. PT
Timed Up and Go Assesses mobility, balance, walking ability, and fall risk. Reliable and valid in stroke. Although a floor effect is present, chosen secondary to its ability to predict falls after acute rehabilitation discharge [52]. Highly recommended for use in acute rehabilitation and research by APTA StrokEDGE [7]. PT
9 Hole Peg Test Reliable and valid in acute stroke population [53]. Established acute stroke specific MDC values [53]. Although there are concerns of a floor effect in patients with acute stroke [54], chosen to capture dexterity in those with emerging hand function. Recommended by StrokEDGE for use in acute rehabilitation setting and research [7]. OT
Action Research Arm Test Reliable and valid in stroke [9,55,56]. Chosen for high correlation with Fugl-Meyer and Wolf Motor Function Test with less time of administration [57]. Equipment available in our clinic. Recommended for use in acute rehabilitation setting and research by APTA StrokEDGE [7]. OT
Box & Blocks Test Assesses unilateral gross manual dexterity. Valid [58] and reliable in stroke population with established stroke MDC values [53]. Recommended for use in acute rehabilitation and research by APTA StrokEDGE [7]. OT
Battery for the Assessment of Neuropsychological Status Quantifies cognitive impairment in 5 domains with index scores and a total score.  Found to be valid in patients with acute stroke [59]. ST/OT
Table 5: Selected Outcome Measures-ICF Category: Activities.