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 |