HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Daley, K. Articles by Wood-Dauphinée, S. Search for Related Content PubMed PubMed Citation Articles by Daley, K. Articles by Wood-Dauphinée, S.

Reliability of Scores on the Stroke Rehabilitation Assessment of Movement (STREAM) Measure

K Daley, MSc(Rehabilitation Science), BSc(PT), was a graduate student in rehabilitation science, McGill University, Montreal, Quebec, Canada, when this study was completed
N Mayo, PhD(Epidemiology), MSc(Applied), BSc(PT), is Research Scientist, Royal Victoria Hospital, Montreal, Quebec, Canada, and Assistant Professor, Faculty of Medicine, Department of Epidemiology, and School of Physical and Occupational Therapy, McGill University. Address all correspondence to Dr Mayo at The STREAM Research Group, School of Physical and Occupational Therapy, McGill University, Davis House, 3654 Drummond St, Montreal, Quebec, Canada H3G1Y5
S Wood-Dauphinée, PhD(Epidemiology), MSc(Applied), BSc(PT), is Professor and Director, School of Physical and Occupational Therapy, and Professor, Department of Medicine and Department of Epidemiology and Biostatistics, McGill University

Background and Purpose. The Stroke Rehabilitation Assessment of Movement (STREAM) is a new clinical measurement tool for evaluating the recovery of voluntary movement and basic mobility following stroke. This article presents the results of 3 substudies examining the reliability (interrater and intrarater) and internal consistency of STREAM scores. Subjects and Methods. A "direct-observation reliability study" was conducted on 20 patients who had strokes and were in a rehabilitation setting. Pairs of raters from a group of 6 participating therapists provided data to judge interrater agreement. A "videotaped assessments reliability study" was done to assess intrarater and interrater agreement on the scoring of videotaped performances using the STREAM measure and involved 4 videotaped assessments that were viewed and rated on 2 occasions by 20 physical therapists. The internal consistency of the STREAM scores was evaluated for 26 patients who had strokes and who demonstrated the full range of motor ability. Results. The reliability of the STREAM scores was demonstrated by generalizability correlation coefficients of .99 for total scores and of .96 to .99 for subscale scores. The internal consistency of the STREAM scores was demonstrated by Cronbach alphas of greater than .98 on the subscales and overall. Conclusion and Discussion. These high levels of reliability support the use of the STREAM instrument for the measurement of motor recovery following stroke. Further work on the validity and responsiveness of the STREAM measure is in progress.

Key Words: Cerebrovascular accident • Motor recovery • Outcome measure • Reliability

This article has been cited by other articles:

				H.-M. Chen, C.-L. Hsieh, Sing Kai Lo, L.-J. Liaw, S.-M. Chen, and J.-H. Lin The Test-Retest Reliability of 2 Mobility Performance Tests in Patients With Chronic Stroke Neurorehabil Neural Repair, July 1, 2007; 21(4): 347 - 352. [Abstract] [PDF]

				I-P. Hsueh, W.-C. Wang, C.-H. Wang, C.-F. Sheu, S.-K. Lo, J.-H. Lin, and C.-L. Hsieh A Simplified Stroke Rehabilitation Assessment of Movement Instrument Physical Therapy, July 1, 2006; 86(7): 936 - 943. [Abstract] [Full Text] [PDF]

				Q. P. Tang, Q. D. Yang, Y. H. Wu, G. Q. Wang, Z. L. Huang, Z. J. Liu, X. S. Huang, L. Zhou, P. M. Yang, and Z. Y. Fan Effects of Problem-Oriented Willed-Movement Therapy on Motor Abilities for People With Poststroke Cognitive Deficits Physical Therapy, October 1, 2005; 85(10): 1020 - 1033. [Abstract] [Full Text] [PDF]

				J. E Sullivan and L. D Hedman A Home Program of Sensory and Neuromuscular Electrical Stimulation With Upper-Limb Task Practice in a Patient 5 Years After a Stroke Physical Therapy, November 1, 2004; 84(11): 1045 - 1054. [Abstract] [Full Text] [PDF]

				S. Ahmed, N. E Mayo, J. Higgins, N. M Salbach, L. Finch, and S. L Wood-Dauphinee The Stroke Rehabilitation Assessment of Movement (STREAM): A Comparison With Other Measures Used to Evaluate Effects of Stroke and Rehabilitation Physical Therapy, July 1, 2003; 83(7): 617 - 630. [Abstract] [Full Text] [PDF]

				I-P. Hsueh, C.-H. Wang, C.-F. Sheu, and C.-L. Hsieh Comparison of Psychometric Properties of Three Mobility Measures for Patients With Stroke Stroke, July 1, 2003; 34(7): 1741 - 1745. [Abstract] [Full Text] [PDF]

				S. J Page, P. Levine, S. A. Sisto, and M. V Johnston Mental Practice Combined With Physical Practice for Upper-Limb Motor Deficit in Subacute Stroke Physical Therapy, August 1, 2001; 81(8): 1455 - 1462. [Abstract] [Full Text] [PDF]

				N. E. Mayo, S. Wood-Dauphinee, R. Cote, D. Gayton, J. Carlton, J. Buttery, and R. Tamblyn There's No Place Like Home : An Evaluation of Early Supported Discharge for Stroke Stroke, May 1, 2000; 31(5): 1016 - 1023. [Abstract] [Full Text] [PDF]