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Research Reports |
S Ahmed, MSc, BSc (PT), is a doctoral student in the Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
NE Mayo, PhD, BSc (PT), is Quebec Senior Research Scientist, Royal Victoria Hospital, Montreal, Quebec, Canada, and Associate Professor, Faculty of Medicine, School of Physical and Occupational Therapy, McGill University
J Higgins, MSc, BSc (OT), is a doctoral student in the School of Physical and Occupational Therapy, Faculty of Medicine, McGill University
NM Salbach, MSc, BSc (PT), is a doctoral student in the Department of Epidemiology and Biostatistics, McGill University
L Finch, MSc, BSc (PT), is a doctoral student in the School of Physical and Occupational Therapy, Faculty of Medicine, McGill University. She was Physical Therapist, Royal Victoria Hospital, at the time of this study
SL Wood-Dauphinée, PhD, BSc (PT), is Professor, School of Physical and Occupational Therapy, and Professor, Faculty of Medicine, Department of Epidemiology and Biostatistics, McGill University
Ms Ahmed, Ms Salbach, and Ms Higgins were graduate students in the School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, when this study was completed
Address correspondence to Dr Mayo at Royal Victoria Hospital, Division of Clinical Epidemiology, 687 Pine Ave W, Ross 4.29, Montreal, Quebec, Canada H3A 1A1 (nancy.mayo{at}mcgill.ca)
Background and Purpose. The Stroke Rehabilitation Assessment of Movement (STREAM) is a relatively new measure of voluntary movement and basic mobility. The main objectives of this study were: (1) to examine the relationship of the STREAM to other measures of impairment and disability and (2) to compare its usefulness for evaluating effects of stroke and rehabilitation and for assessing change over time with that of other measures of impairment and disability. Subjects and Methods. The performance of 63 patients with acute stroke on the STREAM and other measures of impairment and disability was evaluated during the first week after stroke and 4 weeks and 3 months later. Results. Scores on the STREAM were associated with scores on the Box and Block test, Balance Scale, Barthel Index, gait speed, and the Timed "Up & Go" Test (with Pearson correlation coefficients ranging from .57 to .80) and were associated with categories of the Barthel Index and Balance Scale. The STREAM's ability to predict discharge destination from the acute care hospital, as well as to predict gait speed and Barthel Index scores at 3 months poststroke, was comparable to that of other commonly used measures. Standardized response mean estimates provided supporting evidence for the ability of the STREAM to reflect change over time. Discussion and Conclusion. The results obtained with the STREAM, as compared with other measures of impairment and disability in people with stroke, suggest that it may be useful in clinical practice and research.
Key Words: Measurement • Motor recovery • Outcome measure • Psychometrics • Stroke
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