The orpington scale ranges for stroke severity are as follows. Completion rates are suboptimal and could relate to test burden. In the past week, how would you rate the strength of your a lot of strength quite a bit of strength some strength a little strength no strength at all a. Information on standardized assessment tools used in stroke rehabilitation. The tis has sufficient reliability, internal consistency and validity for use in clinical practice and stroke research. Nov 20, 2019 free versions of the nih stroke scale nihss are available for download. It measures the aspects of stroke recovery which were found to be important to patients and caregivers as well as stroke experts. Postural assessment scale for stroke patients pass. The stream is used to assess patients coordination, functional mobility and range of motion2. Stroke resources in spanish american stroke association.
Patients with a diagnosis of stroke were recruited through general practices in london and the northwest of england. The purpose of this study was to examine response rate, mode effects, and reliability of the stroke impact scale sis in a veteran stroke population using mail and telephone modes of administration. However, the amount of information was fairly limited and it was suggested more research was needed to determine which is the most appropriate. The stroke impact scale sis is a strokespecific healthrelated quality of life hrqol instrument, which was developed by duncan et al. Psychometric evaluation of the stroke impact scale 3. The sis can be used both in clinical and in research settings. Stroke impact scale sis sis critique university of western sydney occupational therapy program, 2006 cons fairly new many studies done on sis by sis authors but not outsiders not all questions apply what do scores mean. The stroke impact scale was developed at the landon center on aging, university of kansas medical center, based on feedback from patients and their caregivers. The nih stroke scale has many caveats buried within it. Scores should reflect what the patient does, not what the clinician thinks the patient can do. Stroke impact scale article about stroke impact scale by. Ninds healthrelated material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the. Chinese, traditional cantonese dialect bilingual pdf.
There is a high level of internal consistency in the eight sis domains with no evidence of floor effects. To 1 develop a short instrument stroke impact scale 16 sis16 to assess physical function in patients with stroke at approximately 1 to 3 months poststroke using items from the composite. Development of a strokespecific quality of life scale. Backgroundthe stroke impact scale sis is a strokespeci. Development of a stroke specific quality of life scale. The nihss is a 15item scale that can be performed in. If your patient has prior known neurologic deficits e. After an item analysis, two mal tasks were eliminated. This study evaluates the sis in the uk context, and develops a single index and an 8item short form. The stroke impact scale sis is a stroke specific and selfreport questionnaire designed to evaluate disability and quality of life qol after stroke 24. The stroke rehabilitation assessment of movement stream is a measurement tool used to quantitatively evaluate the recovery of voluntary movement and mobility post stroke1. Health related quality of life, cerebral stroke, stroke impact scale, sis.
Synonyms for stroke impact scale in free thesaurus. The goal of the coalition is to strengthen and promote the relationships among its member organizations in order to help stroke patients or those who are. This is because it can affect virtually all human functions and unlike. Measuring stroke impact with the stroke impact scale. The patient is asked to describe what is happening in the attached picture, to name the items on the. The stroke impact scale sis is a strokespecific, selfreport, health status measure. It was designed to assess multidimensional stroke outcomes, including strength, hand function, activities of daily living instrumental activities of daily living adliadl, mobility, communication, emotion, memory and thinking, and participation. The national institute of neurological disorders and stroke ninds offers a variety of educational materials designed for health care professionals involved in treatment of acute stroke. All were 3 to 12 months poststroke and had mild to moderate paresis of an upper extremity. This outcome measure has been reported to be responsive to change in acute stroke and can be used by healthcare. The measure was designed for repeated administration to track change over time, and was created to be used both in clinical and research settings.
Stroke scales and related information national institute of. The materials can be ordered in single copies or in quantity, and can be used in medical schools, educational settings, hospitals, clinics, and other health. In the past 5 years, a number of ul function tests have been examined for their psychometric and clinimetric properties in people with stroke, including the fuglmeyer assessment fma 68, wolf motor function test wmft 6,911, box and block test bbt 7,1214, ninehole peg test nhpt 12,1517, action research arm test arat 68,11,1618, and stroke impact scale sis 16,1920. The sis can be used both in clinical and research settings. All were 3 to 12 months post stroke and had mild to moderate paresis of an upper extremity. Free versions of the nih stroke scale nihss are available for download. We will ask you questions about impairments and disabilities caused by your stroke, as. Graphical version pdf 1105 kb text version pdf 835 kb more information for clinicians about acute stroke is available at the brain attack coalition website. The stroke impact scale is a 59 item assessment of outcomes in stroke patients and caregivers that is broken down into eight domains.
Nih stroke scale text version pdf 495k graphical pdf 1,437k order a portable, pocketsized, laminated reference booklet for health professionals who administer the nih stroke scale to stroke patients. Stroke rehabilitation assessment of movement stream. The trunk impairment scale tis is a new tool to measure motor impairment of the trunk after stroke. The stroke impact scale, or sis, was created to assess changes in impairments, disabilities and handicaps following a stroke.
The brain attack coalition bac is a group of professional, voluntary and governmental entities dedicated to reducing the occurrence, disabilities and death associated with stroke. Spanish is the primary language of more than 38 million people in the u. It was designed to assess multidimensional stroke outcomes, including strength, hand function activities of daily living instrumental activities of daily living adliadl, mobility, communication, emotion, memory and thinking, and participation. A great deal of information about comprehension will be obtained during the preceding sections of the examination. This study characterizes the psychometric properties of the stroke impact scale sis version 2. Record performance in each category after each subscale exam. This study compared the responsiveness and criterionrelated validity of the stroke impact scale sis and strokespecific quality of life scale ssqol for patients after stroke rehabilitation. The stroke impact scale sis measures multiple domains of health and is wellsuited for use in patients recovering from stroke in the community. Stroke impact scale synonyms, stroke impact scale antonyms.
Oct 10, 2006 participants also completed the stroke impact scale sis and wore accelerometers that monitored arm movement for three consecutive days outside the laboratory. The stroke impact scale sis is a strokespecific and selfreport questionnaire designed to evaluate disability and quality of life qol after stroke 24. Each item is rated in a 5point likert scale in terms of the difficulty the patient has experienced in completing each item. Stroke impact scale synonyms, stroke impact scale pronunciation, stroke impact scale translation, english dictionary definition of stroke impact scale. Patients who had suffered a stroke were identified using national va administrative data and international classification of diseases, 9th revision codes in participating. Stroke severity was determined by administration within 3 to 14 days after stroke of the orpington prognostic scale,19 a weighted measure that screens for motor deficits, sensory loss, balance, and cognition. Stroke impact scale these questions are about the physical problems which may have occurred as a result of your stroke. Ask, or use pantomime to encourage the patient to show teeth or raise eyebrows and close eyes. To 1 develop a short instrument stroke impact scale16 sis16 to assess physical function in patients with stroke at approximately 1 to 3 months poststroke using items from the composite. Supinates and pronates forearm elbow flexed at 90 keeping your elbow bent and close to your side, turn your forearm over so that your palm faces up, then turn. Ninds know stroke campaign health professional resources. Calculates the nih stroke scale for quantifying stroke severity. Explain to the patientproxy what the questionnaire is about.
Stroke impact scale sis all disciplines body function activity participation. The sis and ssqol, along with five criterion measuresthe fuglmeyer assessment, the motor activity log, the functional independence measure, the frenchay activities index, and the nottingham. The motor assessment scale mas for stroke which was developed by carr and shepherd carr et al 1985 was used in the present study to evaluate outcome the mas is a brief and easily administered assessment of eight items of motor function each item is scored on a scale ranging from oto 6. Internal consistency and validity of the stroke impact scale 2. Stroke impact scale definition of stroke impact scale by. The modified version of the postural assessment scale for. The stroke impact scale results suggested that participants perceived a moderate physical impact from the stroke, but minimal impact with regard to memory, mood and communication, ability to engage in daily activities, mobility, hand function and social activities. Health related quality of life in stroke survivors. An instrument to measure the effect of a stroke on a persons mobility, speech, social activities, manual dexterity, strength, emotions, memory, and daily activities. Health related quality of life in stroke survivors measured. The stroke impact scale sis is a stroke specific healthrelated quality of life hrqol instrument, which was developed by duncan et al. Psychometric comparisons of the stroke impact scale 3.
Background and purposeto be useful for clinical research, an outcome measure must be feasible to administer and have sound psychometric attributes, including reliability, validity, and sensitivity to change. The stroke impact scale sis covers 8 dimensions and a composite disability score. Information on standardized assessment tools used in. The tis evaluates static and dynamic sitting balance as well as coordination of trunk movement.
Abstracts from the asa 2020 international stroke conference and stateofthescience stroke nursing symposium. This article was the starting point of this phd project, the postural stroke study in gothenburg postgot, although i did not know it. We want to know from your point of view how stroke has affected you. Follow directions provided for each exam technique.
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