Comparison of the Responsiveness of the Long-Form and Simplified Stroke Rehabilitation Assessment of Movement: Group- and Individual-Level Analysis
| Autor: | Ching-Lin Hsieh, Chieh-Yi Hou, Yi-Jing Huang, Yeh-Tai Chou, I-Ping Hsueh, Kuan Lin Chen |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics medicine.medical_treatment Movement Physical Therapy Sports Therapy and Rehabilitation Disability Evaluation Physical medicine and rehabilitation medicine Humans Longitudinal Studies Stroke Rehabilitation Rasch model Outcome measures Stroke Rehabilitation Reproducibility of Results Recovery of Function Middle Aged medicine.disease Individual level Test (assessment) Physical therapy Female Psychology Student's t-test Follow-Up Studies |
| Zdroj: | Physical therapy. 95(8) |
| ISSN: | 1538-6724 |
| Popis: | BackgroundThe group-level responsiveness of the original, 30-item Stroke Rehabilitation Assessment of Movement measure (STREAM-30) is similar to that of the simplified STREAM (STREAM-15), even though the STREAM-30 has twice as many items as those of the STREAM-15.ObjectiveThe purpose of this study was to compare the responsiveness of the STREAM-30 and STREAM-15 at both group and individual levels in patients with stroke. For the latter level, the Rasch-calibrated 27-item STREAM (STREAM-27) was used because the individual-level indexes of the STREAM-30 could not be estimated.DesignA repeated-measurements design was used. In total, 195 patients were assessed with the STREAM-30 at both admission and discharge.MethodsThe Rasch scores of the STREAM-27 and STREAM-15 were estimated from the participants' responses on the STREAM-30. We calculated the paired t-test value, effect size, and standardized response mean as the indexes of group-level responsiveness. The significance of change for each participant was estimated as the individual-level responsiveness index, and the paired t test and test of marginal homogeneity were used for individual-level comparisons between the STREAM-27 and STREAM-15.ResultsAt the group level, the STREAM-30, STREAM-27, and STREAM-15 showed sufficient and comparable responsiveness. At the individual level, the STREAM-27 detected significantly more participants with significant improvement and fewer participants with no change or deterioration compared with the STREAM-15.LimitationsFew patients with subacute stroke showed deterioration at discharge, so the abilities of the 2 measures to detect deterioration remain inconclusive.ConclusionsThe STREAM-27 detected more participants with significant recovery compared with the STREAM-15, although the group-level responsiveness of the 2 measures was the same. The STREAM-27 is recommended as an outcome measure to demonstrate the treatment effects of movement and mobility for patients with stroke. |
| Databáze: | OpenAIRE |
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