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首页> 外文期刊>PM & R: the journal of injury, function, and rehabilitation >Validity of the stroke rehabilitation assessment of movement scale in acute rehabilitation: A comparison with the functional independence measure and stroke impact scale-16
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Validity of the stroke rehabilitation assessment of movement scale in acute rehabilitation: A comparison with the functional independence measure and stroke impact scale-16

机译：中风康复评估运动量表在急性康复中的有效性：与功能独立性措施和中风影响量表的比较16

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Objective: To demonstrate sensitivity to change of the Stroke Rehabilitation Assessment of Movement (STREAM) as well as the concurrent and predictive validity of the STREAM in an acute rehabilitation setting. Design: Prospective cohort study. Setting: Acute, in-patient rehabilitation department within a tertiary-care teaching hospital in the United States. Participants: Thirty adults with a newly diagnosed, first ischemic stroke. Methods: Clinical assessments were conducted on admission and then again on discharge from the rehabilitation hospital with the STREAM (total STREAM and upper extremity, lower extremity, and mobility subscales), Functional Independence Measure (FIM), and Stroke Impact Scale-16 (SIS-16). Sensitivity to change was determined with the Wilcoxon signed rank test and by the calculation of standardized response means. Spearman correlations were used to assess concurrent validity of the total STREAM and STREAM subscales with the FIM and SIS-16 on admission and discharge. We determined predictive validity for all instruments by correlating admission scores with actual and predicted length of stay and by testing associations between admission scores and discharge destination (home vs subacute facility). Main Outcomes: Not applicable. Results: For all instruments, there was statistically significant improvement from admission to discharge. The standardized response means for the total STREAM and STREAM subscales were large. Spearman correlations between the total STREAM and STREAM subscales and the FIM and SIS-16 were moderate to excellent, both on admission and discharge. Among change scores, only the SIS-16 correlated with the total STREAM. All 3 instruments were significantly associated with discharge destination; however, the associations were strongest for the total STREAM and STREAM subscales. All instruments showed moderate-to-excellent correlations with predicted and actual length of stay. Conclusions: The STREAM is sensitive to change and demonstrates good concurrent and predictive validity as compared with the FIM and SIS-16 in the acute inpatient rehabilitation population.
机译：目的：证明对急性中风患者运动中风康复评估（STREAM）变化的敏感性以及STREAM的同时和预测有效性。设计：前瞻性队列研究。地点：美国三级教学医院内的急性住院康复科。参与者：30名新诊断为首次缺血性中风的成年人。方法：在入院时进行临床评估，然后在出院时再次进行STREAM（总STREAM和上肢，下肢和活动度分量表），功能独立性量度（FIM）和中风影响量表16（SIS）的评估。 -16）。变化的敏感性通过Wilcoxon符号秩次检验和标准响应方式的计算来确定。 Spearman相关性用于评估入院和出院时总STREAM和STREAM子量表与FIM和SIS-16的同时有效性。我们通过将入院分数与实际和预计的住院时间相关联，并通过测试入院分数与出院目的地（家庭与亚急性医疗机构）之间的关联，来确定所有工具的预测有效性。主要结果：不适用。结果：对于所有器械，从入院到出院都有统计学上的显着改善。总体STREAM和STREAM分量表的标准化响应方式很大。在入院和出院时，总STREAM和STREAM分量表与FIM和SIS-16之间的Spearman相关性为中度至极度。在变化评分中，只有SIS-16与总STREAM相关。所有3种仪器均与排放目的地显着相关;但是，对于全部STREAM和STREAM分量表，关联性最强。所有仪器均显示出与预计住院时间和实际住院时间的中度至最佳相关性。结论：与FIM和SIS-16相比，STREAM在急性住院康复人群中对变化敏感，并具有良好的并行和预测效度。

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