Minimal Detectable Change and Clinically Important Difference of the Stroke Impact Scale in Stroke Patients

Lin, Keh‐chung; Fu, Tiffany; Wu, Ching‐yi; Wang, Yen-ho; Liu, Jung‐Sen; Hsieh, Ching-ju; Lin, Shih-fan

doi:10.1177/1545968309356295

Cited by 153 publications

(157 citation statements)

References 55 publications

(60 reference statements)

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“…mobility, UE use), the participant achieved MCID values in two subsets at EOT and in all four subsets at EOT14 (Lin et al, 2010). His self-reported recovery from stroke improved from 70% at baseline to 90% at EOT and 95% at EOT14.…”

Section: Resultsmentioning

confidence: 87%

Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report

Linder

Rosenfeldt

Rasanow

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. Previously, we demonstrated that forced aerobic exercise (FE) increases the pattern of neural activation in Parkinson's disease. We sought to evaluate whether FE, when coupled with repetitive task practice, could promote motor recovery poststroke. METHOD.A 46-yr-old man with ischemic stroke exhibited chronic residual upper-extremity deficits, scoring 35/66 on the Fugl-Meyer Assessment (FMA) at baseline. He completed 24 training sessions comprising 45 min of FE on a motorized stationary bicycle followed by 45 min of upper-extremity repetitive task practice. RESULTS.From baseline to end of treatment, the FMA score improved by 20 points, perceived level of recovery on the Stroke Impact Scale increased by 20 percentage points, and cardiovascular function measured by peak oxygen uptake improved 30%. These improvements persisted 4 wk after the intervention ceased.

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Section: Resultsmentioning

confidence: 87%

Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report

Linder

Rosenfeldt

Rasanow

et al. 2015

The American Journal of Occupational Therapy

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“…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) [6][7][8], Wolf Motor Function Test (WMFT) [6,[9][10][11], Box and Block Test (BBT) [7,[12][13][14], Nine-Hole Peg Test (NHPT) [12,[15][16][17], Action Research Arm Test (ARAT) [6][7][8]11,[16][17][18], and Stroke Impact Scale (SIS) [16,[19][20]. The comparisons of outcome measures of UL motor function have been investigated in patients with stroke [6][7]16,21].…”

Section: Introductionmentioning

confidence: 99%

Responsiveness and validity of three dexterous function measures in stroke rehabilitation

Lin

Chuang²,

et al. 2010

JRRD

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130

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Abstract-In this study, we compared the responsiveness and validity of the Box and Block Test (BBT), the Nine-Hole Peg Test (NHPT), and the Action Research Arm Test (ARAT). We randomized 59 patients with stroke into one of three rehabilitation treatments for 3 weeks. We administered six outcome measures (BBT, NHPT, ARAT, Fugl-Meyer Assessment [FMA], Motor Activity Log [MAL], and Stroke Impact Scale [SIS] hand function domain) pretreatment and posttreatment. We used the standardized response mean (SRM) to examine responsiveness and the Spearman rank correlation coefficient (rho) to examine concurrent validity. The BBT, NHPT, and ARAT were moderately responsive to change and not significantly different (SRM = 0.64-0.79). The correlations within the BBT, NHPT, and ARAT were moderate to good at pretreatment (rho = -0.55 to -0.80) and posttreatment (rho = -0.57 to -0.71). The BBT and ARAT showed fair to moderate correlations with the FMA, MAL, and SIS hand function domain at pretreatment and posttreatment (rho = 0.31-0.59), whereas the NHPT demonstrated low to fair correlations with the FMA and MAL (rho = -0.16 to -0.33) and moderate correlations with the SIS hand function domain (rho = -0.58 to -0.66). Our results indicate that the BBT, NHPT, and ARAT are suitable to detect changes over time. While simultaneously considering the responsiveness and validity attributes, the BBT and ARAT can be considered more appropriate for evaluating dexterous function than the NHPT. Further studies with larger samples are needed to validate these findings. Clinical

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“…[63][64][65][66][67] All but one study calculated MCID values from CIMT trials. 63,64,66,67 The other study investigated change following robotic therapy.…”

Section: Important Changementioning

confidence: 99%

“…[63][64][65][66][67] All but one study calculated MCID values from CIMT trials. 63,64,66,67 The other study investigated change following robotic therapy. 65 Four studies 63,[65][66][67] utilized individuals with chronic stroke and one study sample consisted of individuals with acute stroke.…”

Section: Important Changementioning

confidence: 99%

“…65 Four studies 63,[65][66][67] utilized individuals with chronic stroke and one study sample consisted of individuals with acute stroke. 64 Three studies [65][66][67] used a combination of anchor and distribution based techniques whereas two studies 63,64 used only anchor based methods to define important change. Anchor-based methods compare the change scores on the measure of interest to a comparative measure or 'anchor' of important change.…”

Section: Important Changementioning

confidence: 99%

See 1 more Smart Citation

Functional Recovery Following Stroke

Simpson

Eng

2012

Neurorehabil Neural Repair

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Background and Purpose-Augmenting changes in recovery is core to the rehabilitation process following a stroke. Hence, it is essential that outcome measures are able to detect change as it occurs; a property known as responsiveness. This paper critically reviewed the responsiveness of functional outcome measures following stroke, specifically examining tools that captured upper extremity functional recovery.

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Minimal Detectable Change and Clinically Important Difference of the Stroke Impact Scale in Stroke Patients

Cited by 153 publications

References 55 publications

Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report

Forced Aerobic Exercise Enhances Motor Recovery After Stroke: A Case Report

Responsiveness and validity of three dexterous function measures in stroke rehabilitation

Functional Recovery Following Stroke

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