| Estimating the minimal clinically important difference of the Stroke Rehabilitation Assessment of Movement measure. | |
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MedLine Citation:
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PMID: 18776067 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The minimal clinically important difference (MCID) of the Stroke Rehabilitation Assessment of Movement (STREAM) measure is unknown, which limits the application and interpretation of change scores. OBJECTIVE: To estimate the MCID of the 3 subscales (ie, lower extremity, upper extremity, and mobility subscales) of the STREAM using the method of patients' global ratings of change. METHODS: Eighty-one stroke patients participated in this study. The patients' global ratings of change were used to rate their changes of limb movements and basic mobility skills on the 15-point Likert scale. The mean change scores on the 3 subscales of STREAM of the MCID group (ie, scored on +2 to +3 or -2 to -3) served as the estimates of the MCID. RESULTS: There were 42, 38, and 43 patients in the MCID group, and the estimates of the MCID were 2.2, 1.9, and 4.8 points for the upper-extremity subscale, lower-extremity subscale, and mobility subscale, respectively. CONCLUSIONS: These findings suggest that if the mean change scores on the 3 subscales of the STREAM within a stroke group have reached 2.2, 1.9, and 4.8 points, the change scores on the 3 subscales of the STREAM can be perceived by patients as clinically important. |
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Authors:
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Yu-Wei Hsieh; Chun-Hou Wang; Ching-Fan Sheu; I-Ping Hsueh; Ching-Lin Hsieh |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-09-05 |
Journal Detail:
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Title: Neurorehabilitation and neural repair Volume: 22 ISSN: 1545-9683 ISO Abbreviation: Neurorehabil Neural Repair Publication Date: 2008 Nov-Dec |
Date Detail:
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Created Date: 2008-10-30 Completed Date: 2009-12-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100892086 Medline TA: Neurorehabil Neural Repair Country: United States |
Other Details:
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Languages: eng Pagination: 723-7 Citation Subset: IM |
Affiliation:
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School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Disability Evaluation* Female Follow-Up Studies Humans Lower Extremity / physiopathology Male Middle Aged Movement / physiology* Occupational Therapy / methods* Psychomotor Performance* Retrospective Studies Severity of Illness Index Stroke / physiopathology*, rehabilitation* Taiwan Treatment Outcome Upper Extremity / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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