Document Detail

Estimating the minimal clinically important difference of the Stroke Rehabilitation Assessment of Movement measure.
MedLine Citation:
PMID:  18776067     Owner:  NLM     Status:  MEDLINE    
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.
Yu-Wei Hsieh; Chun-Hou Wang; Ching-Fan Sheu; I-Ping Hsueh; Ching-Lin Hsieh
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-09-05
Journal Detail:
Title:  Neurorehabilitation and neural repair     Volume:  22     ISSN:  1545-9683     ISO Abbreviation:  Neurorehabil Neural Repair     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-10-30     Completed Date:  2009-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892086     Medline TA:  Neurorehabil Neural Repair     Country:  United States    
Other Details:
Languages:  eng     Pagination:  723-7     Citation Subset:  IM    
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
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MeSH Terms
Disability Evaluation*
Follow-Up Studies
Lower Extremity / physiopathology
Middle Aged
Movement / physiology*
Occupational Therapy / methods*
Psychomotor Performance*
Retrospective Studies
Severity of Illness Index
Stroke / physiopathology*,  rehabilitation*
Treatment Outcome
Upper Extremity / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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