Analysis of Stroke Rehabilitation Outcomes

Primary Outcomes (19)

• Participation questionnaire - Boston University Activity Measure for Post-Acute Care (AM-PAC) - administered by research assistant

  Boston University Activity Measure for Post-Acute Care (AM-PAC) - A questionnaire that examines a set of functional activities that are likely to be encountered by most adults during daily routines within the context of either an inpatient episode of care or outpatient post acute services. AM-PAC item banks are organized into three functional areas: Basic Mobility (101 items), Daily Activity (70 items), and Applied Cognitive (69 items).

  6 months

• Participation questionnaire - Community Participation Indicators (CPI) - administered by research assistant

  Community Participation Indicators (CPI) - Part 1 has the patient rate the frequency at which he/she does various activities, and asks if the activity is important to the patient. Part 2 has the patient rate how frequently their behavior aligns with various prompts, for example "I live my life the way that I want".

  6 months

• Participation questionnaire - Stroke Impact Scale (SIS) Participation domain - administered by research assistant

  Stroke Impact Scale (SIS) Participation domain - A stroke-specific, self-reported, health status measure separated into 8 domains. We only administer the Participation domain.

  6 months

• Participation questionnaire - Boston University Activity Measure for Post-Acute Care (AM-PAC) - administered by research assistant

  Boston University Activity Measure for Post-Acute Care (AM-PAC) - A questionnaire that examines a set of functional activities that are likely to be encountered by most adults during daily routines within the context of either an inpatient episode of care or outpatient post acute services. AM-PAC item banks are organized into three functional areas: Basic Mobility (101 items), Daily Activity (70 items), and Applied Cognitive (69 items).

  12 months

• Participation questionnaire - Community Participation Indicators (CPI) - administered by research assistant

  Community Participation Indicators (CPI) - Part 1 has the patient rate the frequency at which he/she does various activities, and asks if the activity is important to the patient. Part 2 has the patient rate how frequently their behavior aligns with various prompts, for example "I live my life the way that I want".

  12 months

• Participation questionnaire - Stroke Impact Scale (SIS) Participation domain - administered by research assistant

  Stroke Impact Scale (SIS) Participation domain - A stroke-specific, self-reported, health status measure separated into 8 domains. We only administer the Participation domain.

  12 months

• Mobility - Trunk Control Test - administered by physical therapist

  Includes four items: rolling to weak side, rolling to strong side, sitting up from lying down, balance in sitting position. Total score range 0-100

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - Berg Balance Scale - administered by physical therapist

  Measures balance in patients by assessing performance of functional tasks. Total score range 0 (lowest level) to 56 (highest level)

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - Timed Up and Go (TUG) - administered by physical therapist

  Assesses mobility, balance, walking ability and fall risk. Measured in seconds.

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - Functional Reach Test - administered by physical therapist

  Measures maximum distance an individual can reach forward while standing in a fixed position.

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - Postural Assessment Scale for Stroke (PASS) - administered by physical therapist

  A 12 item scale used for assessing postural control following stroke.

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - 2 or 6 Minute Walk Test - administered by physical therapist

  Assesses patient's walking distance

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - 10 Meter Walk Test - administered by physical therapist

  Assesses patient's walking speed

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Mobility - Lower Extremity Motricity Index - administered by physical therapist

  Lower Extremity Motricity Index - Measures muscle strength of paretic side, post-stroke. Includes three items: ankle dorsiflexion, knee extension, hip flexion. Total score range 0-100

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Upper extremity - Stroke Upper Limb Capacity Scale (SULCS) - administered by occupational therapist

  Measures upper limb capability in post-stroke patients. It includes basic upper limb capacity items (requiring little to no hand function) and advanced upper limb capacity items (necessitates moderate to good hand function). Includes 10 items related to daily activities of patient in the home environment; three items that test proximal upper limb (arm) capacity without the need for active wrist and finger movements; four items that test for upper limb capacity requiring basic control of wrist and finger movements; three items for upper limb capacity requiring advanced control of wrist and finger movements

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Upper extremity - Upper Extremity Motricity Index - administered by occupational therapist

  Measures muscle strength of the paretic side of patient who has had a stroke. It includes three items: pinch grip, elbow flexion, shoulder abduction. Total scores range 0-100

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Functional domain - Functional Independence Measure (FIM) - administered by various members of rehabilitation team (physical therapy, occupational therapy, nursing, speech therapist)

  A uniform system of measurement for disability. It measures the level of a patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living.

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Functional domain - Boston University Activity Measure for Post-Acute Care (AM-PAC) - administered by research assistant

  A questionnaire that examines a set of functional activities that are likely to be encountered by most adults during daily routines within the context of either an inpatient episode of care or outpatient post acute services. AM-PAC item banks are organized into three functional areas: Basic Mobility (101 items), Daily Activity (70 items), and Applied Cognitive (69 items).

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

• Functional and cognitive domains - Executive Function Performance Test (EFPT) bill paying task - administered by occupational therapist

  An instrumental activities of daily living assessment (IADL) that tests the patient's ability to use five executive functions of a task: (1) initiation of a task, (2) organization, (3) sequencing, (4) safety and judgment, and (5) completion.

  Discharge (within 72 hours prior to discharge from inpatient rehabilitation unit - IRU)

Conditions