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Barthel ADL Index
- • Population: Neuromuscluar or musculoskel
- • ICF area: Activity Limitations
- • Pros: Simple, time efficient, correlates well with FIM
- • Cons: self report – geriatrics overestimate their abilities, less effective for chronic patients
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Fugl-Meyer
- • Population: CVA
- • ICF area: Body structure & function
- • Pros: reliable, easy to administer, minimal training needed
- • Cons: lacks guidelines for each test, distal fine motor functions underrepresented, UE scores more heavily weighted than LE
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Stroke Rehab Assessment of movement measure (STREAM)
- • Population: CVA
- • ICF area: body structure & function, activity limitations
- • Pros: encompasses UE, LE and basic mobility, short
- • Cons: various CVA presentations – all may not be measured adequately, dec. cognition may lead to skewed scores, does not assess functional performance.
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Chedoke-McMaster Stroke Assessment
- • Population: CVA, SCI, TBI
- • ICF area: body structure and function, activity Limitations
- • Pros: measures change in disability, not solely impairments, works to standardize brunnstrom stages
- • Cons: not valid for acute CVA, long, many materials req.
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Name: Stroke Impact Scale (SIS)
- • Population: CVA,
- • ICF area: activity limitations, participation
- • Pros: short, insight to impact on health and QOL
- • Cons: must be cognitively intact
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FIM
- • Population: any and all
- • ICF area: activity limitations
- • Pros: standardized, excellent reliability, appropriate for pts at all levels
- • Cons: must be trained to administer, time consuming
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Postural Assessment Scale for Stroke Patients (PASS)
- • Population: CVA
- • ICF area: Body Structure and Function, Activity limitations
- • Pros: postural performance post-CVA are an important indicator for long term prognosis of gait, excellent sensitivity, assesses more than BERG
- • Cons: validity poor after 1 yr post-CVA
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Trunk Impairment Scale
- • Population: CVA, CP, MS, Parkinson’s, TBI
- • ICF area: Body structure and function, Activity limitations
- • Pros: highly reliable, time efficient, free
- • Cons: large ceiling effect for acute CVA & PD, patient needs to be able to follow commands.
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