Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Inter-Rater Reliability of Stroke Rehabilitation Assessment of Movement for Patients With Stroke

뇌졸중 환자 평가를 위한 Stroke Rehabilitation Assessment of Movement의 측정자간 신뢰도

  • Yun, Sung-Joon (Dept. of Rehabilitation, Wonju Christian Hospital, Yonsei University) ;
  • Weon, Jong-Hyuck (Dept. of Rehabilitation, Wonju Christian Hospital, Yonsei University) ;
  • Lee, Chung-Hwi (Dept. of Physical Therapy, College of Health Science, Yunsei University, Institute of Health Science, Yonsei University)
  • 윤성준 (연세대학교 원주의과대학 원주기독병원 재활의학과) ;
  • 원종혁 (연세대학교 원주의과대학 원주기독병원 재활의학과) ;
  • 이충휘 (연세대학교 보건과학대학 물리치료학과 및 보건과학연구소)
  • Received : 2010.05.12
  • Accepted : 2010.06.24
  • Published : 2010.09.17
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was performed to determine the inter-rater reliability of the Stroke Rehabilitation Assessment of Movement (STREAM) translated in Korean. This was a new clinical measurement tool for evaluating the recovery of voluntary movement and basic mobility following stroke. A direct-observation reliability study was conducted on 20 patients who had strokes and were in a rehabilitation setting. Subjects were assessed by two physical therapists. The reliability of the STREAM scores was demonstrated by weighted kappa statistics for inter-rater agreement on scores for individual items ranged from .83 to 1.0, intraclass correlation coefficients for total score was .99, and for subscale scores was ranged from .96 to .99. The internal consistency of the STREAM scores was demonstrated by Cronbach alphas of greater than .99 on the subscales and overall. These high levels of reliability support the use of the STREAM translated in Korean instrument for the measurement of motor recovery following stroke.

Keywords

References

  1. 안용팔, 이숙자, 양승한 등. 뇌졸중 편마비 환자의 의식구조. 대한재활의학회지. 1984;8(2):92-98.
  2. 통계청. 사망원인통계연보. 통계청. 2007.
  3. Ahmed S, Mayo NE, Higgins J, et al. The Stroke Rehabilitation Assessment of Movement used to evaluate effects of stroke and rehabilitation. Phys Ther. 2003;83(7):617-630.
  4. Baker WH, Mullooly JP. Stroke in a defined elderly population, 1967-1985; A less lethal and disabling but no less common disease. Stroke. 1997;28(2):284-290. https://doi.org/10.1161/01.STR.28.2.284
  5. Chiou II, Burnett CN. Values of activities of daily living. A survey of stroke patients and their home therapists. Phys Ther. 1985;65(6):901-906. https://doi.org/10.1093/ptj/65.6.901
  6. Daley K. The Storoke Rehabilitation Assessment of Movement: Content validity and preliminary reliability. School of Physical and Occupational Therapy, Montreal, McGill University, 1994.
  7. Daley K, Mayo N, Danys I, et al. The Stroke Rehabilitation Assessment of Movement (STREAM): Refining and validation the content. Physiotherapy Canada. 1997;49:269-278.
  8. Daley K, Mayo N, Wood- Dauphinee S. Reliability of scores on the Stroke Rehabilitation Assessment of Movement (STREAM) measure. Phys Ther. 1999;79(1):8-19.
  9. Gowland C, Stratford P, Ward M, et al. Measuring physical impairment and disability with the Chedoke- McMaster Stroke Assessment. Stroke. 1993;24(1);58-63. https://doi.org/10.1161/01.STR.24.1.58
  10. Hsueh IP, Wang CH, Sheu CF, et al. Comparison of psychometric properties of three mobility measures for patients with stroke. Storoke. 2003;34(7):1741-1745. https://doi.org/10.1161/01.STR.0000075295.45185.D4
  11. Hsueh IP, Wang WC, Wang CH, et al. A simplified stroke rehabilitation assessment of movement instrument. Phys Ther. 2006;86(7):936-943.
  12. Kirshner B, Guyatt G. A methodological framework for assessing health indices. J Cronic Dis. 1985;38(1):27-36. https://doi.org/10.1016/0021-9681(85)90005-0
  13. Sanford J, Moreland J, Swanwon LR, et al. Reliability of the Fugl-Meyer assessment for testing motor preformance in patients following stroke. Phys Ther. 1993;73(7):447-454. https://doi.org/10.1093/ptj/73.7.447
  14. Sturm JW, Dewey HM, Donnan GA, et al. Handicap after stroke: How does it relate to disability, perception of recovery, and stroke subtype?: The north North East Melbourne Stroke Incidence Study (NEMESIS). Stroke. 2002;33(3):762-768. https://doi.org/10.1161/hs0302.103815
  15. Twitchell TE. The restoration of motor function following hemiplegia in man. Brain. 1951;74(4):443-480. https://doi.org/10.1093/brain/74.4.443
  16. Wang CH, Hsieh CL, Dai MH, et al. Inter-rater reliability and validity of the stroke rehabilitation assessment of movement (STREAM) instrument. J Rehabil Med. 2002;34(1):20-24. https://doi.org/10.1080/165019702317242668
  17. Wilcock AA. Occupational Therapy Approaches to Stroke. 1st ed. Churchill Livingstone, 1986.