How much change in the stroke impact scale16 is important to. Validation of the neurological fatigue index for stroke nfi. Record performance in each category after each subscale exam. Finding the cause of pediatric stroke is vital to providing the right treatment and preventing more injury. Each item is rated in a 5point likert scale in terms of the difficulty the patient has experienced in completing each item. To fully assess the impact of stroke on patients, we used the results of this qualitative study to develop a new stroke specific outcome, the stroke impact scale. Not difficult at all a little difficult somewhat difficult very difficult could not do at all a. There are four steps to acquire the stroke impact scale or sis16 database. The stroke impact scale sis is a quality of life measure designed specifically for patients with stroke. The stroke impact scale sis is a strokespecific healthrelated quality of life hrqol instrument, which was developed by duncan et al. The sis can be used both in clinical and research settings. To demonstrate how the international classification of functioning, disability and health icf can be used to create. Instructions for using the stroke impact scale, a ed instrument developed which assesses other dimensions of health related quality of life. Scores should reflect what the patient does, not what the clinician thinks the patient can do.
The stroke impact scale sis is a stroke specific and selfreport questionnaire designed to evaluate disability and quality of life qol after stroke 24. Mapping the stroke impact scale sis16 to the international classification of functioning, disability and health by carolina moriello, kerry byrne, alarcos cieza, caryn nash, paul stolee and nancy mayo. The arabic versions of the beck depression inventory bdi, dynamic gait index adgi, and physical stroke impact scale 16 version 3 were administered to a convenience sample of patients post stroke. Estimation of disability was made by administration of the stroke impact scale16 sis. The measure was designed for repeated administration to track change over time, and was created to be used both in clinical and research settings. Extends knee in sitting straighten your knee by lifting your foot up 2 17. Mapping the stroke impact scale sis 16 to the international classification of functioning, disability and health. Relation between depression after stroke, antidepressant. The stroke impact scale16 sis16 is used clinically and in research to measure quality of life after stroke. Mapping the stroke impact scale sis16 medicaljournals. May 15, 2012 estimation of disability was made by administration of the stroke impact scale 16 sis. Measuring the effectiveness of interventions is accepted as being central to good practice. University of kansas medical center time required to administer.
The aim of this study was to evaluate the psychometric characteristics of the. In general, stroke survivors described themselves as only about 50% recovered and reported that they had difficulty in activities in which they were not independent. To fully assess the impact of stroke on patients, we used the results of this qualitative study to develop a new strokespecific outcome, the stroke impact scale. A brief assessment of physical function to 1 develop a short instrument stroke impact scale16 sis16 to assess. It was designed to assess multidimensional stroke outcomes, including strength, hand function, activities of daily living instrumental activities of daily living adliadl, mobility, communication, emotion, memory and thinking, and participation. Stroke recovery on a scale of 0 to 100, with 100 representing full recovery and 0 representing no recovery, how much have you. The stroke impact scale, or sis, was created to assess changes in impairments, disabilities and handicaps following a stroke. This page presents the best available information on how outcome measures for stroke might be classified and selected for use, based upon their measurement qualities. However, the amount of information was fairly limited and it was suggested more research was needed to determine which is the most appropriate. This is a short form version of the stroke impact scale v2. Performance of a mailadministered version of a strokespecific outcome measure, the stroke impact scale. How much change in the stroke impact scale16 is important to people who have experienced a stroke. The aim of this study was to estimate the minimal clinically important difference mcid of the sis16. To demonstrate how the international classification of functioning, disability and health icf can be used to create coded functional status indicators specific for stroke from a simple strokespecific functional index, the stroke impact scale16 sis16.
Clinical assessments were conducted on admission and then again on discharge from the rehabilitation hospital with the stream total stream and upper extremity, lower extremity, and mobility subscales, functional independence measure fim, and stroke impact scale. Explain to the patientproxy what the questionnaire is about. A license must be negotiated and executed prior to use. Mapping the stroke impact scale sis16 to the international. The stroke impact scale is a 59 item assessment of outcomes in stroke patients and caregivers that is broken down into eight domains. The arabic versions of the beck depression inventory bdi, dynamic gait index adgi, and physical stroke impact scale16 version 3 were administered to a convenience sample of patients post stroke. The stroke imact scale was developed by university of kansas medical center professor sue m. The stroke impact scale 16 focuses on healthrelated quality of life levels related to physical function, since the 16 items mainly come from the original two stroke impact scale 3. Dorsiflexes ankle in sitting keep your heel on the ground and lift your toes off the. The aim of this study was to evaluate the psychometric characteristics of the sis 3. Internal consistency and validity of the stroke impact scale 2. Mild and rapidly improving stroke study mariss 90day.
A crosssectional design was used to study 392 stroke survivors enrolled in 16 rehabilitation facilities across italy. The correlation between depression, balance, and physical. The stroke impact scale sis is a strokespecific and selfreport questionnaire designed to evaluate disability and quality of life qol after stroke 24. A guideline for healthcare professionals from the american heart associationamerican stroke association. To 1 develop a short instrument stroke impact scale 16 sis 16 to assess physical function in patients with stroke at approximately 1 to 3 months poststroke using items from the composite physical domain of the stroke impact scale sis version 3.
Follow directions provided for each exam technique. Prompt medical treatment and rehabilitation therapy can maximize recovery. By carolina moriello, kerry byrne, alarcos cieza, caryn nash, paul stolee and nancy mayo. In addition, previous studies have shown floor and ceiling effect and weak reliability within the scale.
We want to know from your point of view how stroke has affected you. Unfortunately, family members of stroke patients can have a poor understanding of how it works, what the numbers mean, and what the individual components entail. There are no studies that have estimated how much change on the sis 16 is an important amount of change. Mapping the stroke impact scale sis16 to the international classification of functioning, disability and health. Thirty adults with a newly diagnosed, first ischemic stroke.
The purpose of this questionnaire is to evaluate how stroke has impacted your health and life. To demonstrate how the international classification of functioning, disability and health icf can be used to create coded functional status indicators specific for stroke from a simple stroke specific functional index, the stroke impact scale 16 sis 16. Testing and validation of the german version of the stroke impact scale fortschr neurol psychiatr. To 1 develop a short instrument stroke impact scale16 sis16 to assess physical function in patients with stroke at approximately 1 to. Psychometric evaluation of the stroke impact scale 3. We will ask you questions about impairments and disabilities caused by your stroke, as. Validation of the neurological fatigue index for stroke. Rasch analysis of a new strokespecific outcome scale. The stroke impact scale sis is a strokespecific, selfreport, health status measure. The stroke impact scale 16 sis 16 is used clinically and in research to measure quality of life after stroke. The aim of this study was to estimate the minimal clinically important difference mcid of the sis 16. The stroke impact scale sis is a stroke specific healthrelated quality of life hrqol instrument, which was developed by duncan et al. Validity of the stroke rehabilitation assessment of. To 1 develop a short instrument stroke impact scale16 sis16 to assess physical function in patients with stroke at approximately 1 to 3 months poststroke using items from the composite physical domain of the stroke impact scale sis version 3.
The instrument is a selfreport questionnaire assessing eight domains. How much change in the stroke impact scale16 is important. Impactscalesis,10,11 the strokespecific quality of life scale,12 and the stroke and aphasia qolscale, that aremoresensitivetoshorttermchangesinthehealth status of stroke survivors than generic qol tools are. Sis16 stroke impact scale eprovide mapi research trust. Developed by pamela duncan, dennis wallace, sue min lai, stephanie studenski, dallas johnson, and susan embretson.