Measurement properties of the NIH Stroke Scale during acute rehabilitation

Stroke; a Journal of Cerebral Circulation
A W HeinemannE J Roth

Abstract

The scale of stroke impairment characteristics by Brott and associates, the National Institutes of Health (NIH) Stroke Scale, has been used widely in various studies of stroke outcome; however, the measurement properties of the items applied to patients during medical rehabilitation have not been evaluated thoroughly. This study evaluated the extent to which scale items cohere to define a unidimensional construct and have a useful range for application to patients during medical rehabilitation. Rating scale (or Rasch) analysis of the 15 NIH Stroke Scale items was conducted using the BIGSTEPS computer program to evaluate (1) the range of impairment assessed by the items, (2) the items' coherence with an underlying construct of impairment, and (3) range of impairment measured in rehabilitation patients. We sought to maximize the range of impairment measured by conducting analyses recursively; at each subsequent step, the worst fitting item was deleted or rescored. The sample comprised 1291 admission and discharge records from 693 rehabilitation inpatients with stroke. Thirteen items arrayed the sample across a sufficient range of impairment. The limb ataxia item fit poorly and was deleted; lower ratings for this item were associa...Continue Reading

References

Jun 1, 1989·Archives of Neurology·L B GoldsteinJ N Davis
Aug 1, 1995·Archives of Physical Medicine and Rehabilitation·C A VelozoP Leiter
Feb 1, 1995·Archives of Physical Medicine and Rehabilitation·W P FisherC K Kelly

❮ Previous
Next ❯

Citations

Mar 10, 2010·Journal of Neurotrauma·Elisabeth A WildePaolo Moretti
May 26, 2009·The International Journal of Neuroscience·Cherdsak IramaneeratPatrick D Lyden
Aug 22, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Elliot J Roth, Linda Lovell
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Douglas ElwoodAmit Bansal
Jan 3, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·G Kwakkel, B J Kollen
Apr 3, 2007·Archives of Physical Medicine and Rehabilitation·Julie J ThomasDaniel J Cipriani
Nov 20, 1998·Archives of Physical Medicine and Rehabilitation·R L HarveyS Diaz
Aug 9, 2005·Journal of Clinical Epidemiology·Morten Aa PetersenUNKNOWN European Organisation for Research and Treatment of Cancer Quality of Life Group
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·M BessenyeiD Bereczki
Jun 23, 2007·Journal of Cognitive Neuroscience·Chris RordenLeonardo Bonilha
Dec 5, 2002·Neurorehabilitation and Neural Repair·Meigen LiuAkio Kimura
Oct 23, 2010·Western Journal of Nursing Research·Niloufar HadidiKay Savik
Jul 15, 2000·Archives of Physical Medicine and Rehabilitation·T TsujiN Chino

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.