The stroke impact scale, or sis, was created to assess changes in impairments, disabilities and handicaps following a stroke. There is a high level of internal consistency in the eight sis domains with no evidence of floor effects. Nhpt 12,1517, action research arm test arat 68,11, 16 18. 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.
The patient is asked to describe what is happening in the attached picture, to name the items on the. The nihss is composed of 11 items, each of which scores a specific ability between a 0 and 4. Functional independence measurement fim glasgow outcome scale gos health survey sf36 health survey sf12 community integration questionnaire. The sis16 consists of 16 items from the 4 physical domains strength, hand function, mobility, and adliadl on the sis 3. Stroke impact scale definition of stroke impact scale by. The sis 16 is a measure of physical functioning designed to be more. This study evaluates the sis in the uk context, and develops a single index and an 8item short form. Background caregiver burden following stroke can have significant adverse health consequences for caregivers and threatens the recovery and successful rehabilitation of patients.
The investigator must choose a response if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal traumabandages. Oct 01, 2003 instructions scale definition score 1a. Nih stroke scale training part 6 significance of the scale department of health and human services national institute of neurological disorders and stroke. National institutes of health stroke scale wikipedia. Mapping the stroke impact scale sis16 to the international. A 3 is scored only if the patient makes no movement other than reflexive posturing in response to noxious stimulation. The stroke impact scale 16 sis 16 is used clinically and in research to measure quality of life after stroke. We will ask you questions about impairments and disabilities caused by your stroke, as well as how stroke has affected your quality of life. Ninds know stroke campaign health professional resources.
The brain attack coalition bac is a group of professional, voluntary and governmental entities dedicated to reducing the occurrence, disabilities and death associated with stroke. Stroke impact scale how is stroke impact scale abbreviated. To 1 develop a short instrument stroke impact scale16 sis 16 to assess physical function in patients with stroke at approximately 1 to 3 months poststroke using items from the composite. The sis16 is a measure of physical functioning designed to be more. The instrument is a selfreport questionnaire assessing eight domains. Originally developed as a research tool to measure baseline data in patients in acute stroke clinical trials. In the past 5 years, a number of ul function tests have been examined for their psychometric and clinimetric properties in people with stroke, including the fuglmeyer assessment fma 68, wolf motor function test wmft 6,911, box and block test bbt 7,1214, ninehole peg test nhpt 12,1517, action research arm test arat 68,11,1618, and stroke impact scale sis 16,1920. Org, llc by wanda lockwood, rn, ba, ma the purpose of this course is to explain how to administer the nih stroke scale, consistently and accurately.
Verschiedene selbstfremdratingversionen in 16 sprachen14. Patients with a diagnosis of stroke were recruited through general practices in london and the northwest of england. Recently, the sis 16 a 16 item physical dimension instrument was developed as a brief, stand alone tool for measuring the physical aspects of stroke recovery. On a scale of 0 to 100, with 100 representing full recovery and 0 representing no recovery, how much have you. Sis16 stroke impact scale eprovide mapi research trust. The measure was designed for repeated administration to track change over time, and was created to be used both in clinical and research settings. The stroke impact scale sis covers 8 dimensions and a composite disability score. In the past 5 years, a number of ul function tests have been examined for their psychometric and clinimetric properties in people with stroke, including the fuglmeyer assessment fma 68, wolf motor function test wmft 6,911, box and block test bbt 7,1214, ninehole peg test nhpt 12,1517, action research arm test arat 68,11, 16 18, and stroke impact scale sis 16,1920. We want to know from your point of view how stroke has affected you.
How much change in the stroke impact scale16 is important. The sensitivity of aspects for functional outcome was. A great deal of information about comprehension will be obtained during the preceding sections of the examination. The purpose of this questionnaire is to evaluate how stroke has impacted your health and life. Impact scale sis 16 for measuring functional status16. How much change in the stroke impact scale16 is important to. Stroke specific quality of life measure ssqol outcome assessment scales. The stroke impact scale is a 59 item assessment of outcomes in stroke patients and caregivers that is broken down into eight domains. The stroke impact scale16 sis16 is used clinically and in research to measure quality of life after stroke. How much change in the stroke impact scale16 is important to people who have experienced a stroke. Mapping the stroke impact scale sis16 to the international classification of functioning, disability and health. Issn 143555 original rev bras fisioter, sao carlos, v. This study characterizes the psychometric properties of the stroke impact scale sis version 2. Nih stroke scale training part 6 significance of the.
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. The impact of stroke is multidimensional however standard stroke measures do not discriminate well when stroke patients are less physically impaired. There are no studies that have estimated how much change on the sis 16 is an important amount of change. For children age 2 yrs and up, the investigator must choose a response, even if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal traumabandages. Methods we prospectively studied patients admitted to our stroke unit over a 2year period 20012002. Information on standardized assessment tools used in. Psychometric comparisons of the stroke impact scale 3. The purposes of this study were to compare proxypatient responses on each domain of the stroke impact scale sis and the sis 16, estimate the bias, and evaluate the validity of proxy scores. Recently, the sis16 a 16item physical dimension instrument was developed as a brief, stand alone tool for measuring the physical aspects of stroke recovery.
The goal of the coalition is to strengthen and promote the relationships among its member organizations in order to help stroke. The stroke impact scale results suggested that participants perceived a moderate physical impact from the stroke, but minimal impact with regard to memory, mood and communication, ability to engage in daily activities, mobility, hand function and social activities. Stroke is the third leading cause of death in the united states and cause more serious longterm disabilities than any other disease. Not difficult at all a little difficult somewhat difficult very difficult could not do at all a. The stroke impact scale sis is a quality of life measure designed specifically for patients with stroke. It has also been verified that the icf is associated with the comprehensive early physical functioning epf instrument, which may significantly aid the planning and evaluation of early interventions17. Level of consciousness loc 0 alert, keenly responsive. Internal consistency and validity of the stroke impact scale 2. Arm drift ask the patient to close their eyes and hold both arms out straight. Aspects scale allows a quantitative, way, give a numerical value to a qualitative assessment we value incipient signs of ischemic cerebral involvement. Mapping the stroke impact scale sis16 medicaljournals. 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. The aim of this study was to estimate the minimal clinically important difference mcid of the sis 16. Larocca, impact of walking impairment in multiple sclerosis, the patient.
Stroke impact scale article about stroke impact scale by. Our objective was to identify patient factors that contribute to higher levels of caregiver burden. The sis is the multidimensional instrument and it is most widely used in stroke research. The stroke scale is valid for predicting lesion size and can serve as a measure of stroke severity. The stroke impact scale sis includes 59 proxy or selfreport items in 8 domains that assess multidimensional stroke outcomes. Carolina moriello, kerry byrne, alarcos cieza, caryn nash, paul stolee, nancy mayo doi. It is to assess the lack of differentiation structures that we usually see in a tac. A 3 is scored only if the patient makes no movement other. We will ask you questions about impairments and disabilities caused by your stroke, as. Internal consistency and validity of the stroke impact scale. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of.
An instrument to measure the effect of a stroke on a persons mobility, speech, social activities, manual dexterity, strength, emotions, memory, and daily activities. Protocol stroke impact scale sis adults phenx toolkit. There are no studies that have estimated how much change on the sis16 is an important amount of change. Stroke recovery on a scale of 0 to 100, with 100 representing full recovery and 0 representing no recovery, how much have you. Fortyfive percent of all medicare dollars in the us are spent on rehabilitation of patients with stroke.
Internal consistency and validity of the stroke impact. Evaluation of proxy responses to the stroke impact scale. Stroke specific qua lity of life and stroke impact scale are designed for measuring for participation. Information on standardized assessment tools used in stroke rehabilitation. You will need acrobat reader to view protocols in pdf format. The aim of this study was to estimate the minimal clinically important difference mcid of the sis16. Background and purposeto be useful for clinical research, an outcome measure must be feasible to administer and have sound psychometric attributes, including reliability, validity, and sensitivity to change. The baseline aspects value predicted functional outcome and symptomatic intracerebral hemorrhage p. If your patient has prior known neurologic deficits e. Measure, berg balance scale, motor assessment scale and modified rankin handicap scale are measuring tools for activities salter et al, 2005b. The nih stroke scale has many caveats buried within it. Cookie jar picture pdf object naming pdf phrases pdf sentences pdf scoring form pdf barthel index. We divide the cerebral hemisphere that has caused damage in 10 segments. Information on standardized assessment tools used in stroke rehabilitation tools in alphabetical order by name nsac rehabilitation task force.
Now, it is used as a clinical assessment tool to evaluate the acuity of stroke patients, determine appropriate treatment, and. The national institutes of health stroke scale, or nih stroke scale nihss is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke. Ask, or use pantomime to encourage the patient to show teeth or raise eyebrows and close eyes. In those cases, consult the nih stroke scale website. Facial droop ask the patient to show their teeth or smile. Use of the alberta stroke program early ct score aspects. Nhpt 12,1517, action research arm test arat 68,11,1618, and stroke impact scale sis 16,1920. Stroke impact scale 16 university of kansas medical center. 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. Contact kumc the university of kansas medical center 3901 rainbow boulevard kansas city, ks 66160 95885000. The stroke impact scale sis measures multiple domains of health and is wellsuited for use in patients recovering from stroke in the community.
Information on standardized assessment tools used in stroke. Longterm developments and correlation with changes in neurological deficit, mood and cognitive impairment. The korean language version of stroke impact scale 3. Stroke impact scale synonyms, stroke impact scale pronunciation, stroke impact scale translation, english dictionary definition of stroke impact scale.
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