PMID- 18776067
OWN - NLM
STAT- MEDLINE
DCOM- 20091229
LR  - 20161124
IS  - 1545-9683 (Print)
IS  - 1545-9683 (Linking)
VI  - 22
IP  - 6
DP  - 2008 Nov-Dec
TI  - Estimating the minimal clinically important difference of the Stroke 
      Rehabilitation Assessment of Movement measure.
PG  - 723-7
LID - 10.1177/1545968308316385 [doi]
AB  - BACKGROUND: The minimal clinically important difference (MCID) of the Stroke 
      Rehabilitation Assessment of Movement (STREAM) measure is unknown, which limits 
      the application and interpretation of change scores. OBJECTIVE: To estimate the 
      MCID of the 3 subscales (ie, lower extremity, upper extremity, and mobility 
      subscales) of the STREAM using the method of patients' global ratings of change. 
      METHODS: Eighty-one stroke patients participated in this study. The patients' 
      global ratings of change were used to rate their changes of limb movements and 
      basic mobility skills on the 15-point Likert scale. The mean change scores on the 
      3 subscales of STREAM of the MCID group (ie, scored on +2 to +3 or -2 to -3) 
      served as the estimates of the MCID. RESULTS: There were 42, 38, and 43 patients 
      in the MCID group, and the estimates of the MCID were 2.2, 1.9, and 4.8 points 
      for the upper-extremity subscale, lower-extremity subscale, and mobility 
      subscale, respectively. CONCLUSIONS: These findings suggest that if the mean 
      change scores on the 3 subscales of the STREAM within a stroke group have reached 
      2.2, 1.9, and 4.8 points, the change scores on the 3 subscales of the STREAM can 
      be perceived by patients as clinically important.
FAU - Hsieh, Yu-Wei
AU  - Hsieh YW
AD  - School of Occupational Therapy, College of Medicine, National Taiwan University, 
      Taipei, Taiwan.
FAU - Wang, Chun-Hou
AU  - Wang CH
FAU - Sheu, Ching-Fan
AU  - Sheu CF
FAU - Hsueh, I-Ping
AU  - Hsueh IP
FAU - Hsieh, Ching-Lin
AU  - Hsieh CL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20080905
PL  - United States
TA  - Neurorehabil Neural Repair
JT  - Neurorehabilitation and neural repair
JID - 100892086
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Disability Evaluation
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Lower Extremity/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Movement/*physiology
MH  - Occupational Therapy/*methods
MH  - *Psychomotor Performance
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Stroke/*physiopathology
MH  - *Stroke Rehabilitation
MH  - Taiwan
MH  - Treatment Outcome
MH  - Upper Extremity/physiopathology
EDAT- 2008/09/09 09:00
MHDA- 2009/12/30 06:00
CRDT- 2008/09/09 09:00
PHST- 2008/09/09 09:00 [pubmed]
PHST- 2009/12/30 06:00 [medline]
PHST- 2008/09/09 09:00 [entrez]
AID - 1545968308316385 [pii]
AID - 10.1177/1545968308316385 [doi]
PST - ppublish
SO  - Neurorehabil Neural Repair. 2008 Nov-Dec;22(6):723-7. doi: 
      10.1177/1545968308316385. Epub 2008 Sep 5.