Assessment scales in stroke: clinimetric and clinical considerations

Jennifer K Harrison,1 Katherine S McArthur,2 Terence J Quinn21Department of Cardiovascular Sciences, University of Leicester, Leicester, UK; 2Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UKAbstract: As stroke care has developed, there has been a need to robustly...

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Autores principales:	Harrison JK, McArthur KS, Quinn TJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Barthel Index clinimetrics clinical trial disability methodology modified Rankin Scale National Institutes Health Stroke Scale scales stroke outcomes Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/475f3a9b877949d88bf4c73271f84507
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id	oai:doaj.org-article:475f3a9b877949d88bf4c73271f84507
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spelling	oai:doaj.org-article:475f3a9b877949d88bf4c73271f845072021-12-02T07:46:03ZAssessment scales in stroke: clinimetric and clinical considerations1178-1998https://doaj.org/article/475f3a9b877949d88bf4c73271f845072013-02-01T00:00:00Zhttps://www.dovepress.com/assessment-scales-in-stroke-clinimetric-and-clinical-considerations-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jennifer K Harrison,1 Katherine S McArthur,2 Terence J Quinn21Department of Cardiovascular Sciences, University of Leicester, Leicester, UK; 2Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UKAbstract: As stroke care has developed, there has been a need to robustly assess the efficacy of interventions both at the level of the individual stroke survivor and in the context of clinical trials. To describe stroke-survivor recovery meaningfully, more sophisticated measures are required than simple dichotomous end points, such as mortality or stroke recurrence. As stroke is an exemplar disabling long-term condition, measures of function are well suited as outcome assessment. In this review, we will describe functional assessment scales in stroke, concentrating on three of the more commonly used tools: the National Institutes of Health Stroke Scale, the modified Rankin Scale, and the Barthel Index. We will discuss the strengths, limitations, and application of these scales and use the scales to highlight important properties that are relevant to all assessment tools. We will frame much of this discussion in the context of "clinimetric" analysis. As they are increasingly used to inform stroke-survivor assessments, we will also discuss some of the commonly used quality-of-life measures. A recurring theme when considering functional assessment is that no tool suits all situations. Clinicians and researchers should chose their assessment tool based on the question of interest and the evidence base around clinimetric properties.Keywords: Barthel Index, clinimetrics, clinical trial, disability, methodology, modified Rankin Scale, National Institutes Health Stroke Scale, scales, stroke, outcomesHarrison JKMcArthur KSQuinn TJDove Medical PressarticleBarthel Indexclinimetricsclinical trialdisabilitymethodologymodified Rankin ScaleNational Institutes Health Stroke ScalescalesstrokeoutcomesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 201-211 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Barthel Index clinimetrics clinical trial disability methodology modified Rankin Scale National Institutes Health Stroke Scale scales stroke outcomes Geriatrics RC952-954.6
spellingShingle	Barthel Index clinimetrics clinical trial disability methodology modified Rankin Scale National Institutes Health Stroke Scale scales stroke outcomes Geriatrics RC952-954.6 Harrison JK McArthur KS Quinn TJ Assessment scales in stroke: clinimetric and clinical considerations
description	Jennifer K Harrison,1 Katherine S McArthur,2 Terence J Quinn21Department of Cardiovascular Sciences, University of Leicester, Leicester, UK; 2Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UKAbstract: As stroke care has developed, there has been a need to robustly assess the efficacy of interventions both at the level of the individual stroke survivor and in the context of clinical trials. To describe stroke-survivor recovery meaningfully, more sophisticated measures are required than simple dichotomous end points, such as mortality or stroke recurrence. As stroke is an exemplar disabling long-term condition, measures of function are well suited as outcome assessment. In this review, we will describe functional assessment scales in stroke, concentrating on three of the more commonly used tools: the National Institutes of Health Stroke Scale, the modified Rankin Scale, and the Barthel Index. We will discuss the strengths, limitations, and application of these scales and use the scales to highlight important properties that are relevant to all assessment tools. We will frame much of this discussion in the context of "clinimetric" analysis. As they are increasingly used to inform stroke-survivor assessments, we will also discuss some of the commonly used quality-of-life measures. A recurring theme when considering functional assessment is that no tool suits all situations. Clinicians and researchers should chose their assessment tool based on the question of interest and the evidence base around clinimetric properties.Keywords: Barthel Index, clinimetrics, clinical trial, disability, methodology, modified Rankin Scale, National Institutes Health Stroke Scale, scales, stroke, outcomes
format	article
author	Harrison JK McArthur KS Quinn TJ
author_facet	Harrison JK McArthur KS Quinn TJ
author_sort	Harrison JK
title	Assessment scales in stroke: clinimetric and clinical considerations
title_short	Assessment scales in stroke: clinimetric and clinical considerations
title_full	Assessment scales in stroke: clinimetric and clinical considerations
title_fullStr	Assessment scales in stroke: clinimetric and clinical considerations
title_full_unstemmed	Assessment scales in stroke: clinimetric and clinical considerations
title_sort	assessment scales in stroke: clinimetric and clinical considerations
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/475f3a9b877949d88bf4c73271f84507
work_keys_str_mv	AT harrisonjk assessmentscalesinstrokeclinimetricandclinicalconsiderations AT mcarthurks assessmentscalesinstrokeclinimetricandclinicalconsiderations AT quinntj assessmentscalesinstrokeclinimetricandclinicalconsiderations
_version_	1718399151191883776

Assessment scales in stroke: clinimetric and clinical considerations

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