Outcome Measures for Individuals With Stroke: Process and Recommendations From the American Physical Therapy Association Neurology Section Task Force

Jane E. Sullivan; Beth E. Crowner; Patricia M. Kluding; Diane Nichols; Dorian K. Rose; Rie Yoshida; Genevieve Pinto Zipp

doi:10.2522/ptj.20120492

Figures

Figure.

Task force charges and 3-stage process developed and used by the StrokEDGE task force. OM=outcome measure, CAT=critically appraised topic, CSM=Combined Sections Meeting.

Tables

Table 1.

Background Information on the StrokEDGE Task Force Members

Table 2.

Outline of the StrokEDGE Scoring Matrix Used to Make Clinical Recommendations for Outcome Measure Use by Evaluating the Strength of the Outcome Measurement Tools' Psychometric Properties and Utility in the Stroke Population^{^a}

↵^a MCID=minimal clinically important difference, MDC=minimal detectable change, OM=outcome measure.

Appendix.

StrokEDGE Outcome Measure Review Form^{^a}

↵^a This form was adapted from the Section on Research Evidence Database to Guide Effectiveness (EDGE) Task Force template. ICF=International Classification of Functioning, Disability and Health, MCID=minimal clinically important difference, MDC=minimal detectable change, OM=outcome measure.

Table 3.

Reviewed Outcome Measures (OMs) by International Classification of Functioning, Disability and Health (ICF) Category, Task Force Recommendations for OM Use by Practice Setting and Patient Acuity, OMs Recommended for Entry-Level Physical Therapist Education, and OMs Recommended for Research Use^{^a}

↵^a Scores for tools that have been “highly recommended” with a rating of 4 are bolded in the table. Asterisk indicates “highly recommended within the first 2 weeks following stroke.” SNF=skilled nursing facility, OP=outpatient, V̇o₂max=maximum oxygen consumption, SF-36=Medical Outcomes Study 36-Item Short-Form Health Survey questionnaire.
^b The Orpington Prognostic Scale is a predictive measure of recovery and needs to be conducted within the first 2 weeks poststroke.