Chedoke-McMaster Stroke Assessment: Difference between revisions
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The CMSA is a screening and assessment tool utilized to measure physical impairment and disability of an individual following a stroke. The CMSA consists of two inventories. First is the Impairment Inventory, which assesses 6 domains (shoulder pain, postural control and arm, hand, leg and foot movement). Each domain is scored on a 7-point scale (Stage 1 through 7, with 1 most impairment and 7 normal). Second is the Activity Inventory, formerly Disability Inventory, which assesses gross motor and walking function. There are 15 items and is scored on a 7-point scale (1 through 7, complete dependence to independent, respectively).<br> | The CMSA is a screening and assessment tool utilized to measure physical impairment and disability of an individual following a stroke. The CMSA consists of two inventories. First is the Impairment Inventory, which assesses 6 domains (shoulder pain, postural control and arm, hand, leg and foot movement). Each domain is scored on a 7-point scale (Stage 1 through 7, with 1 most impairment and 7 normal). Second is the Activity Inventory, formerly Disability Inventory, which assesses gross motor and walking function. There are 15 items and is scored on a 7-point scale (1 through 7, complete dependence to independent, respectively).<br> | ||
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Revision as of 14:46, 28 October 2014
Objective[edit | edit source]
The CMSA is a screening and assessment tool utilized to measure physical impairment and disability of an individual following a stroke. The CMSA consists of two inventories. First is the Impairment Inventory, which assesses 6 domains (shoulder pain, postural control and arm, hand, leg and foot movement). Each domain is scored on a 7-point scale (Stage 1 through 7, with 1 most impairment and 7 normal). Second is the Activity Inventory, formerly Disability Inventory, which assesses gross motor and walking function. There are 15 items and is scored on a 7-point scale (1 through 7, complete dependence to independent, respectively).
Purpose[edit | edit source]
The CMSA has three overall purposes:
1. Stage motor recovery to classify individuals in terms of clinical characteristics
2. Predict rehabilitation outcomes
3. Measure clinically important change in physical function
Intended Population[edit | edit source]
The CMSA was initially developed for the assessment of patients with stroke, its application has been more widely demonstrated, specifically for the Activity Inventory.
Methods of Use[edit | edit source]
Users of the CMSA should read the manual prior to administration for the measures and be familiar with relevant administration, scoring and interpretation. No special training is required.
Administration[edit | edit source]
Physical Setting, Environment and Clothing[edit | edit source]
- Ensure patient feels comfortable and at ease during administration of assessment
- Distractions kept to a minimum
- Testing room should be comfortable warm and large enough to accommodate a low plinth (large enough to allow patient to roll from supine to sidelying), floor mat and wheelchair
- Access to full flight of stairs and outdoors required for Activity Inventory
- Patients should wear comfortable clothing (i.e., shorts and tank top) exposing knees and elbows
- During testing of shoulder pain, shoulder region should be free of clothing
- Shoes and orthoses not worn during Physical Impairment Inventory, but worn for Activity Inventory
Equipment[edit | edit source]
All equipment should be assembled ahead of time.
- Foot stool
- Pillows
- 2 meter line marked on the floor
- Chair with armrest
- Adjustable table
- Plastic measuring cup (250 ml)
- Wide, low plinth
- Stop watch
- Floor mat
- Ball, 6.5 cm (2.5 in) in diameter
- 1 liter plastic pitcher with water