Stroke Impact Scale

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Original Editor - User Name

Top Contributors - Carina Therese Magtibay  

Objective[edit | edit source]

The Stroke Impact Scale (SIS) is a patient-reported outcome measure that evaluates the biopsychosocial aspects of life after stroke. [1] It is designed by Duncan et al at the University of Kansas Medical Center in 1999, first published as version 2.0.[2] The original 64-item tool was shortened to be 58-item after a Rasch analysis process, creating the current version 3.0.[3]

Intended Population[edit | edit source]

The tool is intended for post-stroke patients.

Method of Use[edit | edit source]

Equipment required: Questionnaire and pen

Time to administer: 15-20 minutes

Instructions: Rate the level of difficulty of completing an item in the past 2 weeks following a 5-point Likert scale:

  • 1 = could not do it at all
  • 2= very difficult
  • 3= somewhat difficult
  • 4= a little difficult
  • 5= not difficult at all


Domains:

The questionnaire consists of 59 items that assess 8 domains:

  • Strength (4 items)
  • Hand function (5 items)
  • ADL/IADL (10 items)
  • Mobility (9 items)
  • Communication (7 items)
  • Emotion (9 items)
  • Memory and thinking (7 items)
  • Participation/Role function (8 items)


Scoring:

Summative scores are generated for each domain, scores ranging from 0-100.

Formula for each scale:

Transformed Scale = [(Actual raw score - lowest possible raw score) / Possible raw score range] x 100

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous
[edit | edit source]

Links[edit | edit source]

Stroke Impact Scale version 3.0

References[edit | edit source]

  1. Mulder M, Nijland R. Stroke impact scale. Journal of physiotherapy. 2016;2(62):117.
  2. Duncan PW, Wallace D, Lai SM, Johnson D, Embretson S, Laster LJ. The stroke impact scale version 2.0: evaluation of reliability, validity, and sensitivity to change. Stroke. 1999 Oct;30(10):2131-40.
  3. Duncan PW, Bode RK, Lai SM, Perera S, Glycine Antagonist in Neuroprotection Americas Investigators. Rasch analysis of a new stroke-specific outcome scale: the Stroke Impact Scale. Archives of physical medicine and rehabilitation. 2003 Jul 1;84(7):950-63. BibTeXEndNoteRefManRefWorks