Stroke Rehabilitation Assessment of Movement (STREAM)
Original Editor - Lindsay Bender
Top Contributors - Lindsay Bender, Kim Jackson, Oyemi Sillo and Claire Knott
Objective[edit | edit source]
The Stroke Rehabilitation Assessment of Movement (STREAM) is a measurement tools used to quantitatively evaluate the recovery of voluntary movement and mobility post stroke[1] . The STREAM is used to assess patient’s coordination, functional mobility and range of motion[2]. This outcome measure has been reported to be responsive to change in acute stroke and can be used by healthcare professionals to track the progression of stroke recovery[3]. The STREAM is an easy to use tool, that requires 15 minutes to administer and very little equipment[2].
Intended Population[edit | edit source]
STREAM is intended for use in the acute, subacute, or chronic stage of a patient’s stroke rehabilitation[4].
Overview[edit | edit source]
STREAM is a performance measure to be used in stroke recovery which assesses coordination, functional mobility, and range of motion. It is composed of 30 items and takes approximately 15 minutes to administer[2].
- Items 1 through 6 are completed with the patient in supine.
- Items 7 through 21 are completed with the patient in sitting.
- Item 22 is completed with the patient in standing, no support.
- Items 23 through 25 are completed with the patient in standing, holding onto a stable support to assist balance.
- Items 26 through 30 are completed with the patient in standing and completing walking activities.
There are three domains to this outcome measure[2]:
- Upper limb voluntary movement which is scored on a 3 point ordinal scale (0-2)
- Lower limb voluntary movement which is scored on a 3 point ordinal scale (0-2)
- Basic mobility which is scored on a 4 point ordinal scale (0-3)
There is a total of 20 possible points for each of the limb subscales (total = 40 points). There is a total of 30 possible points for the mobility subscale. If an item is not tested (due to ROM, pain, other) then an “X” is marked and that item cannot be scored. Subscales are then converted into a percentage. Total scores are calculated using the average of the 3 subscale scores[2].
A Simplified Stroke Rehabilitation Assessment of Movement (S-STREAM) was developed by Hsueh et al. in 2006. This version is more efficient to administer as it consists of half the number of items in the original STREAM. This tool may be beneficial to use when a rapid assessment is clinically important to not place unreasonable demands on patients, especially in instances in which they may be seriously unwell[5].
Method of Use[edit | edit source]
Interpretation[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Limitations[edit | edit source]
Links[edit | edit source]
Related Tools[edit | edit source]
The STREAM’s ability to predict discharge destination from the acute care hospital was found to be comparable to that of the following commonly used measures: Box and Block test, Balance Scale, Barthel Index, Timed Up and Go test[4].
Other stroke-specific measures that can be used to assess mobility include the Fugl-Meyer Assessment, Chedoke-McMaster Stroke Assessment, Motor Assessment Scale, and Rivermead Mobility Index.
References[edit | edit source]
- ↑ Daley K, Mayo N, Wood-Dauphinée S. Reliability of Scores on the Stroke Rehabilitation Assessment of Movement (STREAM) Measure. Physical Therapy. 1999 Jan 1;79(1):8–23. https://academic.oup.com/ptj/article/79/1/8/2857712 (accessed 3 May 2018).
- ↑ 2.0 2.1 2.2 2.3 2.4 Shirley Ryan Ability Lab [Internet]. Stroke Rehabilitation Assessment of Movement measure. Chicago IL: Ability Lab; c2018 [cited 2018 May 4]. Available from: https://www.sralab.org/rehabilitation-measures/stroke-rehabilitation-assessment-movement-measure
- ↑ Sullivan JE. Measurement Characteristics and Clinical Utility of the Stroke Rehabilitation Assessment of Movement Among Stroke Patients. Arch.Phys.Med.Rehabil. 2014;95(1):207-208. https://www.archives-pmr.org/article/S0003-9993(13)00581-9/fulltext (accessed 3 May 2018).
- ↑ 4.0 4.1 Ahmed S, Mayo NE, Higgins J, Salbach NM, Finch L, Wood-Dauphinee SL. The Stroke Rehabilitation Assessment of Movement (STREAM): A comparison with other measures used to evaluate effects of stroke and rehabilitation. Physical Therapy 2003;83(Issue 7):617-630. https://www.ncbi.nlm.nih.gov/pubmed/12837123 (accessed 4 May 2018).
- ↑ Hsueh I, Wang W, Wang C, Sheu C, Lo S, Lin J, Hsieh C. A simplified Stroke Rehabilitation Assessment of Movement instrument. Physical Therapy 2006;86(Issue 7):936-943. https://academic.oup.com/ptj/article/86/7/936/2805160 (accessed 4 May 2018).
