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Psychometric Properties of the National Institutes of Health Stroke Scale in Post Acute, Minimally Impaired Stroke Survivors

Basobas, Brittani A

Abstract Details

2016, Master of Science, Ohio State University, Allied Medicine.
Stroke remains a leading cause of disability in the United States, frequently leaving survivors with impairments that diminish ability to perform daily activities. Rehabilitation clinical trials have traditionally used The Fugl Meyer Assessment (FMA) and the Arm Motor Ability Test (AMAT) to ascertain motor impairment and functional limitation, while the NIHSS has been increasingly used in stroke trials. Data collected from the Everest multi-center, randomized, controlled trial of implanted cortical stimulation for UE movement in chronic stroke was used to determine the sensitivity to change and concurrent validity of the NIHSS when compared with the upper extremity portion of the FMA (UEFM) and the Functional Ability (AMAT-FA) and Quality of Movement Scales (AMAT-QOM) of the AMAT. Sensitivity to change was only found to be statistically significant for the UEFM. NIHSS and UEFM, UEFM and AMAT-FA, UEFM and AMAT-QOM, and AMAT-QOM and AMAT-FA correlations were all statistically significant. Because of its weak correlation with measures of motor impairment and participation in daily activities and its insensitivity to change, the NIHSS should be exclusively used in acute stroke populations and not to predict or assess UE motor changes.
Stephen Page (Advisor)
Amy Darragh (Committee Member)
Andrew Persch (Committee Member)
64 p.

Recommended Citations

Citations

  • Basobas, B. A. (2016). Psychometric Properties of the National Institutes of Health Stroke Scale in Post Acute, Minimally Impaired Stroke Survivors [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1460457853

    APA Style (7th edition)

  • Basobas, Brittani. Psychometric Properties of the National Institutes of Health Stroke Scale in Post Acute, Minimally Impaired Stroke Survivors. 2016. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1460457853.

    MLA Style (8th edition)

  • Basobas, Brittani. "Psychometric Properties of the National Institutes of Health Stroke Scale in Post Acute, Minimally Impaired Stroke Survivors." Master's thesis, Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1460457853

    Chicago Manual of Style (17th edition)