Stroke, Vol 24, 58-63, Copyright © 1993 by American Heart Association
C Gowland, P Stratford, M Ward, J Moreland, W Torresin, S Van Hullenaar, J Sanford, S Barreca, B Vanspall and N Plews
BACKGROUND AND PURPOSE: The Chedoke-McMaster Stroke Assessment measures the
physical impairments and disabilities that impact on the lives of
individuals with stroke. This measure has three overall purposes: 1) to
stage motor recovery to classify individuals in terms of clinical
characteristics, 2) to predict rehabilitation outcomes, and 3) to measure
clinically important change in physical function. This study was carried
out to evaluate the ability of this measure to yield reliable and valid
results. METHODS: Thirty-two subjects from a stroke rehabilitation
treatment unit were assessed by research and treating physical therapists
using multiple measures on multiple occasions. The measure's three purposes
dictated the study objectives and design. RESULTS: Intrarater, interrater,
and test-retest reliabilities of the impairment and disability inventories
were estimated. Reliability coefficients for the total scores ranged from
0.97 to 0.99. Construct and concurrent validities were studied by examining
the correlations between this and other measures. A priori hypothetical
constructs stated that these correlations should exceed 0.60. These
constructs were confirmed; the impairment inventory total score was found
to correlate with the Fugl-Meyer Test (r = 0.95, p < 0.001) and the
disability inventory with the Functional Independence Measure (r = 0.79, p
< 0.05). Additional study hypotheses were also substantiated.
CONCLUSIONS: This study confirms that the Chedoke-McMaster Stroke
Assessment yields both reliable and valid results. With the evaluation
study now completed, the Chedoke-McMaster Stroke Assessment can be used
with confidence as both a clinical and a research tool that can
discriminate among subjects and evaluate patient outcomes.
ARTICLES
Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment
School of Occupational and Physical Therapy, McMaster University, Hamilton, Ontario, Canada.
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