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  Sunday, December 21, 2014   
 
Chedoke-McMaster Stroke Assessment
 
   

Welcome to the new Chedoke-McMaster Stroke Assessment website!

The Chedoke-McMaster Stroke Assessment (Chedoke Assessment) is a reliable and valid measure used to assess physical impairment and disability in clients with stroke and other neurological impairment.1  It is comprised of two components: the Impairment Inventory and the Activity Inventory (formerly known as the Disability Inventory).  The Impairment Inventory (II) determines the presence and severity of physical impairments in the six dimensions of shoulder pain, postural control, arm, hand, foot, and leg.  These are quantified in a seven point staging system that is based on Brunnstrom’s six stages of recovery.2  The Activity Inventory (AI) measures the client’s functional ability.  The items of the AI are scored in manner similar to the Functional Independence Measure (FIM),3 where the amount of assistance needed by the client to complete the functional activity determines the scoring.  The AI is comprised of two components: the Gross Motor Function Index (with items including moving in bed and transferring to a chair) and the Walking Index (with items including walking on rough ground and climbing stairs).  The maximum score that a client can obtain is 100 as there are 14 items with a seven-point scale and a two point score awarded for age-appropriate walking distance.

Although the Chedoke Assessment was developed for the assessment of clients with stroke in a rehabilitation setting, its application has been more widely demonstrated.  It has been shown to be a reliable and valid measure of impairment and disability in clients with stroke are as early as one week following the stroke.  The AI has been shown to be valid measure of functional change in clients in an acute neurological setting and for those with acquired brain injury.  Equations have been developed for predicting outcomes in clients in both acute and rehabilitation settings. 

On this website you will find:

  • an over view of the psychometric properties of the measure and relevant references
  • the NEW bilingual CD-ROM
  • information about the Training Workshop designed to help users learn to use the measure competently
  • contact persons for accessing the resources and additional information about the measure.


References:
1.  Gowland C, Stratford P, Ward M, et al. Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke 1993; 24 (1):58-63.
 
2.  Brunnstrom S. Movement Therapy in Hemiplegia: A Neurolophysiological Approach. New York: Harper and Row, Publishers, Inc 1970.
 
3.  Data Management Service for the Uniform Data System for Medical Rehabilitation, Version 4.0. Buffalo: State University at Buffalo; 1994.

 
 

What's New
 
   
French administration and scoring guidelines

The administration and scoring guidelines are now available in French! Go to the Resources section for information on how to obtain them.

 

NEW RESOURCES

A new bilingual (French-English) CD-ROM that includes the administration and scoring guidelines as well as videoclip demonstrations of administering the measure IS NOW AVAILABLE from the Canadian Physiotherapy Association through their e-Store. Use this link to order yours! http://www.physiotherapy.ca/?WCE=C=39|K=223533

 

 
 


     
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