Stroke Assessment Tools

Activity

Rates a patient’s levels of independence on a 0-7 scale for tasks of bed mobility, transfers, ambulation and stairs
Higher score = more independent
FIM total score of 37-72 indicate high probability of gains in rehab

Participation

6-point disability scale comparing patient’s current level of function to their prior level of function

Impairment

15-point neurologic evaluation to measure severity of symptoms
Includes: levels of consciousness, language, neglect, visual field loss, extraocular movement, motor strength, ataxia, dysarthria, sensation
Scoring:
• Very severe: >25
• Severe: 15-24
• Mild to moderate: 5-14
• Mild: 1-5

Activity

Measures a patient’s ability to assess the 10 most common ADLs including: Feeding, bathing, grooming, dressing, bowel management, bladder management, toilet use, transfers bed to chair and back, mobility on level surfaces and stair negotiation

Impairment, activity, participation

Self-report questionnaire that evaluates disability and health related quality of life
59 item measure including 8 domains of strength, hand function, ADL/IADL, mobility, communication, emotion, memory and participationole function
A higher score indicates less disability

Activity, participation

Self-report questionnaire that evaluates a patient’s ability to complete ADLs
Two types of scoring based on if the patient is inpatient or out patient
The higher the score, the less disability

Impairment, activity

Assessment to evaluate voluntary movement (upper extremity and lower extremity) and mobility (bed mobility, transfers, ambulation and stair negotiation) post stroke
Option for a short form
Can predict discharge to home with percent likelihood of discharge home

Impairment

Measures dexterity and speed in the hands/UE
Patient is timed while placing 9 pegs into peg board and then remove

Impairment

11 question neurologic assessment that evaluates memory, arithmetic and orientation
Highest score is a 30, with a better score meaning less disability
Scoring:
• >27: No impairment
• 21-26: Mild impairment
• 11-20: Moderate impairment
• <10: Severe impairment

Impairment

30 point test evaluating domains of visuospatial abilities, executive function, short term memory, recall, attention, concentration, working memory, language, orientation to time and space
Score of <26 high sensitivity for mild cognitive impairment or dementia