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Intra- and inter-rater reliability of the Stroke Rehabilitation Assessment of Movement (STREAM) |
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| รหัสดีโอไอ | |
| Creator | 1. Somporn Sungkarat 2. Sureeporn Uthaikhup 3. Mathita Keawsutthi 4. Jitima Charoenlimprasert 5. Supapon Kaewsanmuang |
| Title | Intra- and inter-rater reliability of the Stroke Rehabilitation Assessment of Movement (STREAM) |
| Publisher | Faculty of Associated Medical Sciences, Chiang Mai University |
| Publication Year | 2560 |
| Journal Title | Journal of Associated Medical Sciences |
| Journal Vol. | 50 |
| Journal No. | 1 |
| Page no. | 71-86 |
| Keyword | Stroke, STREAM, intra-rater reliability, inter-rater reliability, motor recovery |
| ISSN | 25396056 |
| Abstract | Objectives: To examine intra-rater and inter-rater reliability of the STREAM Thai version in evaluating motor recovery of patients with stroke.Materials and methods: Thirty patients with stroke (mean age 62.5?13.5 yrs.) participated in the study. Time post stroke was between 15 days to 5 years. Seventeen participants had left hemiparesis and 13 participants had right hemiparesis. Raters were physical therapists experienced in stroke rehabilitation and received STREAM training. For intra-rater reliability test, the same physical therapist re-assessed each patient through videotape 7 days after the first assessment. For inter-rater reliability test, STREAM Thai version was administered to each patient by two physical therapists in a random order and the same setting within 24 hours interval. Intra-rater and inter-rater reliability was calculated using intraclass correlation coefficients (ICC) model 3, 1 and 2, 1, respectively. The significance level was set at p<0.05.Results: Intra-rater reliability of the STREAM Thai version and all subcomponents was demonstrated by ICC of 0.99. ICC for inter-rater reliability was 0.96. Sub-analysis for each component revealed the ICCs of 0.98, 0.94 and 0.83 for estimating the inter-rater reliability of upper limb movement, lower limb movement, and basic mobility, respectively. Bland Altman plots revealed that mean difference between assessments was -1.4 points (95% confidence interval between -7.2 and 4.3 points), between raters was -5.5 points (95% confidence interval between -23.8 and 12.8 points).Conclusions: Assessment of motor recovery in patients with stroke using STREAM Thai version by trained PT who had stroke rehabilitation experience was highly reliable for both intra-rater and inter-rater. |
