Abstract
The Stroke Rehabilitation Assessment of Movement (STREAM) is an outcome measure that examines voluntary limb movement of the arm and leg and basic mobility after stroke. The 2 limb subscales are scored on a 3-point ordinal scale. Scoring considers the excursion and quality of limb movement compared with the less impaired side. The mobility subscale is scored on a 4-point ordinal considering the quality of movement, whole versus part completion of the task, use of a device, and assistance required. A total of 20 points is available for each limb scale, and 30 points are available for the mobility scale. Scores are converted to percentages to allow for items that were not tested. The measure can be completed in 15 minutes with equipment typically found in the clinic. Excellent reliability, concurrent validity with other commonly used clinical tests, minimal detectable change data, and normative values have been established. The STREAM has been reported to be responsive to change in acute stroke. A full review of the STREAM as well as reviews of nearly 200 other instruments can be found at www.rehabmeasures.org. Please address correspondence to rehabmeasures@ric.org.
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