Summary
We have developed the Stroke Impairment Assessment Set (SIAS) as a global measure of stroke impairment. This chapter reviews our recent research on motor function in stroke patients using the SIAS. The affected-side motor assessment items of the SIAS were found to be reliable and valid for evaluating hemiplegia by employing the concepts of both synergy and muscle strength. The motor SIAS score was strongly correlated with the Brunnstrom stage (Spearman’s r =. 694−.939) and the manual muscle testing score (Spearman’s r =.870−.958). However, some dispersion was caused by differences in the definitions employed by these scales. A longitudinal study indicated that motor SIAS items were more sensitive for detecting motor recovery after stroke than the Brunnstrom stage or manual muscle testing. The recovery of motor function at discharge could be predicted by the SIAS depending on whether the score on admission was 0 (no voluntary movement) or 1 (minimal voluntary movement). A cross-sectional study showed that unaffected-side function was an important factor in relation to disability, while a longitudinal study demonstrated that unaffected-side function also improves during rehabilitation (grip strength was 23.51kg on admission and 25.54kg on discharge; n = 75, P <. 01). Therefore, unaffected-side function should also be measured when assessing stroke impairment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Domen K (1995) Reliability and validity of stroke impairment assessment set (the SIAS) (1): the items of affected-side motor function, muscle tone, deep tendon reflexes, and unaffected-side function (in Japanese with English abstract). Jpn J Rehabil Med 32:113–122
Wade DT (1992) Measures of motor impairment. Measurement in neurological rehabilitation. Oxford University Press, Oxford, pp 147–165
Wade DT (1992) Stroke scales. Measurement in neurological rehabilitation. Oxford University Press, Oxford, pp 291–306
Chino N, Sonoda S, Domen K, Saitoh E, Kimura A (1996) Stroke impairment assessment set (SIAS). In: Chino N, Melvin JL (eds) Functional evaluation of stroke patients. Springer, Tokyo, pp 19–31
Symposium recommendations for methodology in stroke outcome research. Stroke 21(suppl II):II-68-II-73
Sonoda S (1995) Reliability and validity of stroke impairment assessment set (SIAS) (2): the items comprise the trunk, higher cortical function, and sensory function, and effectiveness as outcome predictor (in Japanese with English abstract). Jpn J Rehabil Med 32:123–132
Domen K, Saitoh E, Sonoda S, Chino N, Kimura A, Liu M, Noda Y, Otsuka T (1993) Stroke impairment assessment set (SIAS) (2): reliability and validity of motor function assessment items of SIAS (in Japanese with English abstract). Jpn J Rehabil Med 30:310–314
Daniels L, Worthingham C (1986) Muscle testing techniques of manual examination, 5th edn. Philadelphia, Saunders
Domen K, Chino N, Sonoda S, Saitoh E, Kimura A (1991) Stroke impairment assessment set (SIAS). A preliminary report. Arch Phys Med Rehabil 72:770
Brunnstrom S (1970) Movement therapy in hemiplegia. Harper and Row, New York
Demeurisse G, Demol O, Robaye E (1980) Motor evaluation in vascular hemiplegia. Eur Neurol 19:382–389
Domen K, Saitoh E, Sonoda S, Chino N, Kimura A, Liu M, Noda Y, Otsuka T (1993) Stroke impairment assessment set (SIAS) (3): observation of motor recovery (in Japanese with English abstract). Jpn J Rehabil Med 30:315–318
Guide for use of the uniform data set for medical rehabilitation. Version 3.0. (1990) Data Management Service of the Uniform Data System for Medical Rehabilitation and Center for Functional Assessment Research, State University of New York at Buffalo, Buffalo
Sunderland A, Tinson D, Bradley L, Hewer RL (1989) Arm function after stroke. An evaluation of grip strength as a measure of recovery and a prognostic indicator. J Neurol Neurosurg Psychiatry 52:1267–1272
Twitchell TE (1951) The restoration of motor function following hemiplegia in man. Brain 74:443–480
Jones RD, Donaldson IM, Parkin PJ (1989) Impairment and recovery of ipsilateral sensorymotor function following unilateral cerebral infarction. Brain 112:113–132
Côté R, Battista RN, Wolfson C, Baucher J, et al (1989) The Canadian neurological scale. Neurology 39:638–643
Brott T, Adams HP, Olinger CP, Marier JR, et al (1989) Measurements of acute cerebral infarction: a clinical examination scale. Stroke 20:864–870
Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, et al (1975) The post-stroke hemiplegic patient. A method for evaluation of physical performance. Scand J Rehabil Med 7:13–31
Gowland C, Stratford P, Ward M, Moreland J, Torresin W, Van Hullenaar S, Sanford J, Barreca S, Vanspall B, Plews N (1993) Measuring physical impairment and disability with the Chedoke-McMaster stroke assessment. Stroke 24:58–63
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Tokyo
About this chapter
Cite this chapter
Domen, K., Sonoda, S., Chino, N., Saitoh, E., Kimura, A. (1996). Evaluation of Motor Function in Stroke Patients Using the Stroke Impairment Assessment Set (SIAS). In: Chino, N., Melvin, J.L. (eds) Functional Evaluation of Stroke Patients. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68461-9_4
Download citation
DOI: https://doi.org/10.1007/978-4-431-68461-9_4
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68463-3
Online ISBN: 978-4-431-68461-9
eBook Packages: Springer Book Archive