Comprehensive assessment of activities of daily living in stroke. The Copenhagen stroke study

doi:10.1016/S0003-9993(97)90258-6

Archives of Physical Medicine and Rehabilitation

Volume 78, Issue 2, February 1997, Pages 161-165

https://doi.org/10.1016/S0003-9993(97)90258-6 Get rights and content

Abstract

Objective: To assess activities of daily living (ADL) in stroke in a comprehensive way. The Barthel Index (BI) is widely used in stroke research, but is limited because it measures basic ADL functions only. This study sought to determine whether the Frenchay Activities Index (FAI) is a good choice for supplementary assessment of higher order ADL functions.

Design: Prospective and consecutive.

Setting: Follow-up investigation 6 months after stroke of patients who were admitted to, and completed rehabilitation at, a stroke unit.

Patients: 437 patients with strokes.

Main Outcome Measures: Factor analysis of the BI, FAI, and the Scandinavian Neurological Stroke Scale (SSS); distribution characteristics of a comprehensive, combined ADL scale.

Results: Five factors were found. One factor comprised all items from the BI and all the motor items from the SSS, but no items from the FAI. The FAI loaded on three other factors. Finally, orientation and speech from the SSS loaded on a separate factor. A combined score consisting of the BI total score and a simple transformation of the FAI total score had a much improved distribution without strong ceiling or floor effects.

Conclusions: The FAI supplements the BI with minimal overlap in content. A combined total score has a distribution that makes it very usable for research in stroke outcome and stroke rehabilitation effect.

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Citation Excerpt :
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^☆: Supported by grants from the Danish Aphasia and Stroke Association (Hjernesagen), the Danish Health Foundation, the Danish Heart Foundation, Ebba Celinders Foundation, and the Gangsted Foundation.

^☆☆: No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

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ArticleComprehensive assessment of activities of daily living in stroke. The Copenhagen stroke study☆,☆☆

Abstract

Functional evaluation: the Barthel Index

Md State Med J

Measurement in neurological rehabilitation

Post-Stroke Rehabilitation

An activities index for use with stroke patients

Age Aging

Social activities after stroke: measurement and natural history using the Frenchay Activities Index

Int Rehabil Med

Influence of cognitive function on social, domestic, and leisure activities of community-dwelling older people

Int Disabil Studies

An examination of the factor structure of the Frenchay Activities Index

Disabil Rehabil

Article
Comprehensive assessment of activities of daily living in stroke. The Copenhagen stroke study☆,☆☆