Adapting the stroke therapy outcome measure for use by Multidisciplinary Teams: considering reliability

Figures & data

Table 1. Example of change of “stroke TOM scale” to “MDT stroke TOM scale”.

Original Stroke Scale: “Level 3 Active movement against gravity: controlled isolated movement, occasional associated reactions, moderate sensory inattention, movements may not be accurate, or one severe sign/symptom, for example dense hemiplegic arm, or two moderate signs/symptoms, for example moderate arm/leg hemiplegia.” [23].

New MDT Stroke Scale: “Level 3 Moderate degree of signs and symptoms (could be one severe, or multiple mild – moderate signs/symptoms). For example, active movements against gravity, actively cooperative, reduced dynamic standing balance, controlled isolated movements with occasional associated reactions, moderate sensory inattention, moderate apraxia. Severe signs could be dense hemiplegic arm/swallowing/communication/cognition or a combination of milder signs. Actively contributes to therapy.”

Figure 1. Professions trained in South West London in TOMs.

Table 2. Inter- and intra-rater ICCs.

	Inter-rater reliability	Intra-rater reliability
Impairment	0.89 (0.78, 0.97)	0.90 (0.73, 0.97)
Activity	0.85 (0.71, 0.95)	0.81 (0.58, 0.93)
Participation	0.90 (0.80, 0.97)	0.87 (0.61, 0.97)
Wellbeing	0.93 (0.86, 0.98)	0.97 (0.87, 0.99)

Enderby P, John A. Therapy outcome measure user guide. Havant (UK): J & R Press; 2019.

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