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Related Experiment Video

Updated: Mar 3, 2026

Computerized Adaptive Testing System of Functional Assessment of Stroke
05:21

Computerized Adaptive Testing System of Functional Assessment of Stroke

Published on: January 7, 2019

6.3K

Refining 3 Measures to Construct an Efficient Functional Assessment of Stroke.

Yu-Lin Wang1, Gong-Hong Lin1, Yi-Jing Huang1

  • 1From the Department of Rehabilitation, Chi Mei Medical Center, Tainan, Taiwan (Y.-L.W.); Center of General Education, Southern Taiwan University of Science and Technology, Tainan (Y.-L.W.); School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei (G.-H.L., Y.-J.H., C.-L.H.); Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei (C.-L.H.); Department of Occupational Therapy, Chung Shan Medical University, Taichung, Taiwan (M.-H.C.); and Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung (M.-H.C.).

Stroke
|May 5, 2017
PubMed
Summary

The Functional Assessment of Stroke (FAS) is a new, efficient 29-item test for stroke patients. It reliably and validly assesses motor function, balance, and daily activities, showing high responsiveness.

Keywords:
activities of daily livingmotor disorderspostural balancepsychometricsrehabilitationstroke

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Clinical Assessment

Background:

  • Traditional stroke assessment tools like the Fugl-Meyer Assessment, Postural Assessment Scale, and Barthel Index are time-consuming.
  • These established measures assess motor function, balance, and activities of daily living but involve numerous items (72 total).

Purpose of the Study:

  • To develop an efficient and comprehensive assessment tool for stroke patients.
  • Introduce the Functional Assessment of Stroke (FAS) as a time-saving alternative.

Main Methods:

  • The FAS was developed using Rasch analyses and item content from 4 established stroke assessments.
  • Psychometric properties including Rasch reliability, validity (concurrent, convergent, known-group), and responsiveness were evaluated.

Main Results:

  • The 29-item FAS demonstrated high Rasch reliability (0.92-0.94) and strong concurrent validity (r=0.90-0.97).
  • Convergent validity (r=0.62-0.94), known-group validity (P<0.001), and responsiveness (SRM=0.55-1.93) were also significant.
  • Responsiveness was comparable or superior to the original, longer assessments.

Conclusions:

  • The 29-item Functional Assessment of Stroke (FAS) is a reliable and valid measure.
  • FAS efficiently assesses motor function, balance, and daily living activities in stroke survivors.
  • The tool demonstrates sensitivity in detecting functional changes over time in stroke patients.