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Updated: Jun 22, 2026
05:21
Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
5.8K
Standardizing Domains and Metrics of Stroke Recovery: A Systematic Review
Yash Akkara1, Ryan Afreen2, Michael Lemonick2
1School of Medicine, Imperial College London, London SW7 5NH, UK.
Brain Sciences
|January 8, 2025
Summary
This study identified seven key domains and 96 subdomains for measuring stroke recovery, establishing 18 standard metrics to ensure comprehensive assessment across all areas. These standardized metrics offer a more complete view of patient recovery.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Research
Background:
- Stroke recovery assessment is complex and lacks standardized metrics.
- Existing measures often fail to capture the full spectrum of recovery domains and subdomains.
Purpose of the Study:
- To identify a standardized, data-driven set of metrics for stroke rehabilitation.
- To ensure all recovery domains and subdomains are comprehensively included in assessments.
Main Methods:
- Systematic review of 324 studies (2004-2024) including ischemic and hemorrhagic stroke.
- PRISMA guidelines followed with bias assessment using Newcastle-Ottawa Scale and Cochrane Risk of Bias 2.0.
- Inclusion criteria: ≥20 participants, ≥18 years, ≥3 months follow-up.
Main Results:
- Identified seven domains (perception, physical/motor function, speech/language, cognition, ADL, QoL, social interaction) and 96 subdomains.
- Physical/motor function and ADL were most studied, but perception and QoL increased over time.
- NIHSS, BI, and mRS were most common metrics; 18 standard metrics identified cover all domains/subdomains.
Conclusions:
- A standardized set of 18 metrics ensures comprehensive stroke recovery assessment.
- Informed clinical research and decision-making by providing metrics for all recovery domains.
- Improves measurement of underrepresented recovery areas for a complete patient view.
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