Stroke Arm Ladder

Stroke Arm Ladder Evaluation Summary
  What does the tool measure? Upper extremity function following stroke.
  What types of clients can the tool be used for? Can be used with clients with stroke.
  Is this a screening or assessment tool? Assessment tool
Time to administer Not yet reported.
  Versions There are no alternative versions.
Other Languages There are no official translations.
Measurement Properties
  Reliability Internal Consistency:
One study examined the internal consistency to be excellent.
  Validity

Content:
One study examined the content validity of the Stroke Arm Ladder and confirmed the hierarchial sequencing of the items using Rasch analysis.

Construct:
Convergent/Divergent:
One study examined convergent validity of the Stroke Arm Ladder and reported excellent correlations between the Stroke Arm Ladder and the Stroke Rehabilitation Assessment of Movement; and poor correlation between the Stroke Arm Ladder and the mental and emotional health subsets of the Medical Outcomes Study Short Form 36.

Known Groups:
One study examined known groups validity and found that the Stroke Arm Ladder could differentiate between the two extremes of stroke severity: mild and severe.

  Floor/Ceiling Effects One study examined floor/ceiling effects and found no floor or ceiling effects in a sample population of patients with stroke ranging from mild to severe. Please note that the Stroke Arm Ladder has only been tested on patients up to 7 months post-stroke.
  Does the tool detect change in patients? Not yet assessed.
  Acceptability Results support preliminary validation of the psychometric properties, however further research is needed before the tool is ready for use clinically.
Feasibility The administration of the Stroke Arm Ladder is easy and simple to administer. The Stroke Arm Ladder provides a more comprehensive all-encompassing evaluation tool for evaluation and monitoring of upper extremity function.
How to obtain the tool? Information on the Stroke Arm Ladder can be obtained from the Higgins, Finch, Kopec & Mayo (2011) study.