Screening and Assessment Tools
Below is a list of screening tools and outcome measures taken from various stroke best practice resources. For a comprehensive list of these tools, please refer to the Stroke Engine website.
Acute Stroke Assessment Scales
- Canadian Neurological Scale (CNS)
- Charlson Comorbidity Index (CCI)
- Glasgow Coma Scale (GCS)
- Mini-Mental State Examination (MMSE)
- Montreal Cognitive Assessment (MoCA©)
- National Institutes of Health Stroke Scale (NIHSS)
- Orpington Prognostic Score (OPS)
Functional Assessment Scales
- AlphaFIM® Instrument – An abbreviated version of the FIM® instrument. It is designed to assess disability and functional status to provide an objective estimate of burden of care in the acute care setting
- Barthel Index (BI) – A widely used measure of functional independence in the rehabilitation setting
- Berg Balance Scale (BBS) – This measure quantitatively assesses balance in older adults
- Chedoke-McMaster Stroke Assessment (CMSA) – An assessment that measures physical impairment and disability in clients with stroke and other neurological impairment.
- Functional Independence Measure (FIM®) Instrument –An instrument to measure burden of care that reflects the minutes of care necessary to support a person with disability. It is used in the rehabilitation setting.
- Modified Rankin Scale (MRS) – This measure is used to categorize level of functional independence with reference to pre-stroke activities rather than on observed performance of a specific task.
- Toronto Bedside Swallowing Screening Tool (TOR-BSST©) – A bedside swallowing screening for stroke patients to predict the presence of dysphasia
Quality of Life Scales
- Assessment of Life Habits (LIFE-H) – A tool to assess the quality of social participation of people with disabilities by estimating how a client accomplishes activities of daily living and social roles
- Reintergration to Normal Living Index (RNLI) – This measure was developed to quantitatively assess the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities. […..]
The ABCD and ABCD2 Scores have been used to predict the risk of stroke during the first seven days after a TIA. […..]