Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, August 11, 2025

Inter-rater reliability and validity of the stroke rehabilitation assessment of movement (STREAM) instrument

But you failed at the next step. You didn't create EXACT RECOVERY PROTOCOLS based upon your assessment!

Inter-rater reliability is useless because it means you're doing a subjective diagnosis, NOT AN OBJECTIVE DIAGNOSIS! Since you don't understand what you're doing: YOU'RE FIRED! along with your mentors and senior researchers! Stroke research is meant to get survivors recovered! THIS COMPETELY FAILED AT THAT!

Inter-rater reliability and validity of the stroke rehabilitation assessment of movement (STREAM) instrumentr reliability and validity of the stroke rehabilitation assessment of movement (STREAM) instrument

Chun-Hou Wang , Ching-Lin Hsieh , May-Hui Dai , Chia-Hui Chen , Yu-Fen Lai
DOI: 10.1080/165019702317242668

Abstract

The Stroke Rehabilitation Assessment of Movement (STREAM) instrument is used to measure motor and mobility problems in patients who have experienced a stroke. The purposes of the study were to examine the inter-rater reliability, concurrent and convergent validity of the STREAM instrument in stroke patients. Fifty-four stroke patients participated in the study. For the purpose of inter-rater reliability, the STREAM instrument was administered by two raters on each patient within a 2-day period. Validity was assessed by comparing the patients' scores on the STREAM instrument with those obtained from the other well-established measures. Weighted kappa statistics for inter-rater agreement on scores for individual items ranged from 0. 55 to 0. 94. The intraclass correlation coefficient for the total score was 0. 96 indicating very high inter-rater reliability. The intraclass correlation coefficients were also very high in each of the subscales. The total STREAM score was moderately to highly associated with the score of the Barthel Index and Fugl-Meyer motor assessment scale, rho = 0. 67, and 0. 95, respectively. The STREAM subscale scores were closely associated with scores of the other well-validated measures. Our results demonstrate that consistent and valid information can be obtained from the STREAM instrument and support its use in the value of the STREAM evaluation of motor and mobility recovery in persons who have experienced a stroke.