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Originally validated for use with stroke clients, its application has been widely demonstrated in other populations as well where motor impairment is of primary concern Miller et al. During assessment the II section requires the subject to perform various motor movements such as shoulder flexion or abduction which are then graded in relation to normal motor movement criteria, whereas the AI section is scored using a method that is analogous to the Functional Independence Measure FIM; i.
Poole, et al. Advantages There is a good amount of research in support of the use of the CMSA in clinical practice and research. McMaster University also supports a unique interactive website devoted to the scale. Disadvantages The CMSA is a somewhat complex assessment to administer and score, thus it may be beneficial for the clinician to consider training in one form or another.
Also, depending on client endurance more than one session may be needed to complete the battery. Finally, the CMSA measure has not been validated for use with clients who are less than 1-week post-stroke. Administration The CMSA manual has detailed instructions for testing as well as for scoring and score interpretations. The use of therapy equipment is necessary and includes such things as a foot stool, pillows, stop watch, floor mat, chair with armrests, ball, adjustable table, and a 1-liter plastic pitcher with water Miller et al.
Scores of the II are determined by the quality of movement rated 1 to 7 with a score of 1 indicating severe motor impairment and a score of 7 suggesting normal movement. The AI scoring uses a similar 7-point scale with a range of 1 needs maximal assistance to 7 completely independent. The 2-minute walk test is scored according to a paradigm related to age-specific walking speed outlined in the manual. The maximum total score of the AI section is with higher scores indicating better occupational performance.
The CMSA scoring manual also includes an index of predictive discharge scores.
Chedoke-McMaster Stroke Assessment (CMSA)
Chedoke-McMaster Stroke Assessment
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