STROKE-CHEDOKE MCMASTER ASSESSMENT SCALE

SUMMARY

1. The Chedoke-McMaster Stroke Assessment Scale (CMSA) is a 2-part assessment consisting of a physical impairment inventory and a disability inventory.
2. The impairment inventory is intended to classify patients according to stage of motor recovery while the disability inventory assesses change in physical function.

IMPAIRMENT INVENTORY
3. The scale's impairment inventory has 6 dimensions; shoulder pain, postural control, arm movements, hand movements, leg movements, and foot movements.

4. Each dimension (exception of 'shoulder pain') is rated on a 7-point scale corresponding to Brunnstrom's 7 stages of motor recovery.

DISABILITY INVENTORY
5. The disability inventory consists of a gross motor index (10 items) and a walking index (5 items).

6. With the exception of a 2-min walking test (which is scored as either 0 or 2), items are scored according to the same 7-point scale.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].