PREDICTIVE-VALIDITY OF THE SODRING MOTOR EVALUATION OF STROKE PATIENTS (SMES)

The Sodring Motor Evaluation of Stroke Patients (SMES) has been develo ped as an instrument for the evaluation by physiotherapists of motor f unction and activities in stroke patients. The predictive validity of the instrument was studied in a consecutive sample of 93 acute stroke patients, assessed in the acute phase and after one year, The outcome measures were: survival, residence at home or in institution, the Bart hel ADL index (dichotomized at 19/20), and the Frenchay Activities Ind ex (FAI) (dichotomized at 9/10). The SMES, scored in the acute phase, demonstrated a marginally significant predictive power regarding survi val, but was a highly significant predictor regarding the other outcom es, The adjusted odds ratio for a good versus a poor outcome for patie nts in the upper versus the lower tertile of the SMES arm subscore was 5.4 (95% confidence interval 0.9-59) for survival, 11.5 (2.1-88) for living at home, 86.3 (11-infinity) for a high Barthel score, and 31.4 (5.2-288) for a high FAI score, We conclude that SMES has high predict ive validity.