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Assessing the Motor Status Score: A Scale for the Evaluation of Upper Limb Motor Outcomes in Patients after Stroke

Burke Rehabilitation Hospital, White Plains, NY, Burke Medical Research Institute

Jennifer Hogan Demaio

Burke Rehabilitation Hospital, White Plains, NY

Jennifer Krol

Burke Rehabilitation Hospital, White Plains, NY

Chris Trudell

Burke Rehabilitation Hospital, White Plains, NY

Keren Rannekleiv

Burke Rehabilitation Hospital, White Plains, NY

Lisa Edelstein

Burke Rehabilitation Hospital, White Plains, NY

Paul Christos

Weill Medical College of Cornell University, Department of Public Health

Mindy Aisen

Veterans Health Administration, Department of Rehabilitation and Development, Washington DC

Jill England

Department of Physical Therapy, University of Maryland School of Medicine, Baltimore, MD

Susan Fasoli

Massachusetts Institute of Technology, Mechanical Engineering Department, Cambridge, MA

Hi Krebs

Massachusetts Institute of Technology, Mechanical Engineering Department, Cambridge, MA

N Hogan

Massachusetts Institute of Technology, Mechanical Engineering Department, Brain and Cognitive Sciences Department, Cambridge, MA

Bruce T. Volpe

Weill Medical College of Cornell University, Department Neurology and Neuroscience, New York, NY, Burke Medical Research Institute

The Motor Status Scale (MSS) measures shoulder, elbow (maximum score = 40), wrist, hand, and finger movements (maximum score = 42), and expands the measurement of upper extremity impairment and disability provided by the Fugl-Meyer (FM) score. This work examines the interrater reliability and criterion validity of the MSS performed in patients admitted to a rehabilitation hospital 21 ± 4 days after stroke. Using the MSS and the FM, 7 occupational therapists masked to each other’s judgments, evaluated 12 consecutive patients with stroke. Two therapists evaluated 6 additional patients on consecutive days. Intraclass correlation coefficients were significant for each group of raters for the shoulder/elbow and for the wrist/hand (P < 0.0001); test-retest measures were also significant for the shoulder/elbow (Pearson correlation coefficient r = 0.99, P < 0.004) and for the wrist/hand (Pearson correlation coefficient r = 0.99, P < 0.003). The internal item consistency for the overall MSS was significant (Cronbach alpha = 0.98, P < 0.0001). Finally the correlation between the MSS and the FM (R² = 0.964) was significant (P < 0.0001). The MSS affords a reliable and valid assessment of upper limb impairment and disability following stroke.

Key Words: Stroke • Motor impairment • Disability • Upper limb

Neurorehabilitation and Neural Repair, Vol. 16, No. 3, 283-289 (2002)
DOI: 10.1177/154596830201600306


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