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~Ore$UPINE
APPENDIX 6.1
Scoring Form: test version of STREAl\1

1. PROTRACfS SCAPULA IN SUPINE

/2 -lill )'Our shoulder bJatk so that )'Our hand lOO~s towards the iling"
Note: therapist stabilizes ann with shoulder 9()0 flexed and elbow extended.

~. EXTENDS ELBOW IN SUPINE (starting with elbow fully flued)

/2 -Lin )'Our hand towards the cei/mg, straightening your e/bow as much as )'Ou can-
Note: therapist stabitiz.es arm with shoulder 9()0 flexed; strong associated shoulder extension
and/or abduction = marked deviation (score la or le).

~. MAINTAINS AFFECTED LEG IN HALF CROOK LYlNG POSITION FOR 10 COUNTS

-Keep your Jeg in tbis position KhiJe 1 count to len"
/1 Not: therapist places patient in hatf erook Iying (ie. hip and lenee flexed, with foot flat
on support surface, with hip in neutral rotation) and holds foot in place; if unable to maintain
the lenee steady for a count of ten = marked deviation (score la if able to partially correct knee
position, but not to midline; le if able to repeatedly correct 10 midline position).

~. FLEXES HIP AND KNEE IN SUPINE (ATIAINS HALF CROOK LYING)

Il -Rend your bip and lenee.w that )'OUI foot rests fiat on the bec/"

/3
~. ROLLS ONTO SIDE (starting from supine)
-Rol/ onlo your side
Nole: may roU onto ~ side; pulling with arms to tum over = aid (score 2)
SIDE LVING (OD uoafl'eded side)
~. ABDUCTS AFFECfED HIP IN SIOE LYING
-Lill your fOOt up to here (therapist ho/ds hand approximate/y 20 cm abo.e 1001), keeping your
Il
hip Il krltC straight and your pelvis perpendicu/ar 10 the bed-
Note: unaffected leg is partial!y flexed to assist balance.
~ROOKLYING
~. MOVES KNEES SIDE TO SIDE IN CROOK LYING (TRUNK ROTATION)
"Keep your Imces logethtr and /oMer !hem as fr .lS )'Ou can o.er fO one side, then o~r 10 the
/3 other sicle, and tum them to the middJe; ~p your shou/den FeStiJ1g on the bed"
Note: active movement to b2lb. sides must he fulJ (comparable to passive rotation) to obtain full
marks; if requires aid (externaJ or from therapist) to maintain Imecs together :0:: aid (score 2)

~. RAJSES HIPS OFF BED lN CROOK LYING (BRlDGING)

-lill your hips ilS high as)'Ou can
/3
Note: ther.lpist may stabilize foot, but if knee pushes strongly into utention with bridging =
mz.rlced deviation (score la or le); if requires aid (elttemaJ or from therapist) to maintain mecs
in midline = aid (score 2)

/3 ~. MOVES FROM LYING SUPINE TO SITTING WITII FEETON THE FLOOR

-Sil up and place )'Our feet on the Ooor"
Note: may sit up to ~ side using any functionaJ and safe melhod; longer than 20 seconds ==
marked deviation (score la or le); pu)ljng up using bedrail or edge of plinth ::: rud (score_2<--~
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~ITIING (reet suppor1ed; hands restlna on pUlow on lap for Items 10-21)
13 10. MAINTAINS ERECT SITnNG FOR 20 COUNTS
"Sil as straight as you can while 1 countlo t.wnly"
Note: holdmg on Wlth hand(s) = aid (score 2)

12 II. SHRUGS SHOULDERS (SCAPULAR ELEVATION)

"Shrug your shoulders as high as you can"
Note: both shoulders are shrugged simultaneously.

Il 12. RAISES HAND TO TOUCH TOP OF HEAD

"Raise your hand 10 touch the top o/your head"

13. PLACES HAND ON SACRUM

12 "Ruch behmd your back and as far across toward the other sidc as j'Ou canIf

12 14. RAISES ARM FORWARD TO 90 OF FORWARD FLEXION

"Reach your aTm straight oui in /Tont o/you 10 horilDnl"

12 15. RAISES ARM OVERHEAD TO FULLEST ELEVATION

"Reach )vur hand as high as you can towards Ihe ceiling"

Il 16. RAISES ARM SIDEWAYS TO 90 OF ABDUCTION

12
"liR your arm sidev.-ays to horiZDntal, leping your elbow straight"

17. SUPINATES Mm PRONATES FOREARM WITH ELBOW FLEXED AT 90

"Keeping }'Our elbow bent and close to your side, tum }t'ur lrearm O1oer so that your palm faces
up, then lurn your forearm o.er so Ihal )'Our palm faces dOM1"

18. CLOSES HAND FROM FULL Y OPENED POSITION

12 "Mal a 651, leping )Uur Ihumb on the outside"
Note: must extend wrist slightly (ie. power grip with wrist cocked) to obtain full marks.

19. OPENS HAND FROM FULL Y ClOSED POSITION

12 "Nowopen your hand ail the way"

~o. OPPOSES THUMB TO INDEX FlNGER (tip to tip)

12 "Make a circle Mth your thumb and index 6nger"

~I. EXTENDS WRIST AND FINGERS

12 "Keeping your IOrearm resting on the piJJow, liR }'Our hand and straighten )'Our 6ngers"

~2. FLEXES HIP IN SITI1NG

12 "LlR your knce as high as you Cfn"

12
~3. EXTENDS KNEE IN SITTING
"Straighten your mec by Jilling your IOOt up"
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/1
24. FLEXES KNEE IN SITIING
"Slide )'Our foot baek under )'Ou liS lr liS you can"
Note: start with affected foot forward (hcel in line with toes of other foot).

25. OORSIFLEXES ANKLE IN SITTING

Il "Keep )'Our heel on the ground and Ml }Uur tocs off the floor as far as)'Ou can"

;26. PLANTARFLEXES ANKLE IN SITTING

Il "Keep )'Our toes on the ground and lill your heeloffthe Door as br as)'Ou can"

Il ~7. EXTENDS KNEE MID DORSIFLEXES ANKLE IN SITTING

"Straighten )'Our knee and bring )'Our toe.~ to~rds you"

28. REACHES FORWARD TO TOUCH UNAFFECIED FOOT WITH UNAFEECTED HAND

/3 "mth your strong hand, rcach down and touch )'Our fOol on the same side"
Note: pushing up with hand(s) to retum to sitting = aid (score 2)

;29. RISES TO STANDING FROM SIITING

/3 "Stand up; Ir)' to tJlJ equal K{:ight on bath Icgs"
Note: pushing up with hand(s) to stand = aid (score 2)

STANDING
~O. MAINT AINS STANDING FOR 20 COUNTS
/3 "Stand on the spot whilc 1 rount to IMenty"
STANDING (holding onto 8 stable support to assist balance for Items 31-33)
/1 31. ABDUCTS AFFEC'JED HlP WlTH KNEE EXTENDED IN STANDING
"Keep your lence slralghl and )'Our hips lette!, and raise )'Our leg to the sidc"

Il ~2. FLEXES AFFECTED KNEE W1TH HIP EXTENDED IN STANDING

"Keep )'Our hip straight and bend )'Our Imee back; bring )'Our hecl tOWBrds )'Our bottom"

/1 33. DORSlFLEXES AFFECTED ANKLE IN STANDING WITH KNEE EXTENDED

"Keep )'Our heel on the ground and lift your tocs offthe Door as far 115 )'OU can"
~TANDING AND WALKING ACTIVITIES
~4. PLACES AFFECTED FOOT ONTO RRST STEP (2[ onto stool approximately 18 cm high)
l3 "Lift )'Our foot and place it onto the lirst step (or stool) in front ofyou"
Note: returning the foot to the ground is not scored; use of handrail = aid (score 2)

35. TAKES 3 STEPS EORW ARDS (one and a half gait cycles)
/3 "Tal three average shed steps fOrv.ards, placing one IOot in front of the other"

:36. TAKES 3 STEPS BACKWARDS (one and a half gait cycles)

/3 "Take three average si27Xl steps backwards, placing one foot bchind the other"

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/3
~7. TAKES 3 STEPS SIDEWAYS TO UNAFFECTEP smE
"Tau three average sized steps sideways lowards your .f'rong sidc"

~8. TAKES 3 STEPS SIDEWAYS TO AFFECTED SIPE

/3 "Talte three B vt:rage sizr:d sleps sideways lowards your Kt"ak sidc"

~9. MDV ES FEET TO TURN BODY 90" TOWARDS UNAFFECTED SIDE

Il "Tala: sleps to IUTn 9<t on the spot tov.ards )'Our sirong sidc"

140. MOVES FEET TO TURN BODY 90 TOWARDS AFEECTEQ SIDE

/3 "Tala: sleps fo lurn 90 on the spot lowards j'Our n-eak side"

141. WALKS JO METERS INDOORS (on smooth, obstacle Cree surface; within 20 seconds)
/3 "w.,lk in a straight /ine o~r to ... (a specificd point JO metcrs away) "
Note: orthotic=aid (score 2); longer than 20 seconds =marked deviation (score le)

~2. WALKS l 3 STAIRS Al.;ERNATING FEET

/3 ~WoiJk up three stairs; place onJy one JOOt al a lime on each slep ifyou can"
Note: handrail=aid (score 2); non-altemating feet = rnarked deviation (score la or le)

143.

WALKS DOWN 3 STAIRS ALTERNATING FEEr

/l "W-ilk down thrce stairs; place only one JOOt at a lime on each srep ifyou can"
Note: handrail =aid (score 2); non-altemating foot = marlced de..iation (score la or le)