Stroke Subtype Test

1
Please enter your email address to receive your Stroke Subtype Profile.* This field is required.Please note that the information presented in the profile is general in nature and does not constitute or replace health professional advice.
example@example.com
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2
How does your hand feel?* This field is required.
My hand is flaccid and I can't move it.
My hand is closed and I can't open it, even with the help of my other hand.
My hand is closed and I can only open it with the help of the other hand.
My hand is closed and I can open it by thinking hard.
My hand feels mostly fine and I can move my fingers easily.
3
How does the rest of your arm feel?* This field is required.Think about your shoulder and elbow.
My arm feels very floppy and heavy all the time.
My arm feels restricted and tight everywhere all the time.
My arm feels tight in my shoulder and elbow when I try to move, but relaxed when I'm resting.
My arm feels mostly normal.
4
Can you straighten your arm and hold it out front of you?* This field is required.Without help from your other hand
No, I can't do this at all.
No, I can only reach halfway.
Yes, I can just do this with lots of effort.
Yes, I can do this easily.
5
Can you lift your hand to your eye level?* This field is required.Without help from your other hand
No, I can't do this at all.
No, I can only reach halfway.
Yes, I can just do this with lots of effort.
Yes, I can do this easily.
6
Can you lift your index finger?* This field is required.
No, I can't do this.
Yes, but it lifts less than halfway.
Yes, I can lift it between halfway and fully.
Yes fully.
7
Can you easily place your hand on a table and put weight on it?* This field is required.
Yes
No
8
Choose all you can do with your affected hand.* This field is required.
Palmer
Tripod
Pincer
Key
Cylindrical
Spherical
Hook
None
9
Do you feel resistance if you stretch your arm or fingers quickly?* This field is required.
Yes
No
I'm not sure
10
Do you use medication to manage spasticity/increased tone?* This field is required.For example: Botox, Dysport, Baclofen, Gabapentin
Yes
No
I'm not sure
11
Is your arm is clumsy or uncoordinated?* This field is required.
Yes
A little
No
12
Do you have any tremor?* This field is required.Tremor refers to shakiness or small movements you can't control.
Yes
A little
No
13
Does your arm move when you yawn or sneeze?* This field is required.
Yes
A little
No
14
After your stroke, when did you first notice you could move your hand or arm?Please select one only
I have not noticed any movement in my hand or arm at all
Within the first 2 days after my stroke
Within the first 2 weeks after my stroke
Between 1 - 3 months after my stroke
Between 3 - 6 months after my stroke
Between 6 - 12 months after my stroke
More than 1 year after my stroke
15
What are your top 5 problems now?Select up to 5.
Weakness
Pain
Swelling
Tightness
Spasticity
Tremor
Poor grasp
Clumsiness
Numbness
Hypersensitivity
Positioning the arm where I want it
My arm behaves weirdly
None of these
16
What are your top 5 goals now?Select up to 5
Reduce swelling
Develop grasp
Be able to move my arm
Use fingers to hold small items
Reduce tightness or spasticity in my arm at rest
Reduce tightness or spasticity in my arm during movement
Improve flexibility or range of movement
Improve my movement patterns
Be less clumsy
Use my arm with less effort
Stop my tremor
Improve pain or sensation in my hand
Lift my hand up to my face
Lift my hand above my head
17
Which of the following describe your sensation in your hand and arm?Select all that apply
Normal
Numbness
Pins and needles
Dull ache
Painful or hypersensitive
Feels not a part of me
Feels hotter than normal
Feels colder than normal
18
How often do you move your affected arm each day?Select 1 that best describes your situation
Can't at all
Sometimes, and I would do it more if my arm wasn't so clumsy or shaky
Sometimes, and I would do it more if my arm wasn't so tight
Sometimes, and I would do it more if I could grasp more things
Only when I am forced to (e.g. during exercise, therapy or tasks that require both arms)
Almost as much as my unaffected arm
19
If someone draws a number on your arm or hand and you couldn't look at it, can you tell what it is?Select 1
Absolutely yes
I'm not sure
Absolutely no
20
Which best describes the state of your stroke recovery today?Please select 1 only
I continue to improve each day without much effort
I continue to improve each day but I need to put in a lot of effort
My recovery has not changed no matter how hard I try
I am getting worse in my arm over time
I have not seen any recovery so far
My arm seems to fluctuate in its recovery
None of the above describe my stroke recovery today
Should be Empty: