ICF | Domain | Instrument | Screening/Baseline | Post -Intervention | Follow-up |
---|---|---|---|---|---|
Personal and Environmental Factors | Stroke details | Interview, health record review | X | Â | Â |
 | Comorbidities |  | X |  |  |
 | Living situation |  | X |  |  |
 | Gait aid |  | X | X | X |
 | Physiotherapy |  | X | X | X |
 | Fall history |  | X | X | X |
 | Adverse events |  | X | X | X |
Body Structures/Function | Motor recovery | Chedoke-McMaster Stroke Assessment | X | Â | Â |
 | Cognition | Mini Mental Status Examination | X |  |  |
 | Depression | Geriatric Depression Scale Short form-15 | X |  |  |
Activity | Walking speed | 5 metre walk test | X | X | X |
 | Walking endurance | Six Minute Walk Test | X | X | X |
 | Dynamic balance | Functional Balance Test | X | X | X |
 | Balance self-efficacy | Activities-specific Balance Confidence Scale | X | X | X |
 | Goal attainment | Patient Specific Functional Scale | X | X | X |
Participation | Walking independence | Modified Functional Ambulation Categories | X | X | X |
 | Daily walking activity | Step Watch 3.0 step activity monitor | X | X | X |
 | Mobility participation | Life Space Questionnaire | X | X | X |
 | Health related quality of life | Stroke Impact Scale 3.0 | X | X | X |