WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS26–eS426 eS177 Research Report Platform Presentation Number: RR-PL-2839 Monday 4 May 2015 15:45 Room 328–329 DEVELOPMENT AND IMPLEMENTATION OF THE CHRONIC STROKE REVIEW TOOL AND INTERVENTION GUIDE (REV-TIG) K. Brock 1 , M. Birnbaum 1 , C. Graven 1 , T. Purvis 2 , D. Cadilhac 2,3 1 St Vincent’s Hospital, Physiotherapy, Melbourne, Australia; 2 Monash University, Clinical Sciences, Melbourne, Australia; 3 Florey Institute, Stroke, Melbourne, Australia Background: Stroke is a leading cause of long-term, per- manent disability. Issues of depression, limited participation in community life and poor quality of life are well docu- mented in the chronic stroke literature. There is evidence that community-based rehabilitation interventions can maintain or improve functional status, reduce depression, facilitate par- ticipation, and enhance health-related quality of life in stroke survivors. There is an ongoing requirement for engagement of healthcare resources into the chronic phase post-stroke with a focus on client-centred and goal-directed practice. Purpose: To develop, implement and evaluate a toolkit for community-based clinicians with evidence-based guide- lines for assessment, treatment, and overall management of survivors in the chronic phase post-stroke. Methods: The toolkit addresses the topics of: participa- tion, goal setting, mood, functional decline, falls prevention, cognitive issues, prevention of secondary complications, health-related quality of life and carer issues. In each domain, a literature review of current evidence-based practice in the management of chronic stroke survivors was performed. These findings were then summarized in structured, easy to use documents providing background information about each topic, a comprehensive review assessment that highlighted specific‘flags’ for areas of concern, and recommended interventions. A pilot implementation of the Rev-TIG was conducted at eight community rehabilitation centres in Vic- toria, Australia. Two groups of participants were involved: stroke survivors and carers; and allied health and nursing clinicians providing community based services. Stroke sur- vivors participated in comprehensive review assessments and completed questionnaires about their experiences. Clinicans provided feedback with regard to use of the Rev – TIG with individual stroke survivors, and completed Survey Monkey questionnaires about their experiences in general with the tool. A focus group of stroke survivors was conducted. Results: Data were received from 22 clinicians and 37 stroke survivors. Clinicians found that the Resource Kit was useful and 92% agreed that they would recommend it to other clinicians. Both clinicians and stroke survivors sup- ported the use of the comprehensive review assessment, with clinicians indicating that it focused attention on areas of importance to the stroke survivor. Stroke survivors agreed that the domains covered in the Rev-TIG were important to them. Clinicians reported increased confidence in exploring alterations in mood and participation in valued activities with stroke survivors. Areas identified for further development of the Rev-TIG include a greater focus on emotional changes after stroke and adjustment to major life changes; community access; and sexuality and intimacy. Conclusion(s): The Chronic Stroke Rev-TIG provided a comprehensive and user friendly tool for conducting review assessments of people with chronic stroke. The tool was effective in supporting clinicians to enquire about mood and engage with stroke survivors about valued activities. Implications: The Chronic Stroke Rev-TIG is a use- ful tool for encouraging comprehensive review of stroke survivors and informing clinicians of evidence based recom- mended care. Use of the tool may have potential to address the high rates of depression observed in chronic stroke and facilitate greater participation of stroke survivors in activities that are important to them. Keywords: Chronic stroke; Depression; Participation Funding acknowledgements: Victorian Stroke Clinical Network, Department of Health, Victoria. Ethics approval: Human Research and Ethics Commit- tee, St Vincent´ s Hospital, Melbourne. http://dx.doi.org/10.1016/j.physio.2015.03.333 Research Report Poster Presentation Number: RR-PO-16-10-Mon Monday 4 May 2015 13:00 Exhibit halls 401–403 ISOKINETIC AND ISOMETRIC MUSCLE STRENGTH MEASUREMENTS IN THE UPPER EXTREMITY CAN BE RELIABLY MEASURED IN PERSONS WITH CHRONIC STROKE C. Brogårdh 1,2 , E. Ekstrand 1,2 , J. Lexell 1,2 1 Lund University, Department of Health Sciences, Lund, Sweden; 2 Skåne University Hospital, Dept of Neurology and Rehabilitation Medicine, Lund, Sweden Background: Muscle weakness in the upper extremity is common after stroke. To be able to evaluate changes in muscle strength over time and effects of rehabilitation interventions reliable and valid outcome measures are important. However, few studies have described if isokinetic and isometric muscle strength measurements can be reliably measured in the arm and hand after stroke. Purpose: To assess the test-retest reliability of isokinetic and isometric arm and hand muscle strength measurements in persons with chronic stroke and to define limits for the