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Pediatric Stroke Recurrence and Recovery Questionnaire (RRQ)
Availability
Public access: Click here to access.
Classification
Supplemental: Stroke
 
Short Description of Instrument
Purpose: This scale assesses neurologic deficit and functional impact of deficits following pediatric ischemic stroke.
 
Overview: The Pediatric Stroke RRQ provides a means to estimate, through parent interview, the rating obtained by an in-person neurologist examination using the Pediatric Stroke Outcome Measure (PSOM). It was validated in a cohort of patients who underwent concurrent evaluation using the standard in-person PSOM examination, and parent interview using the RRQ structured questionnaire. There are additional questions to ascertain stroke recurrence. This was published in 2012 (Lo 2012). It is commonly used in combination with the PSOM to obtain more complete outcome ascertainment in longitudinal prospective cohort studies of childhood stroke (Fullerton 2016; Jordan 2018).
 
Time: 10-15 minutes
Comments/Special Instructions
N/A
Scoring and Psychometric Properties
Scoring: The RRQ is based on a structured interview of the parent, in which the parent is asked to rate the child's function in each of the five functional domains of the PSOM on a Likert scale of 0 (no deficit) to 2 (severe deficit with loss of function).  The five domains are: right sensorimotor (including motor, visual, hearing, and somatosensory function), left sensorimotor, language production, language comprehension, and cognitive and behavioral performance. The domain scores are summed for a total RRQ score ranging from 0 (normal exam) to a maximum of 10 (severe abnormalities and loss of function in all five domains).
 
Interpretation and analysis: same as for PSOM.
 
Psychometric Properties: Internal consistency of the total RRQ, and intra-class correlation between total RRQ and total PSOM scores was good (R2 = 0.61).
References
Fullerton HJ, Wintermark M, Hills NK, Dowling MM, Tan M, Rafay MF, Elkind MS, Barkovich AJ, deVeber GA; VIPS Investigators. Risk of Recurrent Arterial Ischemic Stroke in Childhood: A Prospective International Study. Stroke. 2016;47(1):53-9.
 
Jordan LC, Hills NK, Fox CK, Ichord RN, Pergami P, deVeber GA, Fullerton HJ, Lo W; VIPS Investigators. Socioeconomic determinants of outcome after childhood arterial ischemic stroke. Neurology. 2018;91(6):e509-e516.
 
Lo WD, Ichord RN, Dowling MM, Rafay M, Templeton J, Halperin A, Smith SE, Licht DJ, Moharir M, Askalan R, Deveber G; International Pediatric Stroke Study (IPSS) Investigators. The Pediatric Stroke Recurrence and Recovery Questionnaire: validation in a prospective cohort. Neurology. 2012;79(9):864-70.