Fugl-Meyer Assessment of Motor Recovery after Stroke: Difference between revisions

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=== Reliability  ===
=== Reliability  ===
<u>Test-retest Reliability:</u>
<u></u>General Rehab Sample:
(Platz et al, 2005; n = 37 stroke, 14 MS, and 5 TBI patients; assessed twice within a 7 day interval, General Rehab Sample)&nbsp;<ref name="Platz et al">Platz, T., Pinkowski, C., et al. "Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicentre study." Clin Rehabil 2005 19: 404-411</ref>
*Excellent Total Motor Score (ICC = 0.97)
*Excellent Sensation (ICC = 0.81)
*Excellent Passive Joint motion (ICC = 0.95)
<u>Interrater/Intrarater Reliability:</u>
<u></u>Stroke:<br>(Duncan et al, 1983; n = 19; mean age = 56 (13) years; same PT rating on 3 occasions each 3 weeks apart; VA sample, Chronic Stroke)&nbsp;<ref name="Duncan et al">Duncan, P. W., Propst, M., et al. "Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident." Phys Ther 1983 63: 1606-1610</ref><br>'''Interrater Reliability'''
{| width="200" border="1" cellpadding="1" cellspacing="1"
|-
| '''Rating'''
| '''Domain'''
| '''Pearson's r'''
|-
| ''Excellent''
| FMA total score
| r = 0.98-0.99
|-
| ''Excellent''
| Upper Extremity
| r = 0.995 - 0.996
|-
| ''Excellent''
| Lower Extremity
| r = 0.96
|-
| ''Excellent''
| Sensation
| r = 0.95 - 0.96
|-
| ''Excellent''
| Joint Range / Pain
| r = 0.86 - 0.996
|-
| ''Excellent''
| Balance
| r = 0.89 - 0.98
|}
<br>


=== Validity  ===
=== Validity  ===

Revision as of 21:36, 5 August 2014

 

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Objective
[edit | edit source]

The Fugl-Meyer Assessment of Motor Recovery after Stroke is used to evaluate and measure recovery in post-stroke hemiplegic patients.

Intended Population
[edit | edit source]

The FMA was designed to be used for patients with post-stroke hemiplegic patients of all ages

Method of Use[edit | edit source]

Equipment Required:

Tennis ball

  • A small spherical container
  • Reflex hammer
  • Quiet, private space with little distraction

Description:

Items are scored on a 3-point ordinal scale

0 = cannot perform
1 = performs partially
2 = performs fully

  • Maximum Score = 226 points
  • The Five domains assessed include:

Motor function (UE maximum score = 66; LE maximum score = 34)
Sensory function (maximum score = 24)
Balance (maximum score = 14)
Joint range of motion (maximum score = 44)
Joint pain (maximum score = 44)

  • Subscales can be administered without the using the full test


Links to scoring sheet found below

Reference
[edit | edit source]

Evidence[edit | edit source]

Reliability[edit | edit source]

Test-retest Reliability:

General Rehab Sample:

(Platz et al, 2005; n = 37 stroke, 14 MS, and 5 TBI patients; assessed twice within a 7 day interval, General Rehab Sample) [1]

  • Excellent Total Motor Score (ICC = 0.97)
  • Excellent Sensation (ICC = 0.81)
  • Excellent Passive Joint motion (ICC = 0.95)

Interrater/Intrarater Reliability:

Stroke:
(Duncan et al, 1983; n = 19; mean age = 56 (13) years; same PT rating on 3 occasions each 3 weeks apart; VA sample, Chronic Stroke) [2]
Interrater Reliability

Rating Domain Pearson's r
Excellent FMA total score r = 0.98-0.99
Excellent Upper Extremity r = 0.995 - 0.996
Excellent Lower Extremity r = 0.96
Excellent Sensation r = 0.95 - 0.96
Excellent Joint Range / Pain r = 0.86 - 0.996
Excellent Balance r = 0.89 - 0.98


Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous
[edit | edit source]

Links[edit | edit source]

Fugl-Meyer Assessment of Motor Recovery After Stroke

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. ↑ Platz, T., Pinkowski, C., et al. "Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicentre study." Clin Rehabil 2005 19: 404-411
  2. ↑ Duncan, P. W., Propst, M., et al. "Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident." Phys Ther 1983 63: 1606-1610
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