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) <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) <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 === |
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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]
References will automatically be added here, see adding references tutorial.
- ↑ 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
- ↑ 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