The main finding from examination of these studies is that the high correlations found, all above 0. Application of the fuglmeyer assessment fma and the wolf. To compare the responsiveness of the raschcalibrated 37item fuglmeyer motor scale with that of the 12item fuglmeyer motor scale at both an individual and a group level. Functional test for the hemiparetic upper extremity normative. The upper extremity motor section of the fuglmeyer assessment fm, max. The motor and balance sections of fma are most commonly reported in the literature. The patients were assessed with the original 50item fuglmeyer motor scale 4 times, at 14, 30, 90, and 180 days after stroke onset. Ctt classical test theory, fim functional independence measure, fmaue fuglmeyer assessmentupper extremity, gmfm66 gross motor function measure66, irt item response theory, logit logodd unit, ophiii occupational performance history interviewii. However, fugl meyer test still holds good, possibly because it follows a hierarchical scoring system based on the level of difficulty in performing the tasks. Fugl meyer ar, jaasko l, leyman i, olsson s, steglind s. You can also search for a specific assessment using keywords or have them listed in alphabetical order by clicking on the button all assessments on the right continue reading find. The 50item fuglmeyer motor scale fm is commonly used in outcome studies. Fuglmeyer assessment clinical neuroscience, university of.
Apta combined sections meeting 2008 incorporating valid and reliable outcome measures into care for patients with stroke. The fugl meyer assessment of motor recovery after stroke. The fugl meyer assessment scale is an ordinal scale that has 3 points for each item. In addition, there is no study of interrater reliability of fma all domains for affected upper extremities with appropriate sample size based on the intraclass correlation coefficient icc focusing on.
It is designed to assess motor functioning, balance, sensation and joint functioning in patients with poststroke hemiplegia12. One of the most widely recognized and clinically relevant measures of body function impairment after stroke is the fugl meyer fm assessment. Blandaltman plot with regression adjustment for trend. Fugl meyer assessment of sensorimotor function after 1,165 view teaching notes by joyce meyer joyce meyer 3,092 view teaching notes by joyce meyer 1,324 view eel 03 cover v3 p indd joyce meyer ministries 945 view. Jul 01, 2014 the motor function section of the fugl meyer assessment scale fm motor scale is a robust scale of motor ability in people after stroke, with high we use cookies to enhance your experience on our website. A zero score is given for the item if the subject cannot do the task. Fuglmeyer assessment of sensorimotor function wikipedia.
To provide empirical justification for selecting motor scales for stroke patients, the authors compared the psychometric properties validity, responsiveness, test retest reliability, and smallest real difference srd of the fugl meyer motor scale fm, the simplified fm sfm, the stroke rehabilitation assessment of movement instrument. The fuglmeyer assessment of motor recovery after stroke. Psychometric comparison of the shortened fuglmeyer. Related with fuglmeyer assessment of sensorimotor function after.
Upper extremity functional evaluation by fuglmeyer. The fuglmeyer is a welldesigned, feasible and efficient clinical examination method that has been tested widely in the stroke population. Sensation, upper extremity dysesteyes closed, compared with the unaffected side anesthesia hypoesthesia or hesia normal light touch upper arm, forearm palmary surface of the hand 0 0 1 1 2 2 less than 34 correct or absence 34 correct or considerable difference correct 100%. Measuring the effectiveness of interventions is accepted as being central to good practice.
The patients responses were used for estimating the rasch scores of the 37item fuglmeyer motor scale and 12item fuglmeyer motor scale. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment. Development and validation of a short form of the fuglmeyer motor scale in patients with stroke. Apta combined sections meeting 2008 incorporating valid and. Linguistic validation of the fugl meyer life satisfaction checklist lisat 8 into 8 languages. Background and purpose the 50item fuglmeyer motor scale fm is commonly used in outcome studies. Fuglmeyer assessment of motor recovery after stroke.
Fuglmeyer assessment of sensorimotor function after 1,165 view teaching notes by joyce meyer joyce meyer 3,092 view teaching notes by joyce meyer 1,324 view eel 03 cover v3 p indd joyce meyer ministries 945 view. In addition to motor recovery 100 points, balance 14 points, sensation, range of motion 44 points, sensation 24 points and pain 44. Reliability of the fuglmeyer assessment for testing motor. Fuglmeyer ar, jaasko l, leyman i, olsson s, steglind s. Fuglmeyer assessment fma scale is an index to assess the sensorimotor impairment in individuals who have had stroke. Development and validation of a short form of the fugl meyer motor scale in patients with stroke. Assesses various aspects of life satisfaction including. Purpose of the measure the fugl meyer assessment fma is a strokespecific, performancebased impairment index. Reliability of the fuglmeyer assessment for testing motor performance in patients following stroke.
Approved by fuglmeyer ar 2010 3 updated 20150311 total ad max 66 h. Jan 01, 2015 level of agreement between the action research arm test arat and the wrist stability and hand mobility scales of the upper extremity fugl meyer assessment wh ue fm at the 2 administration periods. Dec 11, 2015 related with fugl meyer assessment of sensorimotor function after. The most common clinical scale used to assess recovery from impairment is the fugl meyer motor assessment fma, which tests motor function, sensory function, balance, the range of motion at joints and joint pain 1516. Translating measurement findings into rehabilitation practice. However, the lengthy administration time of the fm keeps it from being widely accepted for routine clinical use. Rough guide to the fuglmeyer assessment request pdf. Apta combined sections meeting 2008 incorporating valid. The responsiveness of the action research arm test and the fuglmeyer assessment scale in chronic stroke patients. Virtual homebased rehabilitation is an emerging area in stroke rehabilitation. Fuglmeyer assessment of sensorimotor recovery after stroke. Assessment time to administer continue reading evaluation summary fma.
Is the long form of the fuglmeyer motor scale more. The fuglmeyer assessment fma is a strokespecific, performancebased impairment index. Approved by fuglmeyer ar 2010 1 updated 20150311 fuglmeyer assessment id. Conway k, chaput m, fuglmeyer ks, fuglmeyer a, kubin m. A systematic suite of tests using a 3point ordinal scale that quantify motor recovery stages based on the scales of brunnstrom and twitchell ontogenetic concept of motor recovery. Nov 27, 20 fugl meyer assessment of motor recovery after stroke duration. We developed the fuglmeyer assessment fma tool using kinect microsoft, usa and validated it for hemiplegic stroke patients.
Development and validation of a short form of the fuglmeyer. Scoring is based on direct observation of performance. Clinimetric properties of the fuglmeyer assessment with. Application of the fuglmeyer assessment fma and the wolf motor function test wmft in the recovery of upper limb function in patients after chronic stroke. Linguistic validation of the fuglmeyer life satisfaction checklist lisat 8 into 8 languages. Sensory organization test one of 3 tests performed as part of cdp duration. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. Excellent correlations between wrist and hand upper extremity fuglmeyer wh ue fm and the action research arm test across two trials. Are the hierarchical properties of the fuglmeyer assessment. Life satisfaction questionnaire 9 rehabmeasures database. Its primary value is the 100point motor domain, which has received the most extensive evaluation.
The most common clinical scale used to assess recovery from impairment is the fuglmeyer motor assessment fma, which tests motor function, sensory function, balance, the range of motion at joints and joint pain 1516. Motor function, sensation, balance, joint range of motion and joint pain. The life satisfaction questionnaire is available in 9 and 11item versions. Life satisfaction questionnaire lisat9, lisat11 spinal. Psychometric comparisons of 2 versions of the fuglmeyer. Psychometric comparison of the shortened fugl meyer assessment and the streamlined wolf motor function test in stroke rehabilitation tiffany szuting fu, chingyi wu, kehchung lin, chingju hsieh, jungsen liu, tienni wang, and pei ouyang. The action research arm test is widely used clinically and in research studies. Gray lines indicate the regressionbased 95% limits of agreement. Suggestions from the leaps clinical trial adapted from leaps manual of procedures property of the leaps clinical trial not to be reproduced without permission fugl meyer assessment of physical performance procedure. The effect size, standardized response mean, and paired t test were used to compare the groupbased responsiveness of the 3 forms 50item fugl meyer motor scale, 37item fugl meyer motor scale, 12item fugl meyer motor scale.
Functional assessment tools are essential to monitor recovery and provide current functionbased rehabilitation. A manual was produced with a standardised content, procedure and scoring for the fuglmeyer assessment upper limb section part 2. An example using fuglmeyer assessmentupper extremity with patients following stroke craig a. Fuglmeyer assessment of sensorimotor recovery after stroke fma evaluation summary what does the tool measure. Fuglmeyer assessment of motor recovery after stroke duration. Against the background of linguistic and cultural differences, there is a need for translation and adaptation from the english version of the fuglmeyer assessment fma to japanese. Development and validation of a short form of the fugl. However, the lengthy administration time of the fm keeps it from being widely accepted. The upper extremity motor section of the fugl meyer assessment fm, max. The fuglmeyer upper extremity assessment fma is a strokespecific and performancebased impairment index. Fuglmeyer upper extremity assessment bilateral arm.
These exams were performed on 12 patients of the cohort of 31 described under reliability testing above, 4 separate visits across a treatment period, for a. Test the wrist and hand function independently of the arm. Approved by fugl meyer ar 2010 3 updated 20190303 h. North american orthopaedic rehabilitation research network. The responsiveness of the action research arm test and the fugl meyer assessment scale in chronic stroke patients.
The list of acronyms and abbreviations related to fma fuglmeyer assessment. Patients with poststroke hemiplegia is this a screening or assessment tool. Fugl meyer assessment items were considered to be consistent with the recovery pattern observed correlation between abnormal postural adjustments made by lower extremity le on balance platform and fugl meyer assessment le scores spearman rho 2 weeks, r. One of the most widely recognized and clinically relevant measures of body function impairment after stroke is the fuglmeyer fm assessment. Conway k, chaput m, fugl meyer ks, fugl meyer a, kubin m. Psychometric comparison of the shortened fuglmeyer assessment and the streamlined wolf motor function test in stroke rehabilitation tiffany szuting fu, chingyi wu, kehchung lin, chingju hsieh, jungsen liu, tienni wang, and pei ouyang. Pdf fuglmeyer assessment of sensorimotor function after. This scale was first proposed by axel fuglmeyer and his colleagues 1975 as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient. Fuglmeyer assessment of sensorimotor function after stroke. The 9item version contains a single item assessing overall life satisfaction, along with. Alex fugl meyer, elizabeth jaasko, ingegerd leyman, sigyn olsson, solveig steglind. Fuglmeyer assessment of sensorimotor function after.
Are the hierarchical properties of the fuglmeyer assessment scale the same in acute stroke and chronic stroke. The 50item fugl meyer motor scale fm is commonly used in outcome studies. Correlations between berg balance scale and gait speed in individuals with stroke wearing anklefoot orthoses a pilot study. Approved by fugl meyer ar 2010 3 updated 20150311 total ad max 66 h. This scale was first proposed by axel fugl meyer and his colleagues 1975 as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient. The fugl meyer assessment fma is a strokespecific, performancebased impairment index. Strokengineassess has been created by a group of experts in stroke rehabilitation. Translating measurement findings into rehabilitation. By continuing to use our website, you are agreeing to our use of cookies. Jul 01, 2016 the fugl meyer assessment fma is a comprehensive measurement tool for motor function after stroke. This page presents the best available information on how outcome measures for stroke might be classified and selected for use, based upon their measurement qualities.
We aimed to develop a short form of the fm the sfm with sound psychometric properties for stroke patients. It is designed to assess five domains in patients with poststroke hemiplegia consisting of. Hsieh yw, hsueh ip, chou yt, sheu cf, hsieh cl, kwakkel g. Fuglmeyer assessment items were considered to be consistent with the recovery pattern observed correlation between abnormal postural adjustments made by lower extremity le on balance platform and fuglmeyer assessment le scores spearman rho 2 weeks, r.
The evaluator is permitted to assist the patient in the testing of the wrist and hand to stabilize the arm fuglmeyer et al. To compare the responsiveness of the raschcalibrated 37item fugl meyer motor scale with that of the 12item fugl meyer motor scale at both an individual and a group level. Development and validation of a short form of the fuglmeyer motor scale in. Functional test for the hemiparetic upper extremity. Alex fuglmeyer, elizabeth jaasko, ingegerd leyman, sigyn olsson, solveig steglind. Excellent correlations between wrist and hand upper extremity fugl meyer wh ue fm and the action research arm test across two trials. Approved by fuglmeyer ar 2010 1 fuglmeyer assessment id. Fuglmeyer assessment of sensorimotor recovery after. Scale items are scored on the basis of ability to complete the item using a 3point ordinal scale where 0cannot perform, 1performs partially and 2performs fully. How is the fuglmeyer assessment of sensorimotor recovery completed. Approved by fugl meyer ar 2010 1 fugl meyer assessment id. Level of agreement between the action research arm test arat and the wrist stability and hand mobility scales of the upper extremity fuglmeyer assessment wh ue fm at the 2 administration periods.