Adaptación y viabilidad de la versión telemática de la escala Fugl Meyer para la evaluación de pacientes tras accidentes cerebrovasculares

Pérez-Robledo, Fátima; Llamas-Ramos, Rocío; Llamas-Ramos, Inés; Bermejo‐Gil, Beatriz María; Sánchez-González, Juan Luis; Martín-Nogueras, A.M.

doi:10.33588/rn.7405.2021385

Cited by 5 publications

(8 citation statements)

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“…The Fugl Meyer – Upper Extremity Motor Function scale - telematic version (TFMA - UE) has been established from the telematic version Fugl Meyer assessment scale (FMT-TV) ( 24 ) which in turn was concretized from the Fugl Meyer scale validated to Spanish ( 21 ).…”

Section: Methodsmentioning

confidence: 99%

“…The original Fugl Meyer scale ( 25 ) was created to assess the functional status of patients who had suffered a stroke composed by 5 domains: upper extremity motor function, lower extremity motor function, balance, sensitivity, range and joint pain and contains 113 items and 226 points. This scale has been validated into Spanish ( 21 ), adapted to telematic version, and its viability has been demonstrated ( 24 ). The FMA -TV scale presents a total score of 92 points and differs from the original in those items that require the presence of the therapist and its remote assessment is compromised.…”

Section: Methodsmentioning

confidence: 99%

“…It has a short version ( 22 ), and others for the upper and lower extremity ( 23 ). Its telematic feasibility has recently been demonstrated with satisfactory results ( 24 ).…”

Section: Introductionmentioning

confidence: 99%

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Validity of the telematic Fugl Meyer assessment scale – upper extremity (TFMA-UE) Spanish version

Llamas-Ramos,

Pérez-Robledo

et al. 2023

Front. Neurol.

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BackgroundTelematic assistance has become indispensable in recent years. The increased prevalence of Acquired brain injury and the sequels it causes, requires long–lasting multidisciplinary treatments. Validated tools to assess the evolution of the disabilities and limitations of this pathology are essential to individualize and prescribe adapted treatments. The aim has been to create the telematic version of the Fugl Meyer Assessment-Upper Extremity Motor Function (TFMA-UE) Spanish scale and its adaptation to the remote assessment of neurologic patients.MethodsAn adapted scale was designed based on the Fugl Meyer Assessment scale-telematic version (FMA-TV): TFMA-UE. This scale is composed by 21 items which evaluate the upper extremity motor function. Physiotherapists trained in this tool, evaluate the results obtained from applying the two versions (on-site and telematic) to compare the results.ResultsTFMA-UE was administered to 30 patients with acquired brain injury. It was applied on site and through the web platform selected by the patients in two different days. Patients completed all the scale in an easily way without help. The exploratory and confirmatory factor analysis confirmed a factorial structure with a factor (76.08% of the variance). The Cronbach’s internal consistency index obtained was 0.98 and the weight kappa index used to measure agreement between the two versions was 0.78 which represents substantial agreement.ConclusionThe Telematic Fugl Meyer Assessment-Upper Extremity Motor Function (TFMA-UE) scale is a viable, useful and easy to apply tool that allows the upper extremity motor function assessment of Acquired Brain Injury patients.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Validity of the telematic Fugl Meyer assessment scale – upper extremity (TFMA-UE) Spanish version

Llamas-Ramos,

Pérez-Robledo

et al. 2023

Front. Neurol.

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“…Several outcome measures have been modified to facilitate remote assessment 10,11,14. However, few studies have evaluated remote arm examination post-stroke 15–19. Several remote examination studies utilized technology and robotic systems, which assess the arm through gaming,20,21 wide-angle webcams, and desktop robot devices,16 sensors and mobile applications,22 and various technological platforms 23.…”

Section: Introductionmentioning

confidence: 99%

“…10,11,14 However, few studies have evaluated remote arm examination post-stroke. [15][16][17][18][19] Several remote examination studies utilized technology and robotic systems, which assess the arm through gaming, 20,21 wide-angle webcams, and desktop robot devices, 16 sensors and mobile applications, 22 and various technological platforms. 23 Specifically, one study examined the reliability of the Upper Extremity Fugl-Meyer Assessment (UEFMA) by comparing direct observation versus recorded video observation and suggested the video approach can reliably assess arm impairment.…”

Section: Introductionmentioning

confidence: 99%

Development and Preliminary Validity Study of a Modified Version of the Upper Extremity Fugl-Meyer Assessment for Use in Telerehabilitation

Carmona,

Sullivan,

Arceo

et al. 2023

Journal of Neurologic Physical Therapy

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Background/Purpose: The Upper Extremity Fugl-Meyer Assessment (UEFMA, maximum 66) is widely used in clinics and research studies to examine poststroke upper extremity (UE) impairment. This study aimed to develop and provide pilot data to support the validity of a remote version of the UEFMA to examine UE impairment after stroke through telerehabilitation. Methods: Team members developed a remote version of the UEFMA for telerehabilitation (tUEFMA, maximum 44) using subscales II to IV and VII of the UEFMA. Twenty-two participants with moderate to severe arm impairment (UEFMA, median = 19) and chronic stroke (>1 year post) were evaluated using the UEFMA (face-to-face) and the tUEFMA (remotely). A prediction equation was used to identify the function to predict the UEFMA based on the tUEFMA. Intraclass correlation (ICC) was used to test the absolute agreement between the subscales included in the UEFMA and the tUEFMA, and between their 2 normalized total scores. Results: A strong and significant agreement was found between the total scores of the UEFMA and the projected value based on the tUEFMA (ICC = 0.79, P < 0.05). The ICC test also reported a good agreement in subscales II to IV and a poor agreement in subscale VII between the UEFMA and the tUEFMA using a real-time video link. Discussion and Conclusions: The study findings suggest that the tUEFMA is a promising tool to remotely examine UE impairment in individuals with chronic stroke and moderate to severe arm impairment. Future research should evaluate additional psychometric properties and clinical utility of the tUEFMA across stroke participants with a broad range of arm impairments. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A441).

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Commentary on the original 'Adaptation and feasibility of the online version of the Fugl Meyer scale for the assessment of patients following cerebrovascular accidents'

et al. 2022

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Adaptación y viabilidad de la versión telemática de la escala Fugl Meyer para la evaluación de pacientes tras accidentes cerebrovasculares

Cited by 5 publications

References 0 publications

Validity of the telematic Fugl Meyer assessment scale – upper extremity (TFMA-UE) Spanish version

Validity of the telematic Fugl Meyer assessment scale – upper extremity (TFMA-UE) Spanish version

Development and Preliminary Validity Study of a Modified Version of the Upper Extremity Fugl-Meyer Assessment for Use in Telerehabilitation

Commentary on the original 'Adaptation and feasibility of the online version of the Fugl Meyer scale for the assessment of patients following cerebrovascular accidents'

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