Application of the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) in the recovery of upper limb function in patients after chronic stroke: a literature review

Padovani, Cauê; Pires, Cristhiane Valério Garabello; Ferreira, Fernanda Altieri; Borin, Gabriela; Filippo, Thais Raquel Martins; Imamura, Marta; Rosa, Chennyfer Dobbins Paes da; Battistella, Linamara Rizzo

doi:10.5935/0104-7795.20130008

Cited by 9 publications

(4 citation statements)

References 69 publications

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“…It evaluates six categories of the patient; the amount of movement, pain, sensitivity, motor function of the upper limb and lower limb, balance, coordination, and speed 37,38 . The scale adds up to 100 points for normal movement; 66 for upper limb and 34 for lower limb 39,40 .…”

Section: Fugl Meyer Assessment Of Physical Performance (Fma)mentioning

confidence: 99%

Comparison of motor relearning occupation-based and neurodevelopmental treatment approaches in treating patients with traumatic brain injury

Nowa

Franzsen

Thupae³

2021

S. Afr. j. occup. ther.

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Introduction: Traumatic Brain Injury (TBI) is caused by trauma related to motor vehicle accidents (MVAs), accidental falls and violence. Around the world, approximately 69 million people annually suffer a TBI due to various causes with the majority of cases affecting low and middle income countries (LMICs). The management of TBI requires a multidisciplinary approach which includes rehabilitation. The aim of the study was therefore to evaluate the outcomes of the Neurodevelopmental Treatment (NDT) and motor relearning occupation-based approaches on physical performance and self-care among adults with TBI. Methods: An experimental research design comparing two groups was used in the study. The Fugl Meyer Assessment (FMA) was used to evaluate the motor performance and a Modified Barthel Index (MBI) was used to ascertain the functional independence of the study participants before and after interventions. Data were analysed using descriptive statistics and non-parametric tests. Results: The motor relearning occupation-based approach showed greater improvement in the FMA total, upper extremity and wrist, and most of the MBI scores. The NDT approach showed greater improvement in pain scores. Conclusion:The findings of the current study indicate that both motor relearning occupation-based and NDT treatment approaches show clinically significant improvement in physical performance and self-care. The study also shows that the motor relearning occupationbased approach is more preferable to the NDT for improvement of physical performance and self-care.

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Section: Fugl Meyer Assessment Of Physical Performance (Fma)mentioning

confidence: 99%

Comparison of motor relearning occupation-based and neurodevelopmental treatment approaches in treating patients with traumatic brain injury

Nowa

Franzsen

Thupae³

2021

S. Afr. j. occup. ther.

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“…Foram aplicados os seguintes instrumentos: questionário de características sociodemográficas e de condições clínicas; Escala de Avaliação Fugl Meyer (EFM) no qual foram avaliados apenas os itens para membros superiores: Sensibilidade/extereocepção, propriocepção, sinergia extensora e flexora, motricidade reflexa, movimentos com e sem sinergias, controle de punho e mão totalizando a pontuação 66, considerando que cada item apresenta pontuação de 0 a 2, sendo (0 alterado, 1 parcialmente e 2 totalmente alterado) 7 ; Avaliação Sensorial de Nottingham (ASN) nos quais foram considerados os itens: Presença de edema, toque, pressão, picada, temperatura, localização, toque bilateral, propriocepção, estereognosia, discriminação de dois pontos na mão e dedos, sendo classificados como: normal (pontuação 2) e alterado (pontuação 0 ou 1: sendo o 0 não apresentou nenhuma resposta, e 1 quando modificado) 8 ; e a Medida de Independência Funcional (MIF) no qual os indivíduos foram classificados como independentes (pontuação total de 91 a 126) e dependentes (pontuação total de 18 a 90) 9 . Foram realizadas as médias e desvio padrão da pontuação total das avaliações MIF e EFM.…”

Section: Procedimentos Metodológicosunclassified

Função sensorial em membros superiores e atividades funcionais de indivíduos pós AVC

Reis

Cruz

Caldas

2020

Rev. Ter. Ocup. Univ. São Paulo (Online)

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O Acidente Vascular Cerebral é uma patologia incapacitante e tem alto índice de morbimortalidade no Brasil. Essa condição pode gerar um impacto na homeostase das funções motoras e sensoriais. São necessários mais estudos de reabilitação com essa população visto que há lacunas no que se refere à descrição das intervenções e orientações específicas para a função sensorial. Diante disto, objetivou-se relacionar a função sensorial com a função motora e a capacidade funcional de indivíduos após AVC. Foram utilizadas a Avaliação Sensorial de Nottingham, Medida de Independência Funcional e Escala Fugl Meyer. A amostra foi composta por 35 voluntários sendo observados que quanto maior a pontuação na função sensorial melhor seria o desempenho nas funções motoras. Ao associar a função sensorial, o desempenho motor e as atividades funcionais os sujeitos necessitavam de supervisão; foram mais independentes os que apresentaram os itens “toque” e “pressão” considerados como normais. Conclui-se que houve alterações das funções somatossensoriais e motoras que geraram impacto nas atividades funcionais.

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“…Muscle atrophy and venous return stagnation in hands are two major reasons for abnormal perfusion [ 6 ]. In clinical practice, different assessments, such as the Fugl–Meyer Assessment Scale (FMA) [ 7 ] and the Wolf Motor Function Test (WMFT) [ 8 ], are widely used to estimate rehabilitation effects by scoring the completion of specific training tasks. These tests are performed under the direction of clinicians, and patients with better rehabilitation effects obtain higher scores.…”

Section: Introductionmentioning

confidence: 99%

Dual-Wavelength Laser Speckle Contrast Imaging (dwLSCI) Improves Chronic Measurement of Superficial Blood Flow in Hands

Zhang

et al. 2017

Sensors

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Laser speckle contrast imaging (LSCI) has been widely used to determine blood flow and perfusion in biological tissues. The physical model of traditional LSCI ignores the effects of scattering property distribution in relation to speckle correlation time τc and blood flow v, which further results in biased estimation. In this study, we developed a dual-wavelength laser speckle contrast imaging (dwLSCI) method and a portable device for imaging the blood flow and tissue perfusion in human hands. Experimental data showed that dwLSCI could retrieve the vein vasculatures under the surface skin, and it further provided accurate measurements of vein blood flow signals, tissue perfusion signals, and fingertip perfusion signals, which assist with assessments of rehabilitation therapy for stroke patients. Fingertip perfusion signals demonstrated better performance in early assessments, while vein blood flow signals assisted the Fugl–Meyer Assessment Scale (FMA) and the Wolf Motor Function Test (WMFT) behavior assessments. As a general noninvasive imaging method, dwLSCI can be applied in clinical studies related to hand functions combined with behavior assessments.

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Application of the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) in the recovery of upper limb function in patients after chronic stroke: a literature review

Cited by 9 publications

References 69 publications

Comparison of motor relearning occupation-based and neurodevelopmental treatment approaches in treating patients with traumatic brain injury

Comparison of motor relearning occupation-based and neurodevelopmental treatment approaches in treating patients with traumatic brain injury

Função sensorial em membros superiores e atividades funcionais de indivíduos pós AVC

Dual-Wavelength Laser Speckle Contrast Imaging (dwLSCI) Improves Chronic Measurement of Superficial Blood Flow in Hands

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