Cutoff Score of the Lower-Extremity Motor Subscale of Fugl-Meyer Assessment in Chronic Stroke Survivors: A Cross-Sectional Study

Kwong, Patrick W.H.; Ng, Ssm

doi:10.1016/j.apmr.2019.01.027

Cited by 54 publications

(45 citation statements)

References 40 publications

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“…Besides, this previous study showed values of .55 m/s of gait velocity in individuals with low mobility function and corroborates with ours, showing that the FMA-LL could provide an indirect measurement of gait velocity and mobility. 29 Our results did not evidence correlation between MAS and instrumented gait variables. Although spasticity may interfere with concentric LL movements, 24,25 it is still difficult to determine the influence of spasticity on gait performance.…”

Section: Discussioncontrasting

confidence: 70%

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Rech

Salazar

Marchese

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussioncontrasting

confidence: 70%

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Rech

Salazar

Marchese

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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“…The characteristics of walking disturbances in post-stroke patients often include reduced walking speed, step length, trunk stability, symmetry (compensation strategy), and automatic walking control. It is important to note that walking speed is strongly associated with fall risk, quality of life, and walking independence 1 – 3 , and thus the importance of rehabilitation intended for the promotion of walking speed has been widely recognized 2 , 4 . It has been found that the propulsion force of the paralyzed side during the push-off phase is a primary contributor to important biomechanical factors 5 , 6 .…”

Section: Introductionmentioning

confidence: 99%

Walking characteristics including mild motor paralysis and slow walking speed in post-stroke patients

Mizuta

Hasui

Nakatani

et al. 2020

Sci Rep

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Walking speed is strongly influenced by the severity of motor paralysis in post-stroke patients. Nevertheless, some patients with mild motor paralysis still walk slowly. Factors associated with this difference in walking speed have not been elucidated. To confirm walking characteristics of patients with mild motor paralysis and slow walking speed, this study identified patient subgroups based on the association between the severity of motor paralysis and walking speed. Fugl-Meyer assessment synergy score (FMS) and the walking speed were measured (n = 42), and cluster analysis was performed based on the association between FMS and walking speed to identify the subgroups. FMS and walking speed were associated (ρ = 0.50); however, some patients walked slowly despite only mild motor paralysis. Cluster analysis using FMS and walking speed as the main variables classified patients into subgroups. Patients with mild motor paralysis (FMS: 18.4 ± 2.09 points) and slow walking speed (0.28 ± 0.14 m/s) exhibited poorer trunk stability, increased co-contraction of the shank muscle, and increased intramuscular coherence in walking compared to other clusters. This group was identified by their inability to fully utilize the residual potential of motor function. In walking training, intervention in instability and excessive cortical control may be effective.

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“…The average poststroke duration of the participants was 9.35 years. A previous study reported that an FMA-LE score of 21 could be used to classify the level of mobility in chronic stroke survivors [22]. Based on the results, 12 people with stroke were considered to have poor mobility function and 21 of them demonstrated a high level of mobility function in the current study.…”

Section: Resultsmentioning

confidence: 95%

Reliability of the Lateral Step-Up Test and Its Correlation with Motor Function and Activity in Chronic Stroke Survivors

Kwong

2020

BioMed Research International

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Background. The Lateral Step-Up Test (LSUT) has been used to evaluate the closed kinetic chain functional muscle strength in people with orthopaedic or neurological conditions. No study has systematically investigated the intrarater, interrater, and test-retest reliabilities of this measure in stroke survivors. In addition, correlations of the LSUT count with other stroke-specific impairment and function measurements remain unidentified. Objectives. This study was aimed at investigating (1) the interrater, intrarater, and test-retest reliability of the LSUT; (2) minimum detectable change in LSUT counts; and (3) correlation between LSUT counts and stroke-specific impairment and function measurements. Methods. Thirty-three stroke survivors were assessed with LSUT and a battery of stroke-specific impairment and function measurements, including Fugl-Meyer assessment of lower extremity (FMA-LE), lower limb muscle strength, Five Times Sit-to-Stand Test (FTSTS), Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and Activities-specific Balance Confidence (ABC) scale, by two assessors. Their performance on LSUT was reassessed 1 week later to establish the test-retest reliability. The intraclass correlation coefficient (ICC) was used to assess the reliability of LSUT, and Spearman’s rho was used to quantify the strength of correlations between LSUT counts and secondary outcomes. Results. The LSUT counts exhibited good to excellent intrarater, interrater, and test-retest reliability (ICC: 0.869–0.991). The minimum detectable change in the average LSUT count was 1 step. LSUT counts correlated significantly with the FMA-LE score, lower limb muscle strength (except for the hip abductors), FTSTS time, BBS score, TUG time, and ABC score. Conclusions. The LSUT is a reliable, valid, and easily administered measure of the closed kinetic chain functional muscle strength of stroke survivors.

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Cutoff Score of the Lower-Extremity Motor Subscale of Fugl-Meyer Assessment in Chronic Stroke Survivors: A Cross-Sectional Study

Cited by 54 publications

References 40 publications

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Fugl-Meyer Assessment Scores Are Related With Kinematic Measures in People with Chronic Hemiparesis after Stroke

Walking characteristics including mild motor paralysis and slow walking speed in post-stroke patients

Reliability of the Lateral Step-Up Test and Its Correlation with Motor Function and Activity in Chronic Stroke Survivors

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