Psychometric properties of the sensory scale of the Fugl-Meyer Assessment in stroke patients

Lin, Jau-Hong; Hsueh, I-Ping; Sheu, Ching-Fan; Hsieh, Ching-Lin

doi:10.1191/0269215504cr737oa

Cited by 94 publications

(82 citation statements)

References 23 publications

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“…However, there was also found a ceiling effect for the subscale sensitivity of the FMA protocol, as already documented in a previous study 18 . The significant ceiling effect of the NSA subscales may have happened due to the fact that the sample was composed by chronic hemiparetics with mainly motor deficits, which did not allow the confirmation of the NSA limitations in discriminating deficits of these patients.…”

Section: Discussionsupporting

confidence: 86%

“…It evaluates the identification of weights and textures by hemiparetic subjects, however it is limited to the hand evaluation and does not involve thermal sensations and stereognosis 17 . The subscale of sensitivity of the Fugl-Meyer Assessment (FMA) of physical performance involves extereoception and proproception of the upper and lower limbs and has high inter-rater reliability and internal consistency, nevertheless it has shown a high ceiling effect and a poor to moderate reliability for the item extereoception 18 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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Objectives: To investigate the inter-rater and intra-rater reliability, construct validity and internal consistency of the Brazilian version of the Nottingham Sensory Assessment for Stroke Patients (NSA). Methods: The instrument was translated into Portuguese from its original in English by a bilingual translator and was then back-translated into English. Twenty-one hemiparetics were evaluated by two examiners using the NSA and the Fugl-Meyer Assessment (FMA) of physical performance. Results: Significant correlation were found between the FMA and the NSA (r=0.752). The NSA showed excellent internal consistency (0.86), and there were acceptable inter-and intra-rater reliability for all items of the NSA, except temperature. Significant ceiling effects were found for the NSA and the FMA. Conclusions: The Brazilian version of the NSA met the criteria for agreement, internal consistency and concurrent validity. It was quick and easy to apply, and it could be used within clinical practice in neuro-rehabilitation outpatient clinics to assess sensory functions following stroke. The significant ceiling effect for the NSA did not limit its use, given that for the same patients, the FMA also showed ceiling effects.Key words: stroke; disability evaluation; validity tests; sensation; rehabilitation. ResumoObjetivo: Verificar a concordância inter e intraexaminador, validade construtiva e consistência interna da versão brasileira do instrumento Nottingham Sensory Assessment para hemiparéticos após acidente vascular encefálico (AVE). Métodos: O instrumento foi traduzido para língua portuguesa com base na sua versão original em Inglês por um tradutor bilíngue e, posteriormente, revertido para a língua inglesa. Vinte e um hemiparéticos foram avaliados por dois examinadores pela Avaliação Sensorial de Nottingham para pacientes pós-AVE (ASN) e pelo Protocolo de Desempenho Físico de Fugl-Meyer (FM). Resultados: Foi encontrada correlação entre os instrumentos FM e ASN (0,752); excelente consistência interna da ASN (0,86); excelentes coeficientes de concordância interexaminador e intraexaminador para todos os itens da ASN, exceto temperatura e efeito teto significativo para ASN e FM. Conclusão: A versão brasileira da Nottingham Sensory Assessment cumpriu os critérios de concordância, consistência interna e validade concorrente, sendo um instrumento de rápida e fácil aplicação, podendo ser utilizada nos ambulatórios de neuroreabilitação para avaliar a função sensorial pós-AVE. O efeito teto significativo da ASN não limita seu uso, tendo em vista que, para os mesmos pacientes, o Protocolo de Fugl-Meyer também revelou efeito teto.Palavras-chave: acidente cerebral vascular; avaliação da deficiência; testes de validade; sensação; reabilitação.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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show abstract

“…Moreover, sensory loss has a negative effect on personal safety, functional outcome, and quality of life, and it influences length of stay in hospital, highlighting the functional importance of training addressing these capacities 3) . Thus, stroke patients who have sensorimotor deficit show poor functional prognosis compared to those who have only pure motor deficit 4) . Unilateral spatial neglect, which appears most frequently in right inferior parietal lobe damage, is one of the common symptoms.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Somatosensory Training Focused on the Hand on Hand Function, Postural Control and ADL of Stroke Patients with Unlateral Spatial Neglect and Sensorimotor Deficits

2013

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Abstract. [Purpose] We investigated the effect of somatosensory training, e.g. facilitation of reaching and somatosensory stimulus of upper limb (UL) on hand function and postural control.[Subjects] The subjects were 20 stroke patients in the Bobath Memorial Hospital, who has problems with unilateral neglect, and somatosensory deficits.[Methods] The patients were divided into two groups: a unilateral neglect group (NG), and a sensrimotor deficit group (SMG). Somatosensory training for the hand was carried out eighteen times, three times a week for six weeks, together with 40 minutes preservative treatment. To compare the groups, we used several assessment tools: the manual function test (MFT), the postural assessment scale for stroke (PASS) and the functional reach test (FRT).[Results] In NG, somatosensory training for the hand significantly improved MFT, and PASS (p<0.05). In the SMG, somatosensory training for the hand significantly improved MFT, PASS and FRT (p<0.05). Also, there were significantly differences in MFT, and PASS between the groups. [Conclusion] Somatosensory training for the hand influenced hand function and postural control. Therefore, we consider that somatosensory function plays a major role in hand and postural control.

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“…A recent study concluded that the FM sensation subscale could not be recommended for clinical use because it showed significant ceiling effect and low validity and responsiveness to clinically meaningful change [49]. The ceiling effect implies that many patients attain full score without necessarily having intact sensation.…”

Section: Traditional Approachesmentioning

confidence: 99%

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

Scott¹,

Dukelow²

2011

JRRD

167

118

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Abstract-Robotic technologies have profoundly affected the identification of fundamental properties of brain function. This success is attributable to robots being able to control the position of or forces applied to limbs, and their inherent ability to easily, objectively, and reliably quantify sensorimotor behavior. Our general hypothesis is that these same attributes make robotic technologies ideal for clinically assessing sensory, motor, and cognitive impairments in stroke and other neurological disorders. Further, they provide opportunities for novel therapeutic strategies. The present opinionated review describes how robotic technologies combined with virtual/augmented reality systems can support a broad range of behavioral tasks to objectively quantify brain function. This information could potentially be used to provide more accurate diagnostic and prognostic information than is available from current clinical assessment techniques. The review also highlights the potential benefits of robots to provide upper-limb therapy. Although the capital cost of these technologies is substantial, it pales in comparison with the potential cost reductions to the overall healthcare system that improved assessment and therapeutic interventions offer.

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Psychometric properties of the sensory scale of the Fugl-Meyer Assessment in stroke patients

Abstract: The psychometric properties of the FMA-S in measuring sensory function do not support its clinical use in stroke patients. Further studies on methods to improve the psychometric properties of the FMA-S are needed.

Cited by 94 publications

References 23 publications

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

The Effects of Somatosensory Training Focused on the Hand on Hand Function, Postural Control and ADL of Stroke Patients with Unlateral Spatial Neglect and Sensorimotor Deficits

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

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