Reliability of the Fugl-Meyer Assessment for Testing Motor Performance in Patients Following Stroke

Sanford, Julie; Moreland, Julie; Swanson, Laurie R.; Stratford, Paul W.; Gowland, Carolyn

doi:10.1093/ptj/73.7.447

Cited by 598 publications

(374 citation statements)

References 12 publications

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“…This instrument has proved to be highly reliable (overall intra-class correlation coefficient = 0.96), and the intra-class correlation coefficients for subsections of the assessment varied from 0.61 for pain to 0.97 for the UE 40 . The researchers in this study…”

Section: Instrumentsmentioning

confidence: 98%

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Chinchai¹,

Khamwong²

2017

S. Afr. j. occup. ther

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INTRODUCTION: Stroke can cause long-term disabilities to survivors. Rehabilitation is an on-going process and should, ideally, be provided to these people in their homes. This study aimed to investigate the effect that rehabilitation education provided to village health volunteers (VHVs) would have on walking speed and upper extremity (UE) function in stroke survivors who stay at home in Thailand. METHODS: Participants were recruited by purposive sampling, which included 27 stroke survivors from four municipalities in Chiang Mai and Lamphun provinces. The measuring instruments used were the Ten-Meter Walk Test and the UE motor domain of the Fugl-Meyer Assessment. Researchers presented a 7-hour rehabilitation education programme to VHVs, who then made weekly1-hour visits to the homes of stroke survivors to implement the rehabilitation programme over eight weeks. Data were collected within seven days before and again after the 8-week programme. RESULTS: Descriptive statistics and the paired t-test were applied to analyse the data. Results showed that the participants used significantly less walking time from pre-test ( X =34.73 ±8.48) to post-test ( X =32.18±9.32) (p<0.05). However, the score of UE function at pre-test (X=36.81±9.59) was not significantly different from that at post-test (X =37.26±9.67). CONCLUSION: The findings suggest that trained VHVs can be part of the rehabilitation team and contribute to improved functional performance for disabled stroke survivors, particularly in developing countries. Key words: Hand function, gait speed, Home visit, motor function after stroke, community rehabilitation, home-based rehabilitation

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Section: Instrumentsmentioning

confidence: 98%

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Chinchai¹,

Khamwong²

2017

S. Afr. j. occup. ther

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“…The mean self-practice time of participants in the first month was 3.5 ± 1.8 h, and this increased significantly in the second and third month by 6.0 ± 3.7 and 6.97 ± 4.7 h respectively. They were stratified into three functional subgroups based has established construct, criterion validity and good reliability [34][35][36][37]. WMFT is composed of functional ability, time and strength parts, including 15 function and time-based tasks using a 6-point functional ability scale to rate the quality of movement while simultaneously recording performance time, and two strength-based tasks (lifting the weighted limb and grip strength).…”

Section: Adherence To Tai Chi Sessions and Self-practice At Homementioning

confidence: 99%

Adapted Tai Chi Enhances Upper Limb Motor Control in Chronic Stroke Patients: A Pilot Study

Pan¹,

Kairy²,

Corriveau³

et al. 2017

J Nov Physiother

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“…A score from 0 to 2 was given to each task, with a higher score indicating better performance (maximum score=66). It is a reliable and valid measure of multijoint upper extremity function in stroke [29][30][31].…”

Section: Impairment Levelmentioning

confidence: 99%

Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: Implications for stroke rehabilitation

Pang

Eng

2005

Bone

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Individuals with stroke have a high incidence of bone fractures and approximately 30% of these fractures occur in the upper extremity. The high risk of falls and the decline in bone and muscle health make the chronic stroke population particularly prone to upper extremity fractures. This was the first study to investigate the bone mineral content (BMC), bone mineral density (BMD) and soft tissue composition of the upper extremities and their relationship to stroke-related impairments in ambulatory individuals with chronic stroke (onset >1 year). Dual-energy X-ray absorptiometry (DXA) was used to acquire total body scans on 56 (22 women) communitydwelling individuals (≥50 years of age) with chronic stroke. BMC (g) and BMD (g/cm 2 ), lean mass (g) and fat mass (g) for each arm were derived from the total body scans. The paretic upper extremity was evaluated for muscle strength (hand-held dynamometry), spasticity (Modified Ashworth Scale), impairment of motor function (Fugl-Meyer Motor Assessment) and amount of use of the paretic arm in daily activities (Motor Activity Log). Results showed that the paretic arm had significantly lower BMC (13.8%, p<0.001), BMD (4.5%, p<0.001) and lean mass (9.0%, p<0.001) but higher fat mass (6.3%, p=0.028) than the non-paretic arm. Multiple regression analysis showed that lean mass in the paretic arm, height and muscle strength were significant predictors (R 2 =0.810, p<0.001) of the paretic arm BMC. Height, muscle strength and gender were significant predictors (R 2 =0.822, p<0.001) of lean mass in the paretic arm. These results highlight the potential of muscle strengthening to promote bone health of the paretic arm in individuals with chronic stroke.

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Reliability of the Fugl-Meyer Assessment for Testing Motor Performance in Patients Following Stroke

Abstract: The relative merits of using the Fugl-Meyer assessment as a research tool versus a clinical assessment for stroke are discussed.

Cited by 598 publications

References 12 publications

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Adapted Tai Chi Enhances Upper Limb Motor Control in Chronic Stroke Patients: A Pilot Study

Muscle strength is a determinant of bone mineral content in the hemiparetic upper extremity: Implications for stroke rehabilitation

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