Translation, Validity, and Reliability of the Upper Extremity Fugl-Meyer Assessment (FMA-UE) in Persian Speaking Stroke Patients

Hassani, Zahra; Mokhtarinia, Hamid Reza; Kahlaee, Amir Hossein; Gabel, Charles Philip

doi:10.32598/irj.20.specialissue.919.3

Cited by 3 publications

(3 citation statements)

References 32 publications

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“…The Fugl-Meyer Assessment of the Upper Limbs (FMA-U/L) was used to evaluate upper-limb functionality. The FMA-U/L score is a tool for evaluating the body’s structure, function, and activity level as an evaluation tool for evaluating motor function according to Brunnstrom’s recovery phase in Step 6 [ 23 ]. The FMA-U/L is the most commonly used evaluation tool for upper-limb evaluation and consists of the sum of shoulder/elbow movement and wrist/hand items [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Motor Learning on Motor Function and Grip Force of the Upper Limbs and Activities of Daily Living in Patients with a Subacute Stroke

Shim

Lee

2023

IJERPH

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Functional paralysis of the upper extremities occurs in >70% of all patients after having a stroke, and >60% showed decreased hand dexterity. A total of 30 patients with a subacute stroke were randomly allocated to either high-frequency repetitive transcranial magnetic stimulation combined with motor learning (n = 14) or sham repetitive transcranial magnetic stimulation combined with motor learning (n = 16). High-frequency repetitive transcranial magnetic stimulation combined with the motor learning group was conducted for 20 min (10 min of high-frequency repetitive transcranial magnetic stimulation and 10 min of motor learning) three times a week for 4 weeks. The sham repetitive transcranial magnetic stimulation combined with the motor learning group received 12 20-min sessions (10 min of sham repetitive transcranial magnetic stimulation and 10 min of motor learning). This was held three times a week for 4 weeks. Upper-limb function (Fugl-Meyer Assessment of the Upper Limbs) and upper-limb dexterity (box and block tests) concerning upper-limb motor function and grip force (hand grip dynamometer), and activities of daily living (Korean version of the modified Barthel index), were measured pre- and post-intervention. In both groups, there were significant improvements in the upper-limb motor function, grip force, and activities of daily living (p < 0.05). Regarding grip force, the high-frequency repetitive transcranial magnetic stimulation combined with the motor learning group improved significantly compared to the sham repetitive transcranial magnetic stimulation combined with the motor learning group (p < 0.05). However, except for grip force, there were no significant differences in the upper-limb motor function or activities of daily living between the groups. These findings suggest that high-frequency repetitive transcranial magnetic stimulation combined with motor learning is more likely to improve grip force than motor learning alone.

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Section: Methodsmentioning

confidence: 99%

Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Motor Learning on Motor Function and Grip Force of the Upper Limbs and Activities of Daily Living in Patients with a Subacute Stroke

Shim

Lee

2023

IJERPH

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“…For early post-stroke impairment investigation, assessment is mostly done pre-treatment, within treatment and after rehabilitation. A standardized globally usage of FMA-UE for comparison of hemiplegic or paraplegic recovery results in improving standards of treatment 9 . Team of Hira Rehman in 2022 conducted a randomized control trial to ascertain the results of cortical mapping in chronic stoke and observed combining action observation therapy with standard therapy an effective strategy for rehabilitating upper trunk or limb movement in patients 10 .…”

Section: Introductionmentioning

confidence: 99%

Normative Data of Fugl Meyer Assessment on Upper Extremity in Post Stroke Population

Yasmin

Tahir

Jabeen

et al. 2023

SJPTR

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Background: Stroke is clinically diagnosed as an acute, localized neurological impairment that is caused by vascular damage (infarction, hemorrhage) to the central nervous system. This main leading cause of demise and dysfunction worldwide resulting in frequent deficit, hemiplegia, which briefly affects upper limb. This multicentered study is the first to provide updated normative reference values for FMA-UE in post stroke adults in wide range of age in Pakistan’s population. Objective: To determine Pakistani normative values of Fugl-Meyer Assessment on upper extremity in post Stroke Population. Methods: Descriptive cross-sectional study on 1260 post-stroke patients was conducted in various public and private physiotherapy centers of country using Fugl-Meyer Assessment (Upper-Extremity) FMA-UE scale after ethical approval. Hemiplegic survivors of both genders aged 45-75 years were taken using convenience sampling technique, informed consent was taken. Statistics was done using SPSS version25. Results: Patients included were 88.3% ischemic and 11.7% hemorrhagic. 44.1% were in acute phase (less than 2 weeks) while 55.9% were in sub-acute (2 weeks to 6 months) phase. Mean score of FMA-UE was 88.63±30.09. The cutoff score/mean value for motor impairment and sensation was recorded as 41.49 ±19.7 and 8.6±3.9 while passive joint motion and pain were calculated 18.93±5.47 and 19.57±5.1 respectively. Conclusion: The scoring, in acute and subacute phases, accentuate the need to follow Pakistani specific modified norms in Asian inhabitants instead of reference values applicable on western population. Keywords: Fugl-Meyer scale, Hemiplegia, Motor control, Post Stroke, Upper extremity.

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“…This tool equally assesses upper (17) and lower limbs (18) by covering multiple domains like motor, sensation, balance, joint range of motion, and joint pain. The reliability (internal consistency) of FMA-UE was 0.86 (19) while that of FMA-LE was 0.935 (20). Furthermore, trunk control was assessed by EMG biofeedback (21) Muscle performance refers to a muscle's combined strength, power, rate of force development, endurance, as well as its overall capacity to carry out tasks.…”

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confidence: 99%

To check the effectiveness of transcranial direct current stimulation and mirror therapy on neonatal motor development and mental health in children with spastic quadriplegic cerebral palsy-Study protocol for randomized clinical trial

Waqas,

Ahmad,

Goulardins

et al. 2024

Preprint

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Background: Cerebral palsy (CP) is a non-progressive disorder resulting from undeveloped brain function leading to delays in motor, sensory, speech, and social interaction when compared to a normal, developed child. These structural and bodily insults prompt the infant towards disability (1). Transcranial direct current stimulation (TDCS) and mirror therapy (MT) work on the concept of neuroplasity to enhance the neuromuscular development of CP children. The response of this group to the mentioned therapies has never been investigated with a large sample size, which can mimic the concept of generalizability. The goal of this study is to compare the effects of transcranial direct current stimulation and mirror therapy on neuromuscular growth and mental well-being of the spastic quadriplegic cerebral palsy population. Methods: This is a single-centered, double blinded, and randomized clinical trial comprised of 105 CP patients aged 3–7 years. Sampling will be done by simple random, and allocation will be done by a random number table. The assessment will be taken at baseline (Pre-I), after two weeks (Post-I), and again after ten weeks of standard of care Physical Therapy treatment (Post-II), which is routine Physical Therapy. Study variables will be age, gender, height, weight, socioeconomic status, education, and severity of symptoms. The self-constructed Shoaib motor development tool will assess motor development, motor control by the Fugal Mayer assessment tool, and muscle performance by an isokinetic dynamometer, anthropometry by scales and measuring tape, and mental health by the SDQ questionnaire. Discussion: Researchers anticipate that TDCS and MT will stimulate neuromuscular development in terms of motor development and influence motor control, muscle performance, anthropometric factors, and hormonal change. This, in turn, is expected to uplift the mental wellbeing of CP children under the umbrella of neuroplasity. Ultimately, the child's entire developmental curve is positively impacted, therefore improving functional capability and participation across the short-term, mid-term, and long-term activity contexts. Registration of trial: On January 26, 2024, the trial was registered under the reference number IRCT20231227060542N1 on the Iranian Registry of Clinical Trials (IRCT).

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Translation, Validity, and Reliability of the Upper Extremity Fugl-Meyer Assessment (FMA-UE) in Persian Speaking Stroke Patients

Cited by 3 publications

References 32 publications

Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Motor Learning on Motor Function and Grip Force of the Upper Limbs and Activities of Daily Living in Patients with a Subacute Stroke

Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation Combined with Motor Learning on Motor Function and Grip Force of the Upper Limbs and Activities of Daily Living in Patients with a Subacute Stroke

Normative Data of Fugl Meyer Assessment on Upper Extremity in Post Stroke Population

To check the effectiveness of transcranial direct current stimulation and mirror therapy on neonatal motor development and mental health in children with spastic quadriplegic cerebral palsy-Study protocol for randomized clinical trial

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