Longitudinal Stability of the Fugl-Meyer Assessment of the Upper Extremity

Woodbury, Michelle; Velozo, Craig A.; Richards, Lorie; Duncan, Pamela W.; Studenski, Stephanie A.; Lai, Sue Min

doi:10.1016/j.apmr.2007.12.041

Cited by 75 publications

(57 citation statements)

References 48 publications

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“…Woodbury et al demonstrated that 98 percent of their 512-patient sample supported this item hierarchical structure, and this hierarchy remained stable across two time points in a 377-patient sample [29,34]. These findings strongly suggest that the keyform can be applied with confidence to the larger population of individuals with mild to moderate cortical stroke.…”

Section: Discussionmentioning

confidence: 66%

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Translating measurement findings into rehabilitation practice: An example using Fugl-Meyer Assessment-Upper Extremity with patients following stroke

Velozo¹,

Woodbury²

2011

JRRD

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Abstract-Standardized assessments are critical for advancing clinical rehabilitation, yet assessment scores often provide little information for rehabilitation treatment planning. A keyform recovery map is an innovative way for a therapist to record patient responses to standardized assessment items. The form enables a therapist to view the specific items that a patient can or cannot perform. This information can assist a therapist in tailoring treatments to a patient's individual ability level. We demonstrate how a keyform recovery map can be used to inform clinical treatment planning for individuals with stroke-related upper-limb motor impairment. A keyform map of poststroke upper-limb recovery defined by items of the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) was generated by a previously published Rasch analysis. Three individuals with stroke enrolled in a separate research study were randomly selected from each of the three impairment strata of the FMA-UE. Their performance on each item was displayed on the FMA-UE keyform. The forms directly connected qualitative descriptions of patients' motor ability to assessment measures, thereby suggesting appropriate shorter and longer term rehabilitation goals. This study demonstrates how measurement theory can be used to translate a standardized assessment into a useful, evidence-based tool for making clinical practice decisions.

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Section: Discussionmentioning

confidence: 66%

“…Importantly, the FMA-UE item-difficulty hierarchy was consistent across 98 percent of a 512-person sample at a single time point and was invariant in a 377-person sample across two testing occasions [29,34]. These findings strongly suggest that the FMA-UE keyform can be applied to a larger population of individuals with stroke.…”

Section: Introductionmentioning

confidence: 63%

Translating measurement findings into rehabilitation practice: An example using Fugl-Meyer Assessment-Upper Extremity with patients following stroke

Velozo¹,

Woodbury²

2011

JRRD

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“…Another common tool used in stroke rehabilitation is Fugl-Meyer Upper Extremity Assessment (FMUE). FMUE, composed of scales for sensation, proprioception, joint pain, range of motion (shoulder, elbow, wrist and fingers), reflex activity and joint co-ordination and having an excellent intra-rater and inter-rater reliability [45,46], is one of the most comprehensive quantitative measures of motor impairment after stroke [47]. However, the FMUE components neither assess purposeful reaching tasks nor quantify the functional impairments due to spasticity or weakness [47].…”

Section: Discussion Part 1: Cimt/mcimt and Upper Limb Functional Recomentioning

confidence: 99%

The Functional Recovery and the Associated Cortical Reorganization Following Constraint-Induced Movement Therapies (CIMTs) in Stroke

Ahmad¹

2017

Int J Neurorehabilitation Eng

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Constraint-Induced Movement Therapies (CIMTs) including the original Constraint-Induced Movement Therapy (CIMT) and the Modified Constraint-Induced Movement Therapy (mCIMT) gained considerable popularity as a treatment approach for upper extremity rehabilitation among patients with mild-to-moderate stroke. However, a major barrier in rehabilitation generally and in CIMTs specifically; is the limited objectivity of some commonly used outcome measures and lack sensitivity to define "True" recovery vs. compensation. Thereby, they may not sufficiently detect of long term consequences and the associated neurological recovery. An essential approach to overcome such barrier is to better understand functional motor recovery, associated neural changes and how they may relate to recovery of the pre-morbid movement pattern. Such Understanding for these relationships would add more in-depth insights on the functional relevance of plastic brain changes in stroke following CIMTs to optimize the field of neuro-rehabilitation. This review synthesizes findings from studies to on the use of the CIMTs including CIMT and mCIMT as efficient practice in the management of upper limb dysfunction following a stroke. The analysis will include (1) the functional recovery and (2) the cortical reorganization following the use of mCIMT and CIMT on patients in the chronic stage following stroke.

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“…По мнению большинства экспертов, шкала FMA-UE является хорошо продуманным, объективным и эффек-тивным методом клинического обследования больных с инсультом [6][7][8][9][10][11]. Она считается одним из наиболее точ-ных инструментов оценки нарушений двигательных функций после инсульта и используется в качестве объ-ективного показателя их ухудшения и последующего вос-становления [12][13][14][15][16][17].…”

Section: Fma-ueunclassified

“…После повторных неудачных попыток действия па-ретичной рукой пациент может перестать их предприни-мать, при этом формируется синдром приученного неис-пользования руки (англ. : learned nonuse), а связанные с верхней конечностью повседневные виды активности вы-Журнал неврологии и психиатрии, 7,2016 обзоры полняются только здоровой рукой [3]. Будучи исключен-ной из движения, паретичная рука не имеет перспектив двигательного восстановления, поскольку феномен неу-потребления приводит к торможению зон мозга, ответ-ственных за работу верхней конечности.…”

unclassified

Methods of assessment of movement functions in the upper limb

Прокопенко

Mozheyko

Алексеевич

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Цереброваскулярная патология, особенно острые на-рушения мозгового кровообращения -одна из сложней-ших проблем медицины. В 2009 г. заболеваемость инсуль-том составила 3,52 случая на 1000 населения и 3,27 -в 2010 г., смертность -1,19 и 0,96 на 1000 населения соот-ветственно [1]. Двигательные нарушения, наблюдающие-ся у 80% перенесших инсульт больных, являются одной из важных причин стойкой утраты трудоспособности, их устранение -одна из целей преемственной нейрореаби-литации. Как правило, восстановление функций верхней конечности значительно растянуто во времени и нередко является основной причиной нетрудоспособности [2].Постинсультный парез верхней конечности представ-ляет собой несколько вариантов паттернов двигательных расстройств. Особенно страдают при центральном парезе мышечные группы, связанные с отведением плеча (сред-няя порция дельтовидной мышцы, надостная мышца); обеспечивающие разгибание в локтевом суставе (трехгла-вая мышца плеча), супинацию предплечья (двуглавая мышца плеча, супинатор плеча); разгибатели кисти (длинный лучевой, короткий лучевой и локтевой разгиба-тель запястья) и II-V пальцев (разгибатели пальцев, II-V пальцев).Одновременно отмечается нарастание спастичности в других мышечных группах, обеспечивающих приведе-

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Longitudinal Stability of the Fugl-Meyer Assessment of the Upper Extremity

Cited by 75 publications

References 48 publications

Translating measurement findings into rehabilitation practice: An example using Fugl-Meyer Assessment-Upper Extremity with patients following stroke

Translating measurement findings into rehabilitation practice: An example using Fugl-Meyer Assessment-Upper Extremity with patients following stroke

The Functional Recovery and the Associated Cortical Reorganization Following Constraint-Induced Movement Therapies (CIMTs) in Stroke

Methods of assessment of movement functions in the upper limb

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