Tradução, adaptação e confiabilidade interexaminadores do manual de administração da escala de Fugl-Meyer

Michaelsen, Stella Maris; Rocha, André S.; Knabben, Rodrigo José; Rodrigues, Luciano Palmeiro; Fernandes, Claudia Garcia Carrijo

doi:10.1590/s1413-35552011000100013

Cited by 78 publications

(42 citation statements)

References 31 publications

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“…Fifteen participated in the test-retest and the other 15 in the inter-rater reliability measurements. Both samples were homogeneous regarding their ages, UL motor impairments, according to the Fugl-Meyer (FM) UL scores 14 , MiniMental Status Examination scores 15 , and limb dominance. Participants of the inter-rater group were predominantly men and were more chronic, with differences of 16.1 months since the onset of their stroke.…”

Section: Participantsmentioning

confidence: 99%

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Motor Activity Log-Brazil: reliability and relationships with motor impairments in individuals with chronic stroke

Pereira¹,

Ovando²,

Michaelsen

et al. 2012

Arq. Neuro-Psiquiatr.

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The Motor Activity Log (MAL) assesses the spontaneous use of the most affected upper limb with the amount of use (AOU) and quality of movement (QOM) scales during daily activities in real environments in individuals with chronic stroke. Objectives: This study translated the testing manual into Portuguese and assessed the inter-rater and test-retest reliabilities of the MAL, based upon the Brazilian manual version. Methods: The inter-rater reliability was evaluated by comparing the results of two examiners, and the test-retest reliability was tested by comparing the results of two evaluations, repeated one-week apart with 30 individuals with chronic hemiparesis (55.8±15.1 years). Results: The intra-class correlation coefficients (ICCs) for the total scores were adequate for both the inter-rater (0.98 for the AOU and 0.91 for QOM) and test-retest reliabilities (0.99 for both scales). Conclusions: The results suggested that the MAL was reliable to evaluate the spontaneous use of the most affected upper limb after stroke.

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Section: Participantsmentioning

confidence: 99%

“…Twelve (40%) had motor impairments classified as mild (FM>50), eight (26.7%) as moderate (FM between 30 and 49) and ten (33.3%) had serious motor impairments (FM<30) 14 . Their Mini-Mental Status Examination scores ranged from 20 to 30, and 56.6% had left hemiparesis.…”

Section: Participants Characteristicsmentioning

confidence: 99%

Motor Activity Log-Brazil: reliability and relationships with motor impairments in individuals with chronic stroke

Pereira¹,

Ovando²,

Michaelsen

et al. 2012

Arq. Neuro-Psiquiatr.

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“…After the data collection of the medical records, and after a primary phone contact, the patients were visited in their homes in which the eligibility criteria were checked, and the medical record data was confirmed. The patients were assessed concerning their physical exercise level, 22 the degree of motor disability (Fugl-Meyer Assessment), 23 and their level of physical activities (Human Activity Profile -HAP). 24 Healthy subjects that were in a waiting room of the PCU were invited to voluntarily join in the study.…”

Section: Methodsmentioning

confidence: 99%

Physical activity levels of a primary health care users: comparisons between healthy subjects and subjects with stroke

Simões¹,

Ferreira²,

Martins³

et al. 2017

Acta Fisiátrica

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Subjects with stroke have a low physical activity level which may lead to recurrence of stroke events, occurrence of other cardiovascular diseases and increase of disabilities. The maintenance of an adequate physical activity level is associated with improvements on functionality and health of these subjects. Objective: To compare the physical activity levels of subjects with stroke and matched healthy subjects from a Primary Health Care unit. Method: Subjects with stroke (G1; n = 37) from a Primary Health Care unit, with clinical conditions to answer a questionnaire, and healthy matched subjects (G2; n = 37), from the same unit, were assessed for physical activity level by the Human Activity Profile (HAP) questionnaire. Descriptive statistics, t-test student, chi-square test and Mann-Whitney test were used for analysis (α = 0.05). Results: The groups were similar in age, sex and exercise level (p>0.05). There was a significant difference between groups on HAP (0.001≤p≤0.011). Conclusion: Individuals with stroke are worse classified and have worse scores on physical activities levels of the HAP, when compared to matched healthy individuals.

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“…A prerequisite for use of statistical tests that assess the correlation between variables is the sample variability in relation to the outcome of interest 21 . Taking into account the characteristics that could result in variations in muscle strength, the authors tried to achieve variability in relation to age, sex, and the degree of motor recovery (severe, moderate, or mild) assessed by the Fugl-Meyer Scale for motor function of the Upper Extremity (UE-FM) 24 . Thus, assuming n=14 for each of two age groups that could demonstrate variation in muscular strength (20-64 years and over 64 years), n=28 was calculated.…”

Section: Methodsmentioning

confidence: 99%

Dynamometry for the measurement of grip, pinch, and trunk muscles strength in subjects with subacute stroke: reliability and different number of trials

Aguiar¹,

Martins²,

Lara³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundMuscle strength is usually measured in individuals with stroke with Portable dynamometers (gold standard). However, no studies have investigated the reliability, the standard error of measurement (SEM) and the minimal detectable difference (MDD95%) of the dynamometry for the measurement of hand grip, pinch grip and trunk strength in subjects with subacute stroke.Objective1) To investigate the intra and inter-rater reliability, the SEM and the MDD95% of the portable dynamometers for the measurement of grip, pinch and trunk strength in subjects with subacute stroke, and 2) to verify whether the use of different number of trials (first trial and the average of the first two and three trials) affected the results.Method32 subjects with subacute stroke (time since stroke onset: 3.6 months, SD=0.66 months) were evaluated. Hand grip, 3 pinch grips (i.e. pulp-to-pulp/palmar/lateral) and 4 trunk muscles (i.e. flexors, extensors, lateral flexors and rotators) strength were bilaterally assessed (except trunk flexors/extensors) with portable dynamometry by two independent examiners over two sessions (1-2 weeks apart). One-way ANOVAs and intraclass correlation coefficients (ICC2,k) were used for analysis (α=0.05). SEM and MDD95% were also calculated.ResultsFor all muscular groups and sources of outcome values, including one trial, after familiarization, similar results were found (0.01≤F≤0.08; 0.92≤p≤0.99) with significant and adequate values of intra-rater (0.64≤ICC≤0.99; 0.23≤95%CI≤0.99) and inter-rater (0.66≤ICC≤0.99; 0.25≤95%CI≤0.99) reliability. SEM and MDD95% were considered low (0.39≤EPM≤2.21 Kg; 0.96≤MMD95%≤6.12 Kg) for all outcome scores.ConclusionOnly one trial, following familiarization, demonstrated adequate intra-rater and inter-rater reliability of the portable dynamometers for the measurement of hand grip, pinch grip and trunk strength in subjects with subacute stroke.

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Tradução, adaptação e confiabilidade interexaminadores do manual de administração da escala de Fugl-Meyer

Abstract: Background: Recently, the reliability of the Brazilian version of the Fugl-Meyer Assessment (FMA) was assessed through the scoring

Cited by 78 publications

References 31 publications

Motor Activity Log-Brazil: reliability and relationships with motor impairments in individuals with chronic stroke

Motor Activity Log-Brazil: reliability and relationships with motor impairments in individuals with chronic stroke

Physical activity levels of a primary health care users: comparisons between healthy subjects and subjects with stroke

Dynamometry for the measurement of grip, pinch, and trunk muscles strength in subjects with subacute stroke: reliability and different number of trials

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