Translation and cultural validation of clinical observational scales – the Fugl-Meyer assessment for post stroke sensorimotor function in Colombian Spanish

Barbosa, Nubia E; Forero, Sandra M; Galeano, Claudia P; Hernández, Elkin; Landinez, Nancy; Sunnerhagen, Katharina S.; Murphy, Margit Alt

doi:10.1080/09638288.2018.1464604

Cited by 21 publications

(44 citation statements)

References 32 publications

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“…The sample size was based on preliminary results from the pilot study with 10 individuals with stroke (21) and previous studies using the rank invariant method for reliability testing at the item level (25). For the planned study design 60 individuals with stroke were considered to be sufficient.…”

Section: Populationmentioning

confidence: 99%

“…These assessments were not included in the intra-rater analysis. All raters were involved in the translation process of the FMA-UE to Spanish, which also included joint practical training with guidance of experts and data collection for a previous pilot study (21). The patient's performance on the FMA-UE was simultaneously, but independently, scored by one pair of raters on 2 consecutive days.…”

Section: Fugl-meyer Assessment Of Upper Extremitymentioning

confidence: 99%

“…The minimum score of 0 indicates no impairment, and the maximum score of 42 indicates severe impairment. Stroke severity was classified as mild (0-4), moderate (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), or severe (16)(17)(18)(19)(20)(21)(22)(23)(24), or very severe (≥ 25) (26). The disability level was assessed by using the Modified Rankin Scale (0-6) at discharge, on which a lower score indicates less disability (29).…”

Section: Other Clinical Assessmentsmentioning

confidence: 99%

“…The item-level reliability evaluation is essential, since single items of FMA-UE have been proposed for prediction of motor recovery after stroke (20). The FMA-UE has been translated to several languages and recently into Colombian Spanish (21) following the protocol and manual according to the original English/Swedish version (22). The current study used the translated Colombian Spanish FMA-UE for reliability evaluation.…”

mentioning

confidence: 99%

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Intra- and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity in stroke

Hernández¹,

Galeano²,

Barbosa³

et al. 2019

J Rehabil Med

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The Fugl-Meyer Assessment of Upper Extremity (FMA-UE) is one of the most used and recommended assessment scales of sensorimotor function in stroke. This study investigated the reliability of the scale when different therapists assessed the patient's performance at the same test session and when the assessment was performed by the same therapist but on 2 different occasions. Sixty individuals with stroke at the Central Military Hospital of Colombia were included. The results showed that the agreement in each individual movement (FMA-UE includes 33 movements/items) was 79% or above. Disagreements in scorings between raters were noted for 4 single items. These disagreements were probably caused by the spontaneous recovery that occurred in the early subacute phase after stroke. The item, subscale and total score level reliabilities were high and the scale can be recommended for use in general, including in Spanish-speaking countries. It is important, however, that standardized testing procedures are followed. Objective: The Fugl-Meyer Assessment of Upper Extremity (FMA-UE) is recommended for evaluation of sensorimotor impairment post stroke, but the itemlevel reliability of the scale is unknown. This study aims to determine intra-and inter-rater reliability of the FMA-UE at item-, subscale-and total score level in patients with early subacute stroke. Design: Intra/inter-rater reliability. Subjects: Sixty consecutively included patients with stroke (mean age 65.9 years) admitted to Central Military Hospital of Colombia, Bogota. Methods: Two physiotherapists scored FMA-UE independently on 2 consecutive days within 10 days post stroke. A rank-based statistical method for paired ordinal data was used to assess the level of agreement, systematic and random disagreements. Results: Systematic disagreements either in position or concentration were detected in 4 items of the shoulder section. The item level intra-and inter-rater agreement was high (79-100%). The 70% agreement was also reached for the subscales and the total score when 1-3-point difference was accepted. Conclusion: The FMA-UE is reliable both within and between raters in patients with stroke in the early subacute phase. A wider international use of FMA-UE will allow comparison of stroke recovery between regions and countries and thereby potentially improve the quality of care and rehabilitation in persons with stroke worldwide.

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Section: Populationmentioning

confidence: 99%

Section: Fugl-meyer Assessment Of Upper Extremitymentioning

confidence: 99%

Section: Other Clinical Assessmentsmentioning

confidence: 99%

mentioning

confidence: 99%

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Intra- and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity in stroke

Hernández¹,

Galeano²,

Barbosa³

et al. 2019

J Rehabil Med

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“…The lack of significant change in tremor among participants was likely related to insufficient control in the proximal to distal part of upper limb. The participants received a full score of FMA-UE on this item when no tremor occurred anywhere else on the body (Barbosa et al, 2019).…”

Section: Lack Of Significant Changesmentioning

confidence: 99%

The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits

Pumprasart

Pramodhyakul

Piriyaprasarth

2019

International Journal of Therapy and Rehabilitation

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Background/Aims The Bobath concept has long been used to improve postural control and limb function post-stroke, yet its effect in patients with deficits have not been clearly demonstrated. This study aimed to investigate the effect of the latest Bobath therapy programme on upper limb functions, muscle tone and sensation in chronic stroke individuals with moderate to severe deficits. Methods A pre–post test design was implemented. The participants were chronic stroke individuals (n=26). Home-based intervention based on the Bobath concept was administered 3 days per week for 6 weeks (20 repetitions × 3 sets per task each session). Outcome measures consisted of the Wolf Motor Function Test, Fugl-Meyer Assessment for the upper extremity, Modified Ashworth Scale, and the Revised Nottingham Sensory Assessment. Data were analysed using the Wilcoxon Signed rank test. Results Almost all items of the Wolf Motor Function Test and the Fugl-Meyer Assessment for the upper extremity demonstrated statistically significant differences post-intervention. Finger flexor muscle tone and stereognosis were also significantly improved. Conclusions The 6-week Bobath therapy programme could improve upper limb function and impairments in chronic stroke individuals with moderate to severe deficits. Its effects were also demonstrated in improving muscle tone and cortical sensation.

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Transcultural translation and validation of Fugl–Meyer assessment to Italian

Cecchi

Carrabba

Bertolucci

et al. 2020

Disability and Rehabilitation

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Translation and cultural validation of clinical observational scales – the Fugl-Meyer assessment for post stroke sensorimotor function in Colombian Spanish

Cited by 21 publications

References 32 publications

Intra- and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity in stroke

Intra- and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity in stroke

The effect of the Bobath therapy programme on upper limb and hand function in chronic stroke individuals with moderate to severe deficits

Transcultural translation and validation of Fugl–Meyer assessment to Italian

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