This scale was first proposed by axel fuglmeyer and his colleagues 1975 as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient. The ue portion assesses voluntary movement, reflex activity, grasp and coordination. Suggestions from the leaps clinical trial adapted from leaps manual of procedures property of the leaps clinical trial not to be reproduced without permission fugl meyer assessment of physical performance procedure. The fugl meyer assessment of motor recovery after stroke. The responsiveness of the action research arm test and the fuglmeyer assessment scale in chronic stroke patients. Fuglmeyer assessment of sensorimotor function after. We developed the fuglmeyer assessment fma tool using kinect microsoft, usa and validated. Fuglmeyer assessment scale item scoring 0 1 2 lower extremity i. Upper extremity ue hemiparesis constitutes a common strokeinduced impairment. Initially uploaded to the rehabilitation measures database in 2010. The list of acronyms and abbreviations related to fma fuglmeyer assessment. Updated by carmen capolugo, pt, phd and dorian rose pt, phd and the stroke. This scale was first proposed by axel fugl meyer and his colleagues 1975 as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient.
The form enables a therapist to view the specific items that a patient can. Fuglmeyer assessment of sensorimotor recovery after. Purpose of the measure the fuglmeyer assessment fma is a strokespecific, performancebased impairment index. Fuglmeyer assessment of motor recovery after stroke physiopedia. Approved by fugl meyer ar 2010 1 fugl meyer assessment id. A version of the measure is also provided in fuglmeyer et al.
Fiche pdf a remplir fiche excell a remplir protocole. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with poststroke hemiplegia. The maximum total score that can be obtained in fugl meyer assessment isthough it is common practice to assess all domains separately. Fuglmeyer assessment clinical neuroscience, university. A version of the measure is also provided in fugl meyer et al. A manual was produced with a standardised content, procedure and scoring for the fuglmeyer assessment upper limb section part 2.
The fuglmeyer assessment of motor recovery after stroke. Proximal fuglmeyer assessment scores predict clinically. These techniques are used to improve movement and regain motor control. Yozbatiran et al, 2008 excellent correlation between arat and arm motor score of the fuglmeyer r 0. The fugl meyer assessment fma is a strokespecific, performancebased impairment index. Fuglmeyer assessment evaluation of upper extremity. An example using fuglmeyer assessmentupper extremity with patients following stroke. Upper extremity functional evaluation by fuglmeyer. A communitybased upperextremity group exercise program improves motor function and performance of functional activities in chronic stroke. Fuglmeyer ar, jaasko l, leyman i, olsson s, steglind s. Approved by fugl meyer ar 2010 1 updated 20150311 fugl meyer assessment id. Establishing the reliability of the fuglmeyer method of assessing recovery of function following cerebrovascular accident has increased the usefulness of this method for clinical assessment and as a tool for the comparative analysis of the effectiveness of various therapeutic interventions. Pdf fuglmeyer assessment of sensorimotor function after.
Approved by fuglmeyer ar 2010 1 fuglmeyer assessment id. Purpose of the measure the fugl meyer assessment fma is a strokespecific, performancebased impairment index. Reflex activity no reflex activity can be elicited. Fuglmeyer assessment general health questionnaire 28 geriatric depression scale hospital anxiety and depression scale line bisection test mini mental state examination modified ashworth scale montreal cognitive assessment motorfree visual perception test national institutes of health stroke scale action research arm test barthel index. In the development of the short form of the scale, care was taken to.
Upper extremity functional evaluation by fuglmeyer assessment. Information on this web site is provided for informational purposes only and is not a substitute for professional. To measure ue hemiparesis, researchers have frequently administered the ue section of the fuglmeyer assessment ue fm. One of the most widely used quantitative measures of motor impairment gladstone et al, 2002 shortened versions require less than 10 minutes. Fuglmeyer assessment of motor recovery after stroke.
Linguistic validation of the fuglmeyer life satisfaction checklist lisat 8. The motor function section of the fuglmeyer assessment scale fm motor scale is a robust scale of motor ability in people after stroke, with high we use cookies to enhance your experience on our website. Psychometric comparison of the shortened fuglmeyer assessment and the streamlined wolf motor function test in stroke rehabilitation tiffany szuting fu, chingyi wu, kehchung lin, chingju hsieh, jungsen liu, tienni wang, and pei ouyang. Fuglmeyer assessment items were considered to be consistent with the recovery pattern observed correlation between abnormal postural adjustments made by lower extremity le on balance platform and fuglmeyer assessment le scores spearman rho 2 weeks, r. Researcharticle upperextremityfunctionalevaluationby. The fugl meyer assessment fma is a quantitative measure that is widely used to assess motor recovery poststroke in hemiplegic patients. Translating measurement findings into rehabilitation.
The fugl meyer assessment for the upper extremity fmaue and the. Among the five fma domains, the motor domain is most. The form enables a therapist to view the specific items that a patient. The fuglmeyer assessment fma is a strokespecific, performancebased impairment index. Cen and dorian k rose and julie hershberg and anita correa and joann gallichio and molly mcleod and. Items to be scored are achilles and patellar reflexes. Reliability of the fuglmeyer assessment for testing motor.
Secondary outcome measures will be modified ashworth scale, motricity index, fuglmeyer assessment for the upper limb, box and block test and goal attainment scale for individual participatory goals. Fuglmeyer assessment fma scale is an index to assess the sensorimotor impairment in assessment, items were generated based on the ontology and stages of stroke recovery described by twitchell and brunnstrom respectively. One of the most widely recognized and clinically relevant measures of body function impairment after stroke is the fuglmeyer fm assessment. View fuglmeyer assessment research papers on academia. It involves the measurement of both upper and lower extremities ue, le however, the scores for ue are weighted more. Correlation of the lisat9 is moderate for the short form 36 mental health subscale. Psychometric comparison of the shortened fuglmeyer. The fuglmeyer upper extremity assessment fma is a strokespecific and performancebased impairment index. Baseline motor impairment, as measured by active finger extension and the upper extremity fuglmeyer assessment uefma, was found to significantly predict ue functional improvement after cimt. Flexor synergy cannot be performed at all partial motion full motion items to be scored are. Translating measurement findings into rehabilitation practice. Fuglmeyer assessment upper and lower extremity components author. Fuglmeyer assessment fma scale is an index to assess the sensorimotor impairment in individuals who have had stroke. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment.
Apta combined sections meeting 2008 incorporating valid and reliable outcome measures into care for patients with stroke. It is designed to assess five domains in patients with poststroke hemiplegia consisting of. Some scores during virtual gaming can be used for assessment, but these are not intuitive, are typically not familiar to therapists. Apta combined sections meeting 2008 incorporating valid. Fmale protocol rehabilitation medicine, university of gothenburg approved by fuglmeyer ar 2010 1 updated 20150311 fuglmeyer assessment id. A keyform recovery map is an innovative way for a therapist to record patient responses to standardized assessment items.
To provide empirical justification for selecting motor scales for stroke patients, the authors compared the psychometric properties validity, responsiveness, testretest reliability, and smallest real difference srd of the fuglmeyer motor scale fm, the simplified fm sfm, the stroke rehabilitation assessment of movement instrument. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with poststroke hemiplegia12. Fuglmeyer assessment of sensorimotor function after stroke. Reliability of the fuglmeyer assessment of sensorimotor. Fuglmeyer assessment clinical neuroscience, university of. A fuglmeyer assessment fma 56, a wolf motor function test wmft 57, and a proprioception assessment 58 using angles measured with a. Fuglmeyer upper extremity assessment bilateral arm.
373 631 804 1018 155 504 7 1457 387 123 1381 932 1526 473 1075 1410 868 1055 584 652 700 1476 361 1304 425 453 673 746 651 1048 555 195 1264 348