How Do Fugl-Meyer Arm Motor Scores Relate to Dexterity According to the Action Research Arm Test at 6 Months Poststroke?
How Do Fugl-Meyer Arm Motor Scores Relate to Dexterity According to the Action Research Arm Test at 6 Months Poststroke?
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DOI：
10.1016/j.apmr.2015.06.009
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发表时间：
2015-10-01
影响因子：
4.3
通讯作者：
Kwakkel, Gert
中科院分区：
文献类型：
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作者：
Hoonhorst, Maurits H.;Nijland, Rinske H.;Kwakkel, Gert
目的：探讨Fugl-Meyer上肢功能评定(FMA-UE)在预测卒中后6个月无、差、有限、显著或完全上肢能力方面的最佳临界点。设计：前瞻性。设置：康复中心。参与者：460例卒中后6个月首次缺血性卒中患者。干预：不适用。主要观察指标：根据ARAT对上肢能力差到全功能的分类，用受试者操作特征曲线计算曲线下面积。结果：FMA-UE评分0~22分代表无上肢功能(Arat 0~10)；得分23到31代表能力差(ARAT 11-21)；得分32到47代表能力有限(ARAT 22-42)；得分48到52代表显著能力(ARAT 43-54)；得分53到66代表完全上肢能力(ARAT 55-57)。总体而言，曲线下的区域从.916(95%可信区间[CI]，.890-.943)到.988(95%可信区间，.978-.998；P31分对应于ARAT上较差的手臂-手能力(即，31分对应于受限于完全手臂-手能力(即，=22分))。(C)2015年美国康复医学大会
Objective: To determine the optimal cutoff scores for the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) with regard to predicting no, poor, limited, notable, or full upper-limb capacity according to frequently used cutoff points for the Action Research Arm Test (ARAT) at 6 months poststroke.Design: Prospective.Setting: Rehabilitation center.Participants: Patients (N=460) with a first-ever ischemic stroke at 6 months poststroke.Interventions: Not applicable.Main Outcome Measures: Based on the ARAT classification of poor to full upper-limb capacity, receiver operating characteristic curves were used to calculate the area under the curve, optimal cutoff points for the FMA-UE were determined, and a weighted kappa was used to assess the agreement.Results: FMA-UE scores of 0 through 22 represent no upper-limb capacity (ARAT 0-10); scores of 23 through 31 represent poor capacity (ARAT 11-21); scores of 32 through 47 represent limited capacity (ARAT 22-42); scores of 48 through 52 represent notable capacity (ARAT 43-54); and scores of 53 through 66 represent full upper-limb capacity (ARAT 55-57). Overall, areas under the curve ranged from .916 (95% confidence interval [CI], .890-.943) to .988 (95% CI, .978-.998; P31 points correspond to no to poor arm-hand capacity (ie, 31 correspond to limited to full arm-hand capacity (ie, >= 22 points) on the ARAT. (C) 2015 by the American Congress of Rehabilitation Medicine