Development and validation of a short form of the Fugl-Meyer motor scale in patients with stroke
Development and validation of a short form of the Fugl-Meyer motor scale in patients with stroke
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DOI：
10.1161/strokeaha.107.490730
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发表时间：
2007-11-01
期刊：
影响因子：
8.3
通讯作者：
Kwakkel, Gert
中科院分区：
文献类型：
--
作者：
Hsieh, Yu-Wei;Hsueh, I-Ping;Kwakkel, Gert
背景和目的--50个条目的Fugl-Meyer运动量表(FM)通常用于结果研究。然而，FM的长期给药时间使其无法被广泛接受为常规临床使用。我们的目标是开发一种具有良好心理测量学特性的短式FM(S-FM)。然后根据专家意见和Rasch分析的结果对其进行简化。对S-FM的心理测量学特性(包括Rasch信度、同时效度、预测效度和反应度)进行了检验，并与FM进行了比较。结果：我们为每个子量表选择了6个条目，构建了12个条目的S-FM。S量表具有较高的RASCH信度、与原量表的高度一致性效度、中等的反应度和与日常生活功能综合能力中等的预测效度。S-FM在荷兰样本上也显示出足够的同时效度和反应度。结论--我们的结果提供了强有力的证据，证明S-FM的心理测量学特性与FM相当。S-FM只包含12个项目，是一种在临床和研究环境中评估中风患者运动功能的非常有效的工具。
Background and Purpose - The 50- item Fugl- Meyer motor scale ( FM) is commonly used in outcome studies. However, the lengthy administration time of the FM keeps it from being widely accepted for routine clinical use. We aimed to develop a short form of the FM ( the S- FM) with sound psychometric properties for stroke patients.Methods - The FM was administered to 279 patients. It was then simplified based on expert opinions and the results of Rasch analysis. The psychometric properties ( including Rasch reliability, concurrent validity, predictive validity, and responsiveness) of the S- FM were examined and were compared with those of the FM. The concurrent validity and responsiveness of the S- FM were further validated in a sample from the Netherlands.Results - We selected 6 items for each subscale to construct a 12- item S- FM. The S- FM demonstrated high Rasch reliability, high concurrent validity with the original scale, moderate responsiveness, and moderate predictive validity with the comprehensive activities of daily living function. The S- FM also showed sufficient concurrent validity and responsiveness on the Dutch sample.Conclusions - Our results provide strong evidence that the psychometric properties of the S- FM are comparable with those of the FM. The S- FM contains only 12 items, making it a very efficient measure for assessing the motor function of stroke patients in both clinical and research settings.