Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer Assessment in minimally impaired upper extremity hemiparesis in stroke.

Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer Assessment in minimally impaired upper extremity hemiparesis in stroke.
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DOI:
10.1016/j.apmr.2012.06.017
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发表时间:
2012-12
影响因子:
4.3
通讯作者:
Hade, Erinn
Hade, Erinn
中科院分区:
医学1区
文献类型:
--
作者:
Page, Stephen J.;Levine, Peter;Hade, Erinn

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需要及时的,有效的圆盘上端(UE)运动的措施。 FUGL-MEYER(W/H UE FM)作为远端运动的“独立”量度;测试(ARAT)是在29名受试者中的2个单独的情况下进行的,这些受试者表现出稳定,轻度,UE偏瘫(23名男性;年龄(平均(SD))60.8(12.3)年;样品中受试者中风以来的平均时间:在每个措施上收集了30个月的30个月。会议分别为UE FM的类内相关系数为0.98,而W/H UE FM的类内相关系数为0.97。 .72 p <.0001)。需要较大的样本。
There is a need for time-efficient, valid measures of distal paretic upper extremity (UE) movement. The purposes of this study were to: (a) determine the psychometric properties of the wrist stability and mobility and hand items of the upper extremity scale of the Fugl-Meyer (w/h UE FM) as a “stand alone” measure of distal UE movement; and (b) provide detailed instructions on w/h UE FM administration and scoring. The UE FM and Action Research Arm Test (ARAT) were administered on 2 separate occasions to each of 29 subjects exhibiting stable, mild, UE hemiparesis (23 males; age (mean (sd)) 60.8 (12.3) years; mean time since stroke onset for subjects in the sample: 36.0 months). Fifty-eight observations were collected on each measure. w/h UE FM internal consistency levels (measured by Cronbach’s alpha) were high (0.90 and 0.88 for first and second testing sessions, respectively). The intraclass correlation coefficients for the UE FM was 0.98, while the intraclass correlation coefficient for the w/h UE FM was 0.97. Concurrent validity measured by Spearman’s correlation was moderately high between the w/h UE FM and ARAT (.72 p < .0001). From these data, it appears that the w/h UE FM is a promising tool to measure distal UE movement in minimally impaired stroke, although more research with a larger sample is needed. A standardized approach to UE test administration is critical to accurate score interpretation across patients and trials. Thus, the article also provides instructions and pictures for w/h UE FM administration and scoring.
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