Mas motor assessment scale clinical evaluation method. The motor assessment scale resources web site is now live. Fuglmeyer assessment of sensorimotor function after. A commonly used assessment tool is the upperextremity fugl meyer assessment. Rehabilitation medicine, university of gothenburg approved by fugl meyer ar 2010 1 fugl meyer assessment id. The validity of hierarchal scoring for the motor assessment scale rebekah l. Malouin f, pichard l, bonneau c, durand a and corriveau d 1994.
Fuglmeyer assessment of motor recovery after stroke. The main finding from examination of these studies is that the high correlations found, all above 0. Fugl meyer assessment of motor recovery after stroke. Rasch analysis of a new hierarchical scoring system for. This scale was first proposed by axel fugl meyer and his colleagues as a standardized assessment test for poststroke recovery in their paper titled the poststroke hemiplegic patient. The maximum possible score in fuglmeyer scale is 226, which corresponds to full sensorymotor recovery. Pdf the responsiveness and correlation between fuglmeyer. Reliability, concurrent validity, and responsiveness of. Archives of physical medicine and rehabilitation 75. The upperextremity portion of the fugl meyer motor assessment scale fma fugl meyer et al. Meyer assessment fma and the motor assessment scale. We used the fugl meyer physical performance scale to make a comprehensive assessment of physical function in stroke patients, including rom, pain, balance, sensory and motor function. The 50item fugl meyer motor scale fm is commonly used in outcome studies.
Among the five fma domains, the motor domain is most widely used and has the primary value of monitoring motor recovery after stroke. For the general tonus item, the score is based on continuous observations throughout the assessment. Research article assessment of the upper limb in acute stroke. Fuglmeyer ar, jaasko l, leyman i, olsson s, steglind s. Coordinationspeed, supine, after one trial with both legs, blind folded, heel to knee cap of the opposite leg, 5 times as fast as possible. Reliability of the fugl meyer assessment for testing motor performance in patients following stroke key words. The fuglmeyer assessment of motor recovery after stroke.
The fugl meyer upper extremity scale description thefuglmeyerupperextremityfmuescale1 isawidelyused and highly recommended strokespeci. The severity of ue weakness at onset and the timing of the return of movement in the hand are important predictors of eventual motor recovery. Fuglmeyer assessment of sensorimotor impairment springerlink. 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. Fuglmeyer assessment, motor performance, reliability, stroke, background and purpose. This study investigated the correlation and responsiveness of fugl meyer assessment fma, motor status scale mss, action research arm test arat and the modified ashworth scale mas, which are used frequently in effectiveness studies of robotic upperextremity training in stroke rehabilitation. Fm scale is valid and reliable due to a large number of items describing evolution of motor function after stroke 1114.
Psychometric comparisons of 2 versions of the fugl meyer motor scale and 2 versions of the stroke rehabilitation assessment of. One of the most widely used quantitative measures of motor impairment gladstone et al, 2002 total of 5 domains. Shepherd school of physiotherapy faculty of health sciences the university of sydney originally published in physical therapy 65, 2, 175180. We aimed to develop a short form of the fm the sfm with sound psychometric properties for stroke patients. See more ideas about assessment tools, occupational therapy, assessment. Psychometric comparisons of 2 versions of the fugl meyer motor scale and 2 versions of the stroke rehabilitation assessment of movement iping hsueh, ma, miaoju hsu, phd, chingfan sheu, phd, su lee, ms. An eightitem measurement tool used to assess motor function and physical mobility after a stroke. This study compared the measurements of the motor assessment scale mas to that of the fugl meyer assessment fma, a reliable and valid test for motor function in stroke patients. The reliability of the wolf motor function test for assessing upper extremity function after stroke. The motor assessment scale mas is a performancebased scale that assesses everyday motor function in patients with stroke carr et al. Fma abbreviation stands for fugl meyer motor assessment. 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. Apta combined sections meeting 2008 incorporating valid and. A standardized approach to the fuglmeyer assessment and.
Fugl meyer assessment of sensorimotor recovery after stroke fma evaluation summary what does the tool measure. The assessments were the fugl meyer assessment scale for stroke patients. Fuglmeyer assessment of sensorimotor recovery after. We developed the fuglmeyer assessment fma tool using kinect. The range of active shoulder flexion, the fugl meyer motor assessment and the motor assessment scale were measured at each visit. However, the lengthy administration time of the fm keeps it from being widely accepted for routine clinical use. Patients with poststroke hemiplegia is this a screening or assessment tool. Fuglmeyer assessment of sensorimotor function resource. Are the hierarchical properties of the fuglmeyer assessment.
Fugl meyer assessment of sensorimotor recovery after stroke fma functional ambulation categories fac functional independence measure fim gaitrite. Improving the utility of the brunnstrom recovery stages in. Fuglmeyer upper extremity assessment bilateral arm. Combined transcranial direct current stimulation and robotic. Assessment time to administer continue reading evaluation summary fma. The wt is ideal for assessing bilateral arm movements because. Evaluates and measures recovery in poststroke hemiplegic patients. The modified ashworth scale mas, the fugl meyer assessment scale fma and the modified barthel index mbi were used to evaluate the knee extensors state, lower limb motor function and.
This study investigated the correlation and responsiveness of fuglmeyer assessment fma, motor status scale mss, action research arm. Coordinationspeed, supine, after one trial with both legs, eyes closed, heel to knee cap of the opposite leg, 5 times as fast as possible marked slight none. It is designed to assess five domains in patients with poststroke hemiplegia consisting. Comprehensive assessment of physical function in stroke. At baseline the initial fuglmeyer motor scores accounted for only half the variance in 6. Woodbury, phd, otrl2 1rehabilitation outcomes research center and brain rehabilitation research center, malcom randall department of. When evaluating the level of impairment of stroke patients, we cannot clarify their problems only by the assessment of motor function. Care was taken to crossvalidate our version to a recent source 22 so that the intent of the original fugl meyer ue and le motor assessment is reflected. Request pdf estimating fugl meyer upper extremity motor score from functionalconnectivity measures fugl meyer assessment is an accepted method of evaluating motor function for people with. It is applied clinically and in research to determine disease severity, describe motor recovery, and to plan and assess treatment. Pdf upper extremity functional evaluation by fuglmeyer. Background and purposethe fugl meyer assessment motor scale, postural assessment scale for stroke patients, and barthel index are widely used to assess patients upper extremity and lower extremity motor function, balance, and basic activities of daily living after stroke, respectively. The fugl meyer assessment was first presented in 1975 as a method for evaluation of physical performance following stroke1. Jul 01, 2016 the fugl meyer assessment fma is a comprehensive measurement tool for motor function after stroke.
The fugl meyer assessment fma is a strokespecific, performancebased impairment index. Transcranial magnetic stimulation combined with upperlimb. A detailed scoring and training method for the fugl meyer motor assessment fma is described and assessed, and implications for clinical trials considered. This tool can give the healthcare provider a sense of the potential for recovery of the ue lee et al. Approved by fuglmeyer ar 2010 1 fuglmeyer assessment id. Motor assessment scale definition of motor assessment scale. This article describes the method and result of an authorized german translation of the motor assessment scale mas a measurement tool to scale motor function after stroke.
Motor assessment for stroke scale amended version 1994 j. Wolf motor function test bilateral arm trainingpoststroke. The upperextremity ue and lowerextremity le sections excluding balance of the motor function domain of the fugl meyer fm assessment scale a construct referred to here as the fm motor scale are recognized as a robust part of the scale for use with people after stroke. Current evidencebased practice for motor rehabilitation after stroke is influenced by taskoriented approaches that aim to improve overall function related to balance, gross mobility, and use of the paretic limbs. Cen and dorian k rose and julie hershberg and anita. Canadian neurological scale clock drawing test frenchay aphasia screening test fugl meyer 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 action research arm test barthel index. The fugl meyer upper extremity assessment fma is a strokespecific and performancebased impairment index. Apta combined sections meeting 2008 incorporating valid and reliable outcome measures into care for patients with stroke. Rehabilitation medicine, university of gothenburg approved by fugl meyer ar 2010 2 f. Motor function, sensation, balance, joint range of motion and joint pain. Hierarchical properties of the motor function sections of the fugl meyer assessment scale for people after stroke.
Motor assessment scale scores as a measure of rehabilitation. In the appendices, we provide the data collection tool and procedures for implementation and scoring of the total fm motor and sensory scale used in the leaps trial. Data, including patient characteristics and motor assessment scale mas scores, were collected through a retrospective audit of all patients diagnosed as having a cva and discharged from the unit during 1989. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with poststroke hemiplegia. An example using fugl meyer assessment upper extremity with patients following stroke craig a. Thirtytwo patients 20 men, 12 women with a mean age of 60 years, and a mean time since stroke of 64. Telebased assessments by therapists using videoarepossible butmay necessitate scheduling anappointmentwith the therapist andwould involveadditionalcost. The pulpose of thb study was to establish the inter rater reliability of assessments made with the fugl meyer evaluation of physical.
Approved by fuglmeyer ar 2010 1 updated 20150311 fuglmeyer assessment id. The mas is widely known in english speaking countries and is used as an outcome measure in clinical trials. Clinical study of combined mirror and extracorporeal shock. Refining 3 measures to construct an efficient functional. Fuglmeyer assessment of motor recovery after stroke physiopedia. Reliability of the fuglmeyer assessment for testing motor.
It is designed to assess motor functioning, balance, sensation and joint functioning in patients with poststroke hemiplegia12. Comparison of responsiveness of the fuglmeyer assessment and. The fugl meyer upper extremity scale is a highly recommended and widely used stroke specific measure to assess the upper limb function in motor improvement in barbara, 2016. Fuglmeyer assessment of sensorimotor function wikipedia. Wei, 2011 twenty seven stroke participants with moderate motor impairment in their affected upper extremity, an average of 4. Psychometric properties of the lower extremity subscale of. The fm motor assessment is used to measure voluntary limb movement. The effect of mirror therapy on functional recovery of upper.
Fuglmeyer assessment clinical neuroscience, university. What is the abbreviation for fugl meyer motor assessment. Translating measurement findings into rehabilitation. Motor recovery and spasticity were measured using fugl meyer assessment and modified ashworth scale. Each subject had a varied response to the measurement and intervention phases. Fugl meyer ar, jaasko l, leyman i, olsson s, steglind s. We demonstrate how a keyform recovery map can be used to inform clinical treatment planning for individuals with strokerelated upperlimb motor impairment. Psychometric comparisons of 2 versions of the fuglmeyer. Commonly used assessment tools for the various for frame of reference assessments allen cognitive model acl the allen battery is the combination of all items designed for use with the allen cognitive levels.
Robotic mirror therapy system for functional recovery of hemiplegic arms jaewon beom 1,2, sukgyu koh 3, hyung seok nam 1, wonshik kim 3, yoonjae kim 3, han gil seo 4, byungmo oh 4,5, sun gun chung 4,5, sungwan kim 1,6. This scale was first proposed by axel fugl meyer and his colleagues as a standardized assessment test for poststroke recovery in their paper titled. The differences in the fugl meyer assessment and modified ashworth scale scores in group c were significantly greater than those of group d at all observed time points after treatment and were significantly greater than those of groups a and. The fuglmeyer test fmtwas the most com monly used measure. Fugl meyer assessment fma scale is an index to assess the sensorimotor impairment in individuals who have had stroke.
The motor function section of the fugl meyer assessment scale fm motor scale is a robust scale of motor ability in people after stroke, with high predictive validity for outcome. Development and validation of a short form of the fuglmeyer. Translating measurement findings into rehabilitation practice. Fugl meyer 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. Improving the utility of the brunnstrom recovery stages in patients with stroke. Researcharticle upperextremityfunctionalevaluationby. Psychometric comparisons of 2 versions of the fugl meyer motor scale and 2 versions of the stroke rehabilitation assessment of movement iping hsueh, ma. Standardizing scoring reduces variability and increases accuracy. Frame of reference and assessments used pass the ot.
Upper extremity functional evaluation by fuglmeyer. Fuglmeyer balance scale how is fuglmeyer balance scale. Occupational therapy interventions for adults with stroke. The effect of the gentles robotmediated therapy system. Action research arm test some proximal ul voluntary activity indicated by a score of 3 or higher on the ul item of the motor assessment scale 14. The mas is based on a taskoriented approach to evaluation that assesses performance of functional tasks rather than isolated patterns continue reading motor assessment. Archives of physical medicine and rehabilitation, 75, nov, 12061212. The proposed motor learning model stresses the need for task and context specific training of everyday actions. The minimal clinically important difference of fuglmeyer assessment scale is 6 for lower limb in chronic stroke 6 and 910 for upper limb in subacute stroke. Comparison of the fuglmeyer assessment and the motor assessment scale. A standardized fma scoring approach and training materials were assembled, including a manual, scoring sheets, and instructional video plus patient videos. Motor assessment scale article about motor assessment scale. The responsiveness and correlation between fuglmeyer.
Fuglmeyer assessment fma scale is an index to assess the sensorimotor impairment in individuals who have had stroke. General health questionnaire 28 ghq28 geriatric depression scale gds glasgow coma scale gcs hospital anxiety and depression scale hads jebsen hand function test jhft kettle test kt. The fma version used in the present study, was a 212point multiitem scale, which was divided into 4 domains. Robotic mirror therapy system for functional recovery of. Among them, fugl meyer fm scale 10 is most commonly used. Estimating fuglmeyer upper extremity motor score from. A reproducible testretest reduction in work area was found when participants.
Pdf fuglmeyer assessment of sensorimotor function after. Transcranial magnetic stimulation combined with upperlimb training for improving function after stroke. It is a taskoriented approach to evaluation that assesses performance of functional tasks rather than isolated patterns of movement malouin et al. A standardized approach to the fuglmeyer assessment and its implications for clinical trials article in neurorehabilitation and neural repair 278 june 20 with 355 reads how we measure reads. Apta combined sections meeting 2008 incorporating valid. Scoring is based on direct observation of performance. A keyform map of poststroke upperlimb recovery defined by items of the fugl meyer assessment upper extremity fmaue was generated by a previously published rasch analysis. Since the scale is designed to score best performance, the therapist should give. However, these 3 measures 72 items require a great. Thirteen of 33 items were selected for upper extremity motor fma. Comparison of the fuglmeyer assessment and the motor.