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Fugl-Meyer Assessment
Availability

This instrument is freely available: Fugl-Meyer Assessment

Classification
Supplemental-Highly Recommended: Stroke
Exploratory: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage (SAH)
Short Description of Instrument

This is a post-stroke assessment of motor function.
 

Five domains assessed:

Motor function: Upper and lower extremities

Sensory function

Balance - standing and sitting, sensation

Joint range of motion

Joint pain

Comments/Special Instructions
Time to administer : 30–45 minutes
 
Administration mode: paper/pencil
Scoring and Psychometric Properties
Scoring:
Items are scored on a 3-point ordinal scale with a maximum score of 226 points:
0: cannot perform
1: performs partially
2: performs fully
MCID = 4.5 – 7.0 points
 
Psychometric Properties:
The overall reliability is high (overall intraclass correlation coefficient=.96), and the intraclass correlation coefficients for the subsections of the assessment vary from .61 for pain to .97 for the upper extremity.
References
Alt Murphy M, Resteghini C, Feys P, Lamers I. An overview of systematic reviews on upper extremity outcome measures after stroke. BMC Neurol. 2015 Mar 11;15:29. doi: 10.1186/s12883-015-0292-6.
 
Bushnell C, Bettger J, Cockroft K, Cramer S, Edelen M, Hanley D, Katzan I, Mattke S, Nilsen D, Piquado T, Skidmore E, Wing K, Yenokyan G. Chronic Stroke Outcome Measures for Motor Function Intervention Trials: Expert Panel Recommendations. Circ Cardiovasc Qual Outcomes. 2015 October; 8(6 Suppl 3): S163-S169. doi: 10.1161/CIRCOUTCOMES. 115.002098.
 
Duncan PW, Goldstein LB, Horner RD, Landsman PB, Samsa GP, Matchar DB. Similar motor recovery of upper and lower extremities after stroke. Stroke. 1994;25(6):1181–1188.
 
Fugl-Meyer AR. Post-stroke hemiplegia assessment of physical properties. Scand J Rehabil Med Suppl. 1980;7:85–93.
 
Fugl-Meyer AR, J??skÖ L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13–31.
 
Gladstone DJ, Danells CJ, Black SE. The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair. 2002;16(3):232–240.
 
Kwakkel G, Lannin NA, Borschmann K, English C, Ali M, Churilov L, Saposnik G, Winstein C, van Wegen EE, Wolf SL, Krakauer JW, Bernhardt J. Standardized measurement of sensorimotor recovery in stroke trials: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable.Int J Stroke. 2017 Jul;12(5):451-461. doi: 10.1177/1747493017711813.
 
Page SJ, Fulk GD, Boyne P. Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Phys Ther. 2012;92(6):791–798.
 
See J, Dodakian L, Chou C, Chan V, McKenzie A, Reinkensmeyer DJ, Cramer SC. A standardized approach to the Fugl-Meyer assessment and its implications for clinical trials. Neurorehabil Neural Repair. 2013 Oct;27(8):732-41. doi: 10.1177/1545968313491000. Epub 2013 Jun 17. PubMed PMID: 23774125.