| Fugl-Meyer assessment of sensorimotor function after stroke: standardized training procedure for clinical practice and clinical trials. | |
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MedLine Citation:
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PMID: 21164120 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Outcome measurement fidelity within and between sites of multi-site, randomized, clinical trials is an essential element to meaningful trial outcomes. As important are the methods developed for randomized, clinical trials that can have practical utility for clinical practice. A standardized measurement method and rater training program were developed for the total Fugl-Meyer motor and sensory assessments; inter-rater reliability was used to test program effectiveness. METHODS: Fifteen individuals with hemiparetic stroke, 17 trained physical therapists across 5 regional clinical sites, and an expert rater participated in an inter-rater reliability study of the Fugl-Meyer motor (total, upper extremity, and lower extremity subscores) and sensory (total, light touch, and proprioception subscores) assessments. RESULTS: Intra-rater reliability for the expert rater was high for the motor and sensory scores (range, 0.95-1.0). Inter-rater agreement (intraclass correlation coefficient, 2, 1) between expert and therapist raters was high for the motor scores (total, 0.98; upper extremity, 0.99; lower extremity, 0.91) and sensory scores (total, 0.93; light touch, 0.87; proprioception, 0.96). CONCLUSIONS: Standardized measurement methods and training of therapist assessors for a multi-site, rehabilitation, randomized, clinical trial resulted in high inter-rater reliability for the Fugl-Meyer motor and sensory assessments. Poststroke sensorimotor impairment severity can be reliably assessed for clinical practice or rehabilitation research with these methods. |
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Authors:
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Katherine J Sullivan; Julie K Tilson; Steven Y Cen; Dorian K Rose; Julie Hershberg; Anita Correa; Joann Gallichio; Molly McLeod; Craig Moore; Samuel S Wu; Pamela W Duncan |
Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural Date: 2010-12-16 |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 42 ISSN: 1524-4628 ISO Abbreviation: Stroke Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-25 Completed Date: 2011-03-02 Revised Date: 2011-07-18 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: United States |
Other Details:
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Languages: eng Pagination: 427-32 Citation Subset: IM |
Affiliation:
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University of Southern California, Los Angeles, CA 90089, USA. kasulliv@usc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Humans Male Middle Aged Physical Therapy Modalities / standards* Prospective Studies Psychomotor Performance / physiology* Recovery of Function / physiology* Single-Blind Method Stroke / physiopathology*, therapy* Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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R01 NS050506/NS/NINDS NIH HHS |
| Comments/Corrections | |
Comment In:
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Stroke. 2011 Jun;42(6):e402
[PMID:
21527763
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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