Journal ArticleDOI
The Fugl-Meyer Assessment of Motor Recovery after Stroke: A Critical Review of Its Measurement Properties
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TLDR
Based on the available evidence, the Fugl-Meyer motor scale is recommended highly as a clinical and research tool for evaluating changes in motor impairment following stroke.Abstract:
Measurement of recovery after stroke is becoming increasingly important with the advent of new treatment options under investigation in stroke rehabilitation research. The Fugl-Meyer scale was developed as the first quantitative evaluative instrument for measuring sensorimotor stroke recovery, based on Twitchell and Brunnstrom’s concept of sequential stages of motor return in the hemiplegic stroke patient. The Fugl-Meyer is a well-designed, feasible and efficient clinical examination method that has been tested widely in the stroke population. Its primary value is the 100-point motor domain, which has received the most extensive evaluation. Excellent interrater and intrarater reliability and construct validity have been demonstrated, and preliminary evidence suggests that the Fugl-Meyer assessment is responsive to change. Limitations of the motor domain include a ceiling effect, omission of some potentially relevant items, and weighting of the arm more than the leg. Further study should test performance o...read more
Citations
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A Randomized Double-blind Placebo-controlled Trial
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Journal ArticleDOI
Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review
TL;DR: The BBS is a psychometrically sound measure of balance impairment for use in poststroke assessment, and clinicians may want to use the BBS in conjunction with other balance measures.
Journal ArticleDOI
Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke.
Grada Berendina Prange,Michiel J. A. Jannink,Catharina G.M. Groothuis-Oudshoorn,Hermanus J. Hermens,Maarten Joost IJzerman +4 more
TL;DR: It is found that robot-aided therapy of the proximal upper limb improves short- and long-term motor control of the paretic shoulder and elbow in subacute and chronic patients; however, it is found no consistent influence on functional abilities.
Journal ArticleDOI
Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): a randomised placebo-controlled trial
François Chollet,J. Tardy,Jean-François Albucher,Claire Thalamas,Emilie Bérard,Catherine Lamy,Yannick Béjot,Sandrine Deltour,Assia Jaillard,Philippe Niclot,Benoit Guillon,Thierry Moulin,Philippe Marque,Philippe Marque,Philippe Marque,Jérémie Pariente,Catherine Arnaud,Isabelle Loubinoux,Isabelle Loubinoux,Isabelle Loubinoux +19 more
TL;DR: In patients with ischaemic stroke and moderate to severe motor deficit, the early prescription of fluoxetine with physiotherapy enhanced motor recovery after 3 months.
Journal ArticleDOI
Toward Wisdom From Failure: Lessons From Neuroprotective Stroke Trials and New Therapeutic Directions
TL;DR: Key challenges and complexities in translational stroke research are reviewed by focusing on the “disconnect” in the way that neuroprotective agents have traditionally been assessed in clinical trials compared with animal models and new concepts in ischemic pathophysiology are explored.
References
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Journal Article
The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance.
TL;DR: The findings in this study substantiate the validity of ontogenetic principles as applicable to the assessment of motor behaviour in hemiplegic patients, and foocus the importance of early therapeutic measures against contractures.
Book
Adult hemiplegia: Evaluation and treatment
TL;DR: This edition of the standard reference text has been revised and updated to ensure that patients suffering from adult hemiplegia receive the most accurate evaluation and treatment.
Journal ArticleDOI
Reliability of the Fugl-Meyer Assessment of Sensorimotor Recovery Following Cerebrovascular Accident
TL;DR: Establishing the reliability of the Fugl-Meyer method of assessing recovery of function following cerebrovascular accident has increased the usefulness of this method for clinical assessment and as a tool for the comparative analysis of the effectiveness of various therapeutic interventions.
Journal ArticleDOI
The restoration of motor function following hemiplegia in man
TL;DR: There was a remarkable uniformity in the sequences of recovery of all patients, regardless of whether sensory disturbances were present and whether the dominant or nondominant hemisphere was involved; the patients progressed from one recovery phase to the next in an orderly fashion without any of the phases being omitted.
Journal ArticleDOI
Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment.
Carolyn Gowland,Paul W. Stratford,M Ward,Julie Moreland,W Torresin,S Van Hullenaar,Julie Sanford,Susan Barreca,B Vanspall,N Plews +9 more
TL;DR: This study confirms that the Chedoke-McMaster Stroke Assessment can be used with confidence as both a clinical and a research tool that can discriminate among subjects and evaluate patient outcomes.