Fugl-Meyer Assessment for upper extremity in stroke: A pyschometric systematic review.

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2025-06-17 DOI:10.1016/j.jht.2025.04.004

Pablo de Blas-Zamorano, Pedro Montagut-Martínez, David Pérez-Cruzado, Jose-Antonio Merchan-Baeza

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引用次数: 0

Abstract

Background: Stroke is a very common pathology, with a high prevalence of impairment of the sensorimotor function of the upper limb. There are many scales that assess this variable. Fugl-Meyer Assessment is one of the most widely used, but there are many versions of this scale to assess this construct.

Purpose: To identify, critically appraise, and summarize the different Fugl-Meyer Assessment (FMA) versions to recognize which is better to measure upper-extremity sensorimotor function in stroke patients.

Study design: A psychometric systematic review was carried out in this research.

Methods: An exhaustive search was conducted during June and July 2023 in the following databases: Pubmed, Web of Science (WoS), Open Grey, Scielo, Cochrane, Dialnet, and LILACS. By the most updated consensus-based standards fot the selection of health status Measurement INstruments methodology (COSMIN) and preferred reporting items for systematic reviews and meta-analyses (PRISMA) statements for a systematic review of the measurement properties of existing patient-reported outcome measures to select the most appropriate outcome measurement instrument. The protocol of this systematic review was registered in Open Science Framework (https://osf.io/dy54p/).

Results: About 22 versions of the FMA were identified in 36 studies. The Upper Extremity subscale of the Fugl-Meyer Assessment (FMA-UE) was the version most frequently analyzed (n = 13) among the included articles.

Conclusions: Fugl-Meyer Assessment (Full version, 50 items, FMA) was the questionnaire version with the most evaluated psychometric characteristics and most translations, with the better score regarding the quality of evidence, which indicates that is the recommended FMA version to assess upper-extremity sensorimotor function in stroke patients.

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中风患者上肢的Fugl-Meyer评估：一项心理测量学系统综述。

背景：中风是一种非常常见的病理，上肢感觉运动功能损伤的患病率很高。有很多量表来评估这个变量。Fugl-Meyer量表是最广泛使用的量表之一，但有许多版本的量表来评估这个结构。目的：识别、批判性评价和总结不同的Fugl-Meyer评估（FMA）版本，以识别哪种版本更适合测量脑卒中患者的上肢感觉运动功能。研究设计：本研究采用心理测量系统评价。方法：于2023年6月至7月在Pubmed、Web of Science （WoS）、Open Grey、Scielo、Cochrane、Dialnet和LILACS数据库中进行全面检索。根据最新的基于共识的健康状况测量工具选择标准（COSMIN）和首选报告项目进行系统评价和荟萃分析（PRISMA），对现有患者报告的结果测量方法的测量特性进行系统评价，以选择最合适的结果测量工具。本系统综述的方案已在Open Science Framework （https://osf.io/dy54p/）注册。结果：36项研究共鉴定出22个版本的FMA。Fugl-Meyer评估（FMA-UE）的上肢分量表是纳入文章中最常分析的版本（n = 13）。结论：Fugl-Meyer量表（完整版，50项，FMA）是评估心理测量特征最多、翻译最多的问卷版本，证据质量得分较高，是评估脑卒中患者上肢感觉运动功能的推荐FMA版本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.