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Titre : | How Do Fugl-Meyer Arm Motor Scores Relate to Dexterity According to the Action Research Arm Test at 6 Months Poststroke? (2015) |
Auteurs : | Maurits H. Hoonhorst ; Rinske H. Nijland ; Jan S. van den Berg |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/10, 2015) |
Article en page(s) : | pp. 18451849 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Rééducation et réadaptation |
Mots-clés: | Stroke ; Upper extremity |
Résumé : |
Objective To determine the optimal cutoff scores for the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) with regard to predicting no, poor, limited, notable, or full upper-limb capacity according to frequently used cutoff points for the Action Research Arm Test (ARAT) at 6 months poststroke. Design Prospective. Setting Rehabilitation center. Participants Patients (N=460) with a first-ever ischemic stroke at 6 months poststroke. Interventions Not applicable. Main Outcome Measures Based on the ARAT classification of poor to full upper-limb capacity, receiver operating characteristic curves were used to calculate the area under the curve, optimal cutoff points for the FMA-UE were determined, and a weighted kappa was used to assess the agreement. Results FMA-UE scores of 0 through 22 represent no upper-limb capacity (ARAT 010); scores of 23 through 31 represent poor capacity (ARAT 1121); scores of 32 through 47 represent limited capacity (ARAT 2242); scores of 48 through 52 represent notable capacity (ARAT 4354); and scores of 53 through 66 represent full upper-limb capacity (ARAT 5557). Overall, areas under the curve ranged from .916 (95% confidence interval [CI], .890.943) to .988 (95% CI, .978.998; P<.001> Conclusions There is considerable overlap in the area under the curve between the ARAT and FMA-UE. FMA-UE scores >31 points correspond to no to poor arm-hand capacity (ie, ≤21 points) on the ARAT, whereas FMA-UE scores >31 correspond to limited to full arm-hand capacity (ie, ≥22 points) on the ARAT. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931500489X |