How Do Fugl-Meyer Arm Motor Scores Relate to Dexterity According to the Action Research Arm Test at 6 Months Poststroke?

Maurits H. Hoonhorst*, Rinske H. Nijland, Jan S. van den Berg, Cornelis H. Emmelot, Boudewijn J. Kollen, Gert Kwakkel

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

42 Citations (Scopus)

Abstract

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 0-10); scores of 23 through 31 represent poor capacity (ARAT 11-21); scores of 32 through 47 represent limited capacity (ARAT 22-42); scores of 48 through 52 represent notable capacity (ARAT 43-54); and scores of 53 through 66 represent full upper-limb capacity (ARAT 55-57). Overall, areas under the curve ranged from .916 (95% confidence interval [CI], .890-.943) to .988 (95% CI, .978-.998; P

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, 31 correspond to limited to full arm-hand capacity (ie, >= 22 points) on the ARAT. (C) 2015 by the American Congress of Rehabilitation Medicine

Original languageEnglish
Pages (from-to)1845-1849
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number10
DOIs
Publication statusPublished - Oct-2015

Keywords

  • Rehabilitation
  • Stroke
  • Upper extremity
  • UPPER-LIMB RECOVERY
  • UPPER-EXTREMITY
  • STROKE REHABILITATION
  • RANDOMIZED-TRIAL
  • RELIABILITY
  • PERFORMANCE
  • MOVEMENT
  • VALIDITY
  • THERAPY
  • SCALE

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