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Intra- and inter-rater reliability of the Italian Fugl-Meyer assessment of upper and lower extremity.
- Source :
-
Disability & Rehabilitation . Sep2023, Vol. 45 Issue 18, p2989-2999. 11p. - Publication Year :
- 2023
-
Abstract
- To assess the intra- and inter-rater reliability motor and sensory functioning, balance, joint range of motion and joint pain subscales of the Italian Fugl-Meyer Assessment (FMA) Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE) at the item- subtotal- and total-level in patients with sub-acute stroke. The FMA was administered to 60 patients with sub-acute stroke (mean age ± SD = 75.4 ± 10.7 years; 58.3% men) and independently rated by two physiotherapists on two consecutive days. Intra- and inter-reliability was studied by a rank-based statistical method for paired ordinal data to detect any systematic or random disagreement. The item-level intra- and inter-rater reliability was satisfactory (>70%). Reliability level >70% was achieved at subscale and total score level when one- or two-points difference was considered. Systematic disagreements were reported for five items of the FMA-UE, but not for FMA-LE. The Italian version of the FMA showed to be a reliable instrument that can therefore be recommended for clinical and research purposes. The FMA is the gold standard for assessing stroke patients' sensorimotor impairment worldwide. The Italian Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE) is substantially reliable within and between two raters at the item, subtotal, and total score level in patients with sub-acute stroke. The use of FMA in the Italian context will provide an opportunity for international comparisons and research collaborations. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LEG physiology
*ARM physiology
*EXPERIMENTAL design
*SENSORIMOTOR integration
*PHYSICAL therapy services
*CONFIDENCE intervals
*RESEARCH methodology evaluation
*RESEARCH methodology
*PHYSICAL therapy
*HEALTH outcome assessment
*MEDICAL care
*INTER-observer reliability
*PSYCHOMETRICS
*STROKE rehabilitation
*STROKE patients
*RESEARCH funding
*DESCRIPTIVE statistics
*REHABILITATION
*EVALUATION
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 45
- Issue :
- 18
- Database :
- Academic Search Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 170023023
- Full Text :
- https://doi.org/10.1080/09638288.2022.2114553