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作者
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Fu, T., Wu, C-Y., Lin, K-C.*, Hsieh, C-J., Liu, J-S.,
& Ouyang, P.
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關鍵字
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Psychometrics, stroke, rehabilitation, outcome
assessments, motor function
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摘要
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Objective: We aimed to compare the responsiveness, concurrent and predictive
validity of the shortened Fugl-Meyer Assessment (S-FMA) and the streamlined
Wolf Motor Function Test (S-WMFT) in persons with subacute stroke.
Design: Test-retest design
Setting: Departments of Physical Medicine and Rehabilitation at three hospitals
Participants: Participants with first-time stroke (N = 51; 38 men, 13 women;
mean age + SD, 55.1 + 11.7y) based on scores of Mini Mental- State
Examination and Brunnstrom stage.
Interventions: Participants received 1 of 3 rehabilitation therapies for 3
weeks and were evaluated at baseline and end of treatment. Main Outcome
Measures: Responsiveness was examined using the paired t-test and the
standardized response mean (SRM). Criterion validity was investigated using
the Pearson’s correlation coefficient (r).
Results: Changes from baseline to end of treatment assessed by both tests
were significant (P < .001). The value for responsiveness of the S-FMA was
significantly higher than that of the S-WMFT (SRM difference, 0.48; 95%
confidence interval, 0.23-0.63). There were stronger associations between the
comparison scales and the S-FMA (r = 0.57-0.68) in comparison with the S-WMFT
(r = 0.39-0.58).
Conclusions: The S-FMA, compared with the S-WMFT, had better concurrent and
predictive validity and was more sensitive to changes caused by
rehabilitation therapies. The S-FMA is recommended for expedited assessment
of arm motor function outcome in stroke patients receiving rehabilitative
therapy.
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