Article

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<.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, 31
correspond to limited to full arm-hand capacity (ie, >/=22 points) on the ARAT.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS