Gladstone David J, Danells Cynthia J, Black Sandra E
Department of Medicine, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada.
Neurorehabil Neural Repair. 2002 Sep;16(3):232-40. doi: 10.1177/154596802401105171.
Measurement of recovery after stroke is becoming increasingly important with the advent of new treatment options under investigation in stroke rehabilitation research. The Fugl-Meyer scale was developed as the first quantitative evaluative instrument for measuring sensorimotor stroke recovery, based on Twitchell and Brunnstrom's concept of sequential stages of motor return in the hemiplegic stroke patient. The Fugl-Meyer is a well-designed, feasible and efficient clinical examination method that has been tested widely in the stroke population. Its primary value is the 100-point motor domain, which has received the most extensive evaluation. Excellent interrater and intrarater reliability and construct validity have been demonstrated, and preliminary evidence suggests that the Fugl-Meyer assessment is responsive to change. Limitations of the motor domain include a ceiling effect, omission of some potentially relevant items, and weighting of the arm more than the leg. Further study should test performance of this scale in specific subgroups of stroke patients and better define its criterion validity, sensitivity to change, and minimal clinically important difference. Based on the available evidence, the Fugl-Meyer motor scale is recommended highly as a clinical and research tool for evaluating changes in motor impairment following stroke.
随着中风康复研究中正在研究的新治疗方案的出现，中风后恢复情况的测量变得越来越重要。Fugl-Meyer量表是作为首个用于测量感觉运动性中风恢复情况的定量评估工具而开发的，它基于Twitchell和Brunnstrom提出的偏瘫中风患者运动恢复的连续阶段概念。Fugl-Meyer量表是一种设计良好、可行且高效的临床检查方法，已在中风患者群体中得到广泛测试。其主要价值在于100分的运动领域，该领域得到了最广泛的评估。已证明其具有出色的评分者间和评分者内信度以及结构效度，初步证据表明Fugl-Meyer评估对变化有反应。运动领域的局限性包括天花板效应、遗漏一些可能相关的项目以及对上肢的加权超过下肢。进一步的研究应测试该量表在特定中风患者亚组中的表现，并更好地确定其效标效度、对变化的敏感性以及最小临床重要差异。基于现有证据，强烈推荐Fugl-Meyer运动量表作为评估中风后运动功能障碍变化的临床和研究工具。
