Purpose 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. Materials and methods 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. Results 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. Conclusions The Italian version of the FMA showed to be a reliable instrument that can therefore be recommended for clinical and research purposes.

Intra- and inter-rater reliability of the Italian Fugl-Meyer assessment of upper and lower extremity / Hochleitner, Ines; Pellicciari, Leonardo; Castagnoli, Chiara; Paperini, Anita; Politi, Angela Maria; Campagnini, Silvia; Pancani, Silvia; Basagni, Benedetta; Gerli, Filippo; Carrozza, Maria Chiara; Macchi, Claudio; Alt Murphy, Margit; Cecchi, Francesca. - In: DISABILITY AND REHABILITATION. - ISSN 0963-8288. - STAMPA. - (2022), pp. 1-11. [10.1080/09638288.2022.2114553]

Intra- and inter-rater reliability of the Italian Fugl-Meyer assessment of upper and lower extremity

Pellicciari, Leonardo;Pancani, Silvia;Macchi, Claudio;Cecchi, Francesca
2022

Abstract

Purpose 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. Materials and methods 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. Results 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. Conclusions The Italian version of the FMA showed to be a reliable instrument that can therefore be recommended for clinical and research purposes.
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Hochleitner, Ines; Pellicciari, Leonardo; Castagnoli, Chiara; Paperini, Anita; Politi, Angela Maria; Campagnini, Silvia; Pancani, Silvia; Basagni, Benedetta; Gerli, Filippo; Carrozza, Maria Chiara; Macchi, Claudio; Alt Murphy, Margit; Cecchi, Francesca
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2158/1287767
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