PMID- 22120029
OWN - NLM
STAT- MEDLINE
DCOM- 20120320
LR  - 20161125
IS  - 1074-9357 (Print)
IS  - 1074-9357 (Linking)
VI  - 18 Suppl 1
DP  - 2011 Oct
TI  - Estimating the minimal clinically important difference of an upper extremity 
      recovery measure in subacute stroke patients.
PG  - 599-610
LID - 10.1310/tsr18s01-599 [doi]
AB  - BACKGROUND: The minimal clinically important difference (MCID) estimates of some 
      of the stroke-related measures are available; but MCID of the Fugl-Meyer 
      assessment (FMA) measure is unknown, which limits the application and 
      interpretation of change scores in poststroke patients with motor deficits. 
      OBJECTIVE: To estimate the MCID of the FMA-UE (upper extremity) using the 
      modified Rankin scale (mRS) and global rating of patient-perceived changes 
      (GRPPC) in subacute poststroke patients. METHODS: The prospective, cohort study 
      took place in the neurology department of a university hospital. Seventy-one 
      subacute poststroke (mean duration, 8.42 weeks) patients were prospectively 
      enrolled in a randomized clinical trial of the ongoing Meaningful Task Specific 
      Training (MTST). FMA-UE, mRS, and GRPPC scores were obtained at pre- and 4 weeks 
      postintervention. RESULTS: The MCID values of FMA-UE were 9 (80.39% sensitive and 
      70% specific) and 10 (97.62% sensitive and 89.66% specific) anchored to mRS and 
      GRPPC, respectively. CONCLUSIONS: The estimated MCID score for the upper 
      extremity motor recovery among patients with subacute stroke is 9 to 10 on the 
      FMA-UE. Patients with subacute stroke who achieve a score of 9 to 10 on FMA-UE 
      are more likely to experience or perceive a meaningful and clinically important 
      improvement in their disability level than those who do not. The reference value 
      can be used to develop goals and interpret progress in subacute poststroke 
      patients.
FAU - Arya, Kamal Narayan
AU  - Arya KN
AD  - Department of Neurology, CSM Medical University, Lucknow, India.
FAU - Verma, Rajesh
AU  - Verma R
FAU - Garg, R K
AU  - Garg RK
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Adult
MH  - Aged
MH  - Arm/physiology
MH  - Confidence Intervals
MH  - Data Interpretation, Statistical
MH  - Female
MH  - Humans
MH  - Likelihood Functions
MH  - Male
MH  - Middle Aged
MH  - Movement/physiology
MH  - Neuropsychological Tests
MH  - Prospective Studies
MH  - ROC Curve
MH  - Recovery of Function/*physiology
MH  - Stroke/physiopathology
MH  - *Stroke Rehabilitation
MH  - Upper Extremity/*physiology
EDAT- 2011/11/29 06:00
MHDA- 2012/03/21 06:00
CRDT- 2011/11/29 06:00
PHST- 2011/11/29 06:00 [entrez]
PHST- 2011/11/29 06:00 [pubmed]
PHST- 2012/03/21 06:00 [medline]
AID - J03617H495L57624 [pii]
AID - 10.1310/tsr18s01-599 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2011 Oct;18 Suppl 1:599-610. doi: 10.1310/tsr18s01-599.