PMID- 27062881
OWN - NLM
STAT- MEDLINE
DCOM- 20180302
LR  - 20181202
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 39
IP  - 9
DP  - 2017 May
TI  - The Fugl-Meyer assessment of the upper extremity: reliability, responsiveness and 
      validity of the Danish version.
PG  - 934-939
LID - 10.3109/09638288.2016.1163422 [doi]
AB  - OBJECTIVE: To translate the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) 
      into Danish and to establish the inter-tester reliability, responsiveness, 
      Minimal Clinically Important Difference (MCID) and concurrent validity of the 
      FMA-UE in a population of stroke patients. METHOD: The translation was conducted 
      in accordance with the principles outlined by the ISPOR Task Force for 
      Translation and Cultural Adaption. Inter-rater reliability was assessed at 
      baseline. Each patient was tested by two examiners and inter class correlation 
      (ICC) was calculated. Responsiveness was assessed using receiver operating 
      characteristic (ROC) curve statistics. The FMA-UE change score was used to assess 
      sensitivity and specificity and to correctly determine which patients had 
      improved. The MCID and the area under the curve (AUC) were established using the 
      ROC. The FMA-UE's concurrent validity with the Motor Assessment Scale was 
      determined using Spearman's rank correlation. SETTING: The study took place at 
      Skive Neurorehabilition, Denmark from May 2014 to February 2015. PARTICIPANTS: 
      Inpatients, who were in the acute to sub-acute stage of stroke and aged > 18 
      years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: The FMA-UE. RESULTS: 
      In 50 inpatients the ICC was 0.95, AUC was 0.87, with a sensitivity of 77%, a 
      specificity of 89% and an MCID >/= 4. Concurrent validity was high, with 
      r = 0.94-0.95. CONCLUSION: The FMA-UE was successfully translated into Danish. An 
      MCID >/= 4 was found. This study provides evidence that the FMA-UE is a reliable, 
      responsive and valid instrument for measuring upper limb impairment after stroke. 
      Implications for rehabilitation One of the most widely recognized measures of 
      upper extremity motor impairment post-stroke is the Fugl-Meyer Assessment of the 
      Upper Extremity (FMA-UE). The psychometric properties of a measurement depends on 
      the population and setting in which it is used. In this study, the FMA-UE is 
      translated into Danish and the psychometric properties of FMA-UE is determined in 
      a Danish population of patients with stroke. The FMA-UE is now available to use 
      for clinicians in Denmark.
FAU - Lundquist, Camilla Biering
AU  - Lundquist CB
AD  - a Department of Development , Hammel Neurorehabilitation Centre , Voldbyvej 15 , 
      Hammel , Denmark.
FAU - Maribo, Thomas
AU  - Maribo T
AD  - b Department of Public Health , Section of Social Medicine and Rehabilitation, 
      Rehabilitation Center Marselisborg, Aarhus University , Denmark.
AD  - c Public Health and Quality Improvement, Central Denmark Region , Aarhus , 
      Denmark.
LA  - eng
PT  - Journal Article
DEP - 20160410
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Aged
MH  - Denmark
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Psychometrics
MH  - *Recovery of Function
MH  - Reproducibility of Results
MH  - *Stroke Rehabilitation
MH  - Translations
MH  - *Upper Extremity
OTO - NOTNLM
OT  - Danish
OT  - Fugl-Meyer assessment upper extremity
OT  - outcome assessment
OT  - reliability
OT  - stroke
OT  - validity
EDAT- 2016/04/12 06:00
MHDA- 2018/03/03 06:00
CRDT- 2016/04/12 06:00
PHST- 2016/04/12 06:00 [pubmed]
PHST- 2018/03/03 06:00 [medline]
PHST- 2016/04/12 06:00 [entrez]
AID - 10.3109/09638288.2016.1163422 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2017 May;39(9):934-939. doi: 10.3109/09638288.2016.1163422. Epub 
      2016 Apr 10.