PMID- 27086865
OWN - NLM
STAT- MEDLINE
DCOM- 20180126
LR  - 20180222
IS  - 1945-5119 (Electronic)
IS  - 1074-9357 (Linking)
VI  - 23
IP  - 4
DP  - 2016 Aug
TI  - Minimal clinically important difference of the lower-extremity fugl-meyer 
      assessment in chronic-stroke.
PG  - 233-9
LID - 10.1179/1945511915Y.0000000003 [doi]
AB  - BACKGROUND: The Minimal Clinically Important Difference (MCID), the smallest 
      difference in the treatment outcome, augments both clinical and research 
      practice. The MCID of the Fugl-Meyer assessment: Lower extremity (FMA-LE), an 
      important motor measure in stroke, is not known. OBJECTIVE: To estimate MCID 
      score of FMA-LE using an anchor-based approach in chronic poststroke hemiparetic 
      (>6 months) stroke subjects. DESIGN: A prospective, observational study. SETTING: 
      Occupational therapy department of a rehabilitation institute. PARTICIPANTS: 
      Sixty-five poststroke hemiparetic subjects (Mean age = 44.22 years, 42 men, Mean 
      poststroke duration = 16.42 months). INTERVENTION: The conventional motor therapy 
      based on neurophysiological approaches was provided for the affected lower 
      extremity (30 sessions, 45 min each, 3/week). OUTCOME MEASURES: FMA-LE, 
      Functional ambulation classification (FAC), and global rating of 
      patient-perceived changes (GRPPC). RESULT: The estimated MCID of FMA-LE was found 
      to be a score of 6 using both FAC (sensitivity 90, specificity 94) and GRPPC 
      (sensitivity 87, specificity 91). CONCLUSION: In chronic poststroke hemiparetic 
      subjects, the computed MCID of FMA-LE is a score of 6. The subjects who achieve a 
      change in a score of 6 on FMA-LE would perceive a meaningful recovery of 
      lower-extremity function than those who do not. The reference value may be 
      utilized in stroke rehabilitation.
FAU - Pandian, Shanta
AU  - Pandian S
AD  - a Pandit Deendayal Upadhyaya Institute for the Physically Handicapped , New Delhi 
      , India.
FAU - Arya, Kamal Narayan
AU  - Arya KN
AD  - a Pandit Deendayal Upadhyaya Institute for the Physically Handicapped , New Delhi 
      , India.
FAU - Kumar, Dharmendra
AU  - Kumar D
AD  - a Pandit Deendayal Upadhyaya Institute for the Physically Handicapped , New Delhi 
      , India.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20160416
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Adult
MH  - Chronic Disease
MH  - Female
MH  - Humans
MH  - Lower Extremity/*physiopathology
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Paresis/etiology/*therapy
MH  - Prospective Studies
MH  - *Severity of Illness Index
MH  - Stroke/complications/*therapy
MH  - Stroke Rehabilitation/*methods
OTO - NOTNLM
OT  - Fugl-Meyer assessment
OT  - Lower extremity
OT  - Minimal clinically important difference
OT  - Motor recovery
OT  - Stroke rehabilitation
EDAT- 2016/04/19 06:00
MHDA- 2018/01/27 06:00
CRDT- 2016/04/19 06:00
PHST- 2016/04/19 06:00 [entrez]
PHST- 2016/04/19 06:00 [pubmed]
PHST- 2018/01/27 06:00 [medline]
AID - 10.1179/1945511915Y.0000000003 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2016 Aug;23(4):233-9. doi: 10.1179/1945511915Y.0000000003. 
      Epub 2016 Apr 16.