Fugl-Meyer et al developed a protocol for physical and functional assessment of a hemiplegic patient following a stroke. The examination is divided into various sections, with each subscore tallied when completed. The authors are from the University of Goteborg in Sweden.
|
Subscore |
Description |
Maximum Score |
|
A |
shoulder, elbow, forearm |
36 |
|
B |
wrist |
10 |
|
C |
hand |
14 |
|
D |
upper extremity coordination and speed |
6 |
|
E |
hip, knee, ankle |
28 (see below) |
|
F |
lower extremity coordination and speed |
6 (see below) |
|
G |
balance |
14 |
|
H |
sensation |
24 |
|
J |
joint range of motion (ROM) |
44 |
|
J |
joint pain |
44 |
where:
• There is no item I listed in the text.
Interpretation:
• minimum score for upper extremity (A to D): 0
• maximum score for upper extremity: 66
• minimum score for lower extremity (E and F): 0
• maximum score for lower extremity: 34
• minimum score for upper and lower extremities: 0
• maximum score for upper and lower extremities: 100
• minimum score for items G to J: 0
• maximum score for items G to J: 126
Alternative interpretations of paper:
(1) Item E.V. is listed as having a maximum 4 points in the text. (vs the 2 used).
(2) Item F may have a maximum score of 4 (vs the 6 used)
(3) The maximum subscore for the lower extremity is given in text as 34. If the maximum for E.V. is 4 and item F is 6 then the maximum subscore would be 36. This would mean that the maximum total for upper and lower extremity of 102 rather than the 100 in the text.
Purpose: To determine the total score of a post-stroke hemiplegic patient for the protocol developed by Fugl-Meyer.
Specialty: Sports Medicine & Rehabilitation, Neurology
Objective: severity, prognosis, stage, disability and performance
ICD-10: G81, I61, I62, I63, I64,
