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, including examination of sensation. The authors are from the University of Goteborg in Sweden.
Sensory examination:
(1) light touch over the arm
(2) light touch over the palm
(3) light touch over leg
(4) light touch over plantar surface of foot
(5) position sense of shoulder
(6) position sense of elbow
(7) position sense of wrist
(8) position sense of thumb
(9) position sense of hip
(10) position sense of knee
(11) position sense of ankle
(12) position sense of toes
Performance is compared between the affected and unaffected side.
|
Parameter |
Finding |
Points |
|
light touch |
no perception (anesthesia) |
0 |
|
|
hypaesthesia or dysaesthesia |
1 |
|
|
normal |
2 |
|
Parameter |
Finding |
Points |
|
position sense |
absent |
0 |
|
|
less than unaffected side |
1 |
|
|
normal (similar to unaffected side) |
2 |
subscore for the light touch =
= SUM(points for all 4 assessments)
subscore for the position sense =
= SUM(points for all 8 assessments)
total subscore for sensation =
= SUM(points for all 12 assessments)
Interpretation:
• minimum score: 0
• maximum score: 24 (normal)
Purpose: To examine the ability of a post-stroke hemiplegic patient to detect sensory input as part of 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,
