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Protocol for Assessment of Post Stroke Hemiplegic Patient: Passive Joint Motion (J)

Purpose: To examine the passive range of joint motion of a post-stroke hemiplegic patient as part of the protocol developed by Fugl-Meyer.

Description

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 passive joint motion. The authors are from the University of Goteborg in Sweden.


 

Passive joint motion evaluation:

(1) shoulder flexion

(2) shoulder abduction to 90°

(3) shoulder outward rotation

(4) shoulder inward rotation

(5) elbow flexion

(6) elbow extension

(7) forearm pronation

(8) forearm supination

(9) wrist flexion

(10) wrist extension

(11) finger flexion

(12) finger extension

(13) hip flexion

(14) hip abduction

(15) hip outward rotation

(16) hip inward rotation

(17) knee flexion

(18) knee extension

(19) ankle dorsiflexion

(20) ankle plantar flexion

(21) pronation

(22) supination

 

Performance is compared between the affected and unaffected side.

 

Parameter

Finding

Points

passive joint range of motion (ROM)

none or only a few degrees

0

 

decreased

1

 

normal

2

 

total subscore for the passive joint ROM =

= SUM(points for all 22 assessments)

 

Interpretation:

• minimum score: 0

• maximum score: 44 (normal)

 


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Specialty

Objective

ICD-10