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 joint pain. 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.




joint pain

pronounced pain during joint movements, very marked pain at the end of the range of motion



some pain



no pain



total subscore for joint pain =

= SUM(points for all 22 assessments)



• minimum score: 0

• maximum score: 44 (normal)


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