Level of upper extremity function using the fugl-meyer upper extremity assessment tool among hemiplegic stroke patients

Date of Completion

2007

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Stroke, Upper Extremity, Physical Therapy

Abstract

The researchers conducted this study to identify the levels of upper extremity function in hemiplegic stroke patients using the Fugl-Meyer Assessment (FMA). The Fungl-Meyer assessment (FMA), which consists of 155 item, is an impairment measure. The Fugl-Meyer Assessment (FMA) has been most rigorously analyzed for reliability and validity. Therefore, it is most frequently used measure in clinic studies for post-stroke motor cuntion. The researchers came up with the results that the age group ranging from 63-69 yrs. old especially men has the higher risk and incidence of stroke. Among the medical co-morbidities hypertension is the highest risk factor. Majority of the respondents has a right side MCA affectation and have a stroke duration of more than 6 months. Based from the assessment performed by the researchers, the normal activity (10%), flexion (53.89%) and extension synergy (57.78%), movement combining synergies (58.89%), movement out of synergy (57.78%), wrist stability (60%), fine motor movement (60%) and coordination and speed (66.67%) had the highest number of respondents having the score of zero. This results may imply that majority of the respondents may not performed the instructed movement and also because majority of them are in the flaccid stage. the following areas all rendered a score of two. The reflex area (75%) ad sensation as to light touch (75%) and proprioception (68.34%0 implies that reflex activity was elicited and has normal sensation. The joint motion area (76.39%) and joint pain area (80.83%) implies that majority had normal passive range of motion and experienced no pain. having the score of two means that the movement were performed faultlessly and no abnormal sensations were present. The following areas maybe considered as normal. The results of the study shows that the motor area have the highest level of impairment in the upper extremity with a mean score of 23.3 and classified as severe followed by sensory that gathered a mean score of 8.4 which fall under minimal impairment. While joint pain with a mean score of 20.7 and 21.1 for joint motion that have very minimal level of impairment.

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