The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based following stroke and integrates Brunnstrom’s stages of motor recovery (Gladstone et al. This method of assessment reduces the time required to perform the test. The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based NOTE: *The authors have no direct financial interest in any tools, tests or. program were developed for the total Fugl-Meyer motor and sensory assessments; inter-rater reliability was . CRC; and (3) competency testing in which videotapes were submit- . Brunnstrom, a person recovering from hemiparetic stroke.
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Fugl-Meyer Assessment of Motor Recovery after Stroke – Physiopedia
Outpatient rehabilitation among stroke survivors—21 States and the District of Columbia, Data used for analysis are available from S1 File. When pushing the record button and starting an item of Fugl-Meyer assessment, upper extremity skeleton of a subject can be shown in the monitor.
Robust neural learning from unbalanced data samples. Degree of jerky motion Jerky scores during flexion synergy motion instructed to fully supinate the forearm, flex the elbow, and bring the hand to the ear on the opposite side of FMA calculated from Kinect motion data were log transformed for normalization.
Rehabilitation Measures Database Patients were excluded if they were younger than 18 years of age; had serious medical complications requiring intensive care, such as pneumonia, urinary tract infection, acute coronary syndrome, inability to provide written informed consent and any other conditions that might interfere with participation.
Movement Therapy in Hemiplegia: Further study to validate this tool in the home-based setting is required. Log transformed jerky scores were significantly higher in the hemiplegic side 1. Contents Editors Categories Share Cite. It is now widely used for clinical assessment of motor function. To properly classify motion patterns, features must be extracted from the captured motion data, which contains the positional information of every upper limb joint.
The construction brunnwtrom this scale was based on the then existing knowledge about recovery patterns in stroke. In this context, there have been efforts to reduce the FMA item; one study suggested reducing the items for UE evaluation to six.
Fugl-Meyer Assessment of sensorimotor function
In our study, the recording of FMA using Kinect was conducted in the hospital with the supervision of a therapist. Neurorehabil Neural Repair ; A zero score is given for the item if the subject cannot do the task.
Lancet Fugo ; 6: Data file used for analysis.
Heart Disease and Meyre Statistics— Update. Some other FMA scores that could not be predicted in this research are required to detect the above hand information with fgul hand position tracking.
Thus, it was not reliable for the validation to merely divide the collected data into training and testing data. We used re-sample techniques and cross-validation to minimize errors from dataset imbalance.
When the motor scale is administered on its own, it takes approximately 20 minutes to complete.
Fugl-Meyer Assessment of Motor Recovery after Stroke
Kinect motion data were saved as brunnsstrom separate file, which is upper-limb joint data including time. Total score of FMA for selected items ranged from 0 to The recording program includes subjects’ abbreviation, recording arm side, assessment item number.
Jerky scores during flexion synergy motion instructed to fully supinate the forearm, flex the elbow, and bring the hand to the ear on the opposite side of FMA calculated from Kinect motion data were log transformed for normalization.
Role of the cerebellum and basal ganglia in voluntary movement. Movement Therapy in Hemiplegia: Results Characteristics of the patients Among 44 patients who agreed to participate, 41 completed the FMA. Views Read Edit View history. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with vugl hemiplegia  . Patients were recruited from December to February Subject motion was recorded simultaneously by Kinect for all 13 items.
Stroke is a leading cause of disabilities worldwide[ 1 ] and hemiplegia is the most common impairment after stroke, [ 2 ] resulting in upper extremity UE dysfunction.
The evaluation of the movement impairment in this study is based on the integrated squared jerk. One is the occlusion of the body part during tracking by Kinect.
Author information Article notes Copyright and Brunnstromm information Disclaimer. Data recorded at the start and end of each motion were clipped by thresholding of the joint distance between frames.
The purchase cost continues to decrease and camera performance continues to increase. One occupational therapist with two-year experience in the FMA test did the evaluations. DOCX Click here for additional data file. To predict a FMA score for each assessment item, an artificial neural network ANN among various pattern recognition algorithms was adopted. The maximum total score that can be obtained in Fugl Meyer assessment isthough it is common practice to assess all tdst separately.
However, the best way to solve this problem is to gather the more patient data. The Kinect depth-sensing camera was operated with a frame-rate of 30Hz and was positioned in mmeyer of each subject to track the entire arm during FMA motions. Some scores during virtual gaming can be used for assessment, but these are not intuitive, are typically not familiar brunnstrmo therapists.
The other three patients were not removed from the study during the FMA but refused to do the test after enrollment. The post-stroke hemiplegic patient.
The validation results are averaged over the rounds and derive a more accurate estimate of model prediction performance. For instance, Kinect can not track the hand when it is moved to the lumbar spine for FMA. In particular, bounding area and variance data for each feature are also used because the range of the motion increases as the FMA score increases.
Further study to validate the usefulness of advanced system in the real home-setting is required. Supervision of technical issues during the study: An analysis of the precision and reliability of the leap motion bfunnstrom and figl suitability for static and dynamic tracking.