可靠性(半导体)
冲程(发动机)
背景(考古学)
物理疗法
物理医学与康复
医学
金标准(测试)
等级间信度
运动范围
心理学
评定量表
生物
物理
内科学
工程类
发展心理学
古生物学
功率(物理)
机械工程
量子力学
作者
Ines Hochleitner,Leonardo Pellicciari,Chiara Castagnoli,Anita Paperini,Angela Maria Politi,Silvia Campagnini,Silvia Pancani,Benedetta Basagni,Filippo Gerli,Maria Chiara Carrozza,Claudio Macchi,Margit Alt Murphy,Francesca Cecchi
标识
DOI:10.1080/09638288.2022.2114553
摘要
To assess the intra- and inter-rater reliability motor and sensory functioning, balance, joint range of motion and joint pain subscales of the Italian Fugl-Meyer Assessment (FMA) Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE) at the item- subtotal- and total-level in patients with sub-acute stroke.The FMA was administered to 60 patients with sub-acute stroke (mean age ± SD = 75.4 ± 10.7 years; 58.3% men) and independently rated by two physiotherapists on two consecutive days. Intra- and inter-reliability was studied by a rank-based statistical method for paired ordinal data to detect any systematic or random disagreement.The item-level intra- and inter-rater reliability was satisfactory (>70%). Reliability level >70% was achieved at subscale and total score level when one- or two-points difference was considered. Systematic disagreements were reported for five items of the FMA-UE, but not for FMA-LE.The Italian version of the FMA showed to be a reliable instrument that can therefore be recommended for clinical and research purposes.Implications for rehabilitationThe FMA is the gold standard for assessing stroke patients' sensorimotor impairment worldwide.The Italian Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE) is substantially reliable within and between two raters at the item, subtotal, and total score level in patients with sub-acute stroke.The use of FMA in the Italian context will provide an opportunity for international comparisons and research collaborations.
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