Article

We aimed to compare the responsiveness, concurrent and predictive
validity of the shortened Fugl-Meyer Assessment (S-FMA) and the streamlined Wolf
Motor Function Test (S-WMFT) in persons with subacute stroke. DESIGN: Test-retest
design. Setting: Departments of physical medicine and rehabilitation at three
hospitals. Participants: Participants with first-time stroke (N = 51; 38 men, 13
women; mean age +/- SD, 55.1 +/- 11.7 years) based on scores of Mini-Mental State
Examination and Brunnstrom stage. INTERVENTIONS: Participants received one of
three rehabilitation therapies for three weeks and were evaluated at baseline and
end of treatment. MAIN OUTCOME MEASURES: Responsiveness was examined using the
paired t-test and the standardized response mean (SRM). Criterion validity was
investigated using the Pearson's correlation coefficient (r). Results: Changes
from baseline to end of treatment assessed by both tests were significant (P <
0.001). The value for responsiveness of the S-FMA was significantly higher than
that of the S-WMFT (SRM difference, 0.48; 95% confidence interval, 0.23-0.63).
There were stronger associations between the comparison scales and the S-FMA (r =
0.57-0.68) than with the S-WMFT (r = 0.39-0.58). CONCLUSIONS: The S-FMA had
better concurrent and predictive validity than the S-WMFT and was more sensitive
to changes caused by rehabilitation therapies. The S-FMA is recommended for
expedited assessment of arm motor function outcome in stroke patients receiving
rehabilitative therapy.

Langue : ANGLAIS