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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Among 44 patients who agreed to participate, 41 completed the FMA. An identical ANN structure i.
Dimensionality reduction is explained in more detail, in the S2 Appendix. Coordinated movement is impaired after stroke; motions are not smooth but rather become jerky.
Imbalance of real FMA scores decreases the prediction accuracies of each item. Robust neural learning from unbalanced data samples. Assessment of upper limb motor function in patients with multiple sclerosis using the Virtual Peg Insertion Test: This may be associated with barriers including costs, travel and limited use of public transportation due to disabilities.
Before the motion was recorded, the therapist entered subject information including recording arm side and the recording assessment item number into the recoding program. Furthermore, use of a cloud computing system with machine learning ability, such as Microsoft Azure ML, Amazon Machine Learning or IBM Watson Analytics, will facilitate develop of a prediction model capable of self-learning whenever new patient data is uploaded, and to predict FMA score using the model in the absence of a specialist.
Authors have also no competing interests relating to employment, consultancy, patents, products in development or modified products along with this patent. The recording program includes subjects’ abbreviation, recording arm side, assessment item number.
The Kinect depth-sensing camera was operated with a frame-rate of 30Hz and was positioned in front of each subject to track the entire arm during FMA motions.
Movement smoothness changes during stroke recovery. The saved data and FMA scores were transferred to an engineering department for analysis.
Finally, none of the authors have to disclose any additional financial interest regarding this work. Thus, the dimensions of input data depended on the assessments. Supervision of technical issues during the study: A home-based virtual rehabilitation system could be a useful alternative for conventional rehabilitation to overcome barriers for outpatient rehabilitation in stroke patients, considering its low cost and greater accessibility.
This article has been cited by other articles in PMC. Data were stored sequentially with time for the UE joint positions comprising 31 variables including time, and positions of the head, shoulder center, shoulder, elbow, wrist and hand.
The Fugl-Meyer assessment of motor recovery after stroke: Original Editor – Sinead Greenan. Kong K-H, Lee J. Fugl-Meyer Assessment FMA scale is an index to assess the sensorimotor impairment in individuals who have had stroke. Introduction 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.
Fugl-Meyer Assessment of Motor Recovery after Stroke
Parkinsonism reduces coordination of fingers, wrist, and arm in fine motor control. Administration of the motor, sensation and balance subscores range from 34 to minutes, with a mean administration time of 58 minutes. The detailed clipping process is described in the S1 Appendix.
It takes approximately minutes to administer the total FMA. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia  . Gest and regional burden of stroke during — FMA is valid, reliable and responsive to change. Assessing the degree of jerky motion using Kinect motion data The evaluation of the movement impairment in this study is based on the integrated squared jerk.
Retrieved 6 October Further study to validate this tool in the home-based setting is required. This research protocol was approved by the Seoul National University Bundang Hospital institutional review board and was conducted in accordance with the regulatory standards of Good Clinical Practice and the Declaration of Helsinki World Medical Association Declaration of Helsinki: Data were saved in text file format.
Variables Results Age, years a Scandinavian Journal of Rehabilitation Medicine. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The construction of this scale was based on the then existing knowledge about recovery patterns in stroke.
Topics in Stroke Rehabilitation. Kinect is a relatively inexpensive depth-sensing camera and no additional space fugo devices are required.
Fugl-Meyer Assessment of Motor Recovery after Stroke – Physiopedia
Jerk 2 t is two-norm of the jerk vector. When refering to evidence in academic writing, you should always try to reference the primary original source. Our cross-validation average error is shown in the prediction accuracy result Fig 2.
Jerky scores during msyer 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. Jerky scores during the motion for flexion synergy in FMA were used for analysis.