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Abstract：
Background and Purpose: The Fugl-Meyer Assessment of Motor Performance and Sensory Assessment Scale (FMA) is the most commonly used and recommended outcome measure for the sensorimotor impairment of the upper and lower limbs in stroke patients. The aim of this study was to perform cross-cultural translation and adaptation of the scale into Polish and to evaluate the FMA\'s reliability of motor performance and sensation of the upper and lower limb sections among ischemic stroke patients. Methods: The Polish version of the FMA (FMA-PL) was developed using a forward-backward translation performed by a group of experts and then evaluated by a panel of judges according to international guidelines. The study involved 86 patients (F = 30, M = 56, i.e., 35%; the average age of patients was 64 ± 12 years, 36 with right-sided stroke and 50 with left-sided stroke). The FMA-PL was carried out twice by two experienced neurological physiotherapists with a 2 h gap between assessments (test-retest and inter-rater). The reliability of the outcome measure was defined by calculating the intraclass correlation coefficient (ICC). The standard error of measurement (SEM) and the minimum detectable change (MDC) were also calculated. The internal consistency of the test was determined by the Cronbach\'s alpha indicator. Results: Three domains were evaluated on the FMA-PL scale. From the whole test, results were obtained in the range of 12-124 points: 64 points for FMA-UE-PL 2, 34 points for FMA-LE-PL 4, and 24 points for FMA-S-PL 0. The ICC values were in the range of 0.99-1.00 for the total FMA-PL score and the results of each domain. The SEM and MDC for the entire FMA-PL calculated for test-retest measurements were 0.22 and 1.60, respectively. The SEM and MDC for the total FMA-PL score obtained during repeated measurements of the same investigator were 1.3 and 3.5 points, respectively. The Cronbach\'s alpha values calculated for the total FMA-PL, FMA-UE-PL, FMA-LE-PL, and FMA-S-PL items amounted to 0.938-0.939, 0.932-0.934, and 0.634-0.722, respectively. Conclusions: The Polish version of the FMA is a consistent and reliable outcome measure for the motor and sensory evaluation of the upper and lower limbs for patients in subacute and chronic stroke stages.
摘要：
背景和目的：Fugl-Meyer运动能力评估和感觉评估量表（FMA）是中风患者上肢和下肢感觉运动损害最常用和推荐的结果指标。这项研究的目的是进行跨文化翻译和将量表改编为波兰语，并评估FMA对缺血性中风患者上肢和下肢部分的运动表现和感觉的可靠性。方法：波兰语版本的FMA（FMA-PL）是使用一组专家进行的前后翻译开发的，然后由法官小组根据国际准则进行评估。该研究涉及86名患者(F=30，M=56，即35%;患者平均年龄为64±12岁,36的右侧笔划和50的左侧笔划）。FMA-PL由两名经验丰富的神经物理治疗师进行了两次，评估之间有2小时的间隔（重测和评估者之间）。通过计算组内相关系数（ICC）来定义结果测量的可靠性。还计算了测量的标准误差(SEM)和最小可检测变化(MDC)。测试的内部一致性由Cronbach的α指标确定。结果：在FMA-PL量表上评估了三个域。从整个测试来看,结果在12-124分范围内获得：FMA-UE-PL2为64分，FMA-LE-PL4为34分，FMA-S-PL0为24分。对于总FMA-PL评分和每个域的结果,ICC值在0.99-1.00的范围内。针对测试-重测测量计算的整个FMA-PL的SEM和MDC分别为0.22和1.60。在同一研究者的重复测量期间获得的总FMA-PL评分的SEM和MDC分别为1.3和3.5分，分别。为总FMA-PL计算的Cronbachα值，FMA-UE-PL,FMA-LE-PL,和FMA-S-PL项目分别为0.938-0.939、0.932-0.934和0.634-0.722。结论：波兰语版本的FMA是亚急性和慢性中风阶段患者上肢和下肢运动和感觉评估的一致且可靠的结果指标。
