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manoonbun -> Re: assessment of hand function/orthopedics (May 18, 2003 8:36:00 PM)
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Hi dram
Hand function tools
There are many tools for assess hand function in stroke patient.
1 Fugl-Meyer assessment for upper extremity. I made this form myself and some national language showed up
Fugl-Meyer assessment for Stroke Form (Upper Extremity) UE 1/2
ª×èÍ .................................................. ÍÒÂØ .................... à¾È ªÒ ËÔ§
Diagnosis ...................................................................................................................
Lesion...........................................................................................................................
Date ................................... Onset to Assess ........ months Paretic-side R L
UPPER EXTREMITY Score ·Õèä´é Score
A. Shoulder/Elbow/Forearm 0 1 2 ËÅÑ¡
1ReflexActivity Flexors 0 2
Extensors 0 2
TOTAL 4
2 a Shoulder Retraction 0 - 2
Elevation 0 - 2
Abduction 0 - 2
Outward rotation 0 - 2
Elbow Flexion 0 - 2
Forearm Supination 0 - 2
b Shoulder Add-/Inw.rotation 0 - 2
Elbow Extension 0 - 2
Forearm Pronation 0 - 2
3 Hand to lumbar spine 0 - 2
Shoulder Flexion 0ð - 90ð 0 - 2
Elbow 90ð Pro-/Supination 0 - 2
4 Shoulder Abduction 0ð- 90ð 0 - 2
Flexion 90ð - 180ð 0 - 2
Elbow 0ð Pro-/Supination 0 - 2
5 Normal reflex-activity 0 - 2
TOTAL 32
TOTAL A. 36
Fugl-Meyer assessment for Stroke Form (Upper Extremity) UE 2/2
UPPER EXTREMITY Score ·Õèä´é Score
B. WRIST 0 1 2 ËÅÑ¡
Elbow 90ð Wrist-stability 0 - 2
Elbow 90ð Wrist-flexion/extension 0 - 2
Elbow 0ð Wrist-stability 0 - 2
Elbow 0ð Wrist-flexion/extension 0 - 2
Circumduction 0 - 2
TOTAL B. 10
C. HAND
Fingers Massflexion 0 - 2
Fingers Massextension 0 - 2
Grasp a (¡Óá·è§´Ô¹ÊÍàÍÒäÇé) 0 - 2
Grasp b (¨Ñºá¼è¹¡ÃдÒÉ´éÇÂâ»é§-ªÕé¡¢Öé¹) 0 - 2
Grasp c (¨Ñº»ÅÒ´ԹÊÍ´éÇÂâ»é§-ªÕé ¡¢Öé¹) 0 - 2
Grasp d (âͺ¡Ãлëͧâ¤ê¡´éÇÂâ»é§ªÕéáÅÐ3¹ÔéÇ) 0 - 2
Grasp e (¨ÑºÅÙ¡à·¹¹ÔÊ´éÇÂÍØé§ Â¡¢Öé¹) 0 - 2
TOTAL C. 14
D. COORDINATION/SPEED
Tremor 0 - 2
Dysmetria 0 - 2
Time 0 - 2
TOTAL D. 6
TOTAL UPPER 66
Here the reference of Fugl-Meyer assessment will indicate you how to use this form.
Fugl-Meyer,A.R.,Jaasko,L.,Leyman,I.,Olsson,S.,& Steglind,S. :The Post-Stroke Hemiplegic Patient.,I. A Method for Evaluation of Physical Performance.Scand J Rehab Med 1975, 7: 13-31.
2 The Arm Motor Ability Test (AMAT)
Reference:
Kopp et al. The Arm Motor Ability Test: Reliability,Validity,and Sensitivity to Change of an Instrument for Assessing Disabilities in Activities of Daily Living. Arch Phys Med Rehabil 1997, 78: 615-620.
3 Arm function tests.
Reference:
Wade DT, Langton-Hewer R, Wood VA, Skilbeck CE, Ismail HM . The hemiplegic arm after stroke: measurement and recovery. J Neurol Neurosurg Psychiatry 1983; 46: 521-524.
4 The Action Research Arm test (ARA)
Reference:
Johanna H van der Lee, Leo D Roorda, Heleen Beckerman, Gustaaf J Lankhorst. Improving the Action Research Arm test: a unidimentional hiearchical scale.Clinical Rehabilitation 2002; 16; 646-653.
5 Subscale of Motor Assessment Scale (MAS) items 6-7and 8
Reference:
Carr JH, Shepherd RB, Nordholm E , Lynne D . Investication of a New Motor Assessment Scale for Stroke Patients. Physical Therapy 1985, 65: 175-180.
Hand functions in neurological patients we had to concern the whole pattern of upper extremity not only the hand. In orthopaedics you can use grip strength to measure improvement of the hand.
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