Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 10, 2011
   Pages 1211 — 1222

Abstract — Translating measurement findings into rehabilitation practice: An example using Fugl-Meyer Assessment-Upper Extremity with patients following stroke

Craig A. Velozo, PhD, OTR/L;1* Michelle L. Woodbury, PhD, OTR/L2

1Rehabilitation Outcomes Research Center and Brain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs (VA) Medical Center, Gainesville FL; and Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FL; 2Ralph H. Johnson VA Medical Center, Charleston SC; and Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC
Abstract???Standardized assessments are critical for advancing clinical rehabilitation, yet assessment scores often provide little information for rehabilitation treatment planning. A keyform recovery map is an innovative way for a therapist to record patient responses to standardized assessment items. The form enables a therapist to view the specific items that a patient can or cannot perform. This information can assist a therapist in tailoring treatments to a patient???s individual ability level. We demonstrate how a keyform recovery map can be used to inform clinical treatment planning for individuals with stroke-related upper-limb motor impairment. A keyform map of poststroke upper-limb recovery defined by items of the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) was generated by a previously published Rasch analysis. Three individuals with stroke enrolled in a separate research study were randomly selected from each of the three impairment strata of the FMA-UE. Their performance on each item was displayed on the FMA-UE keyform. The forms directly connected qualitative descriptions of patients??? motor ability to assessment measures, thereby suggesting appropriate shorter and longer term rehabilitation goals. This study demonstrates how measurement theory can be used to translate a standardized assessment into a useful, evidence-based tool for making clinical practice decisions.
Key words: assessment, clinical goal setting, Fugl-Meyer Assessment, item response theory, measurement, occupational therapy, Rasch analysis, rehabilitation, stroke, upper limb.

View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 10
This article and any supplementary material should be cited as follows:
Velozo CA, Woodbury ML. Translating measurement findings into rehabilitation practice: An example using Fugl-Myer Assessment-Upper Extremity with patients following stroke. J Rehabil Res Dev. 2011;48(10):1211???22.
DOI:10.1682/JRRD.2010.10.0203
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Last Reviewed or Updated  Tuesday, March 20, 2012 11:22 AM

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