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Related Experiment Video

Updated: May 12, 2026

Kinematic Analysis Using 3D Motion Capture of Drinking Task in People With and Without Upper-extremity Impairments
08:45

Kinematic Analysis Using 3D Motion Capture of Drinking Task in People With and Without Upper-extremity Impairments

Published on: March 28, 2018

Rasch analysis staging methodology to classify upper extremity movement impairment after stroke.

Michelle L Woodbury1, Craig A Velozo, Lorie G Richards

  • 1Ralph H. Johnson VA Medical Center, Charleston, SC, USA. WoodbuML@musc.edu

Archives of Physical Medicine and Rehabilitation
|March 27, 2013
PubMed
Summary

New Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) cutoff scores help define stroke-related upper extremity (UE) impairment levels. These scores link specific motor behaviors to distinct FMA-UE performance categories for better patient stratification.

Keywords:
FMA-UEFugl-Meyer Assessment of the Upper ExtremityIRTRehabilitationStrokeUEUpper extremityitem response theoryupper extremity

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Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke
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Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke

Published on: July 14, 2023

Related Experiment Videos

Last Updated: May 12, 2026

Kinematic Analysis Using 3D Motion Capture of Drinking Task in People With and Without Upper-extremity Impairments
08:45

Kinematic Analysis Using 3D Motion Capture of Drinking Task in People With and Without Upper-extremity Impairments

Published on: March 28, 2018

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
15:00

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors

Published on: May 2, 2021

Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke
06:37

Electroencephalography Network Indices as Biomarkers of Upper Limb Impairment in Chronic Stroke

Published on: July 14, 2023

Area of Science:

  • Neurorehabilitation
  • Clinical assessment
  • Stroke recovery

Background:

  • The Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) is widely used to assess motor function post-stroke.
  • Standardized cutoff scores are needed to objectively define impairment levels and guide rehabilitation.
  • Current FMA-UE scoring lacks precise definitions for differentiating mild, moderate, and severe upper extremity impairment.

Purpose of the Study:

  • To establish specific Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) cutoff scores.
  • To delineate distinct upper extremity (UE) impairment levels based on FMA-UE performance.
  • To describe expected motor behaviors associated with each FMA-UE impairment category.

Main Methods:

  • Analysis of existing Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) data from 512 post-stroke individuals.
  • Application of an item response Rasch analysis staging method to calculate cutoff scores.
  • Conversion of Rasch-Andrich threshold values (in logits) to FMA-UE points.

Main Results:

  • The boundary between severe and moderate UE impairment was identified at 19 ± 2 FMA-UE points.
  • The boundary between moderate and mild UE impairment was identified at 47 ± 2 FMA-UE points.
  • Patients with severe impairment showed some distal movements, while those with mild impairment struggled with proximal movements.

Conclusions:

  • Defined FMA-UE cutoff scores provide objective measures for stratifying stroke patients' upper extremity impairment.
  • These scores facilitate the identification of specific motor function targets for individualized therapy.
  • The findings support the use of FMA-UE scores to precisely track treatment response in terms of motor improvement.