CULTURAL ADAPTATION AND PSYCHOMETRIC TESTING OF THE TURKISH VERSION OF FUGL-MEYER ASSESSMENT

NCT05823298 | Completed

• 1 other identifier: FMA TURKISH VERSION
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this methodological study is to adapt the Fugl-Meyer assessment to Turkish culture and to test its validity and reliability in acute phase stroke patients.

Conditions

Stroke; CVA (Cerebrovascular Accident); Hemiplegia and/or Hemiparesis Following Stroke

Keywords

fugl-meyer assessment; upper extremity; lower extremity; outcome assessment; stroke rehabilitation; translation and cross-cultural adaptation; validity; reliability; stroke; hemiplegia

Outcome Measures

Primary Outcomes (3)

• Barthel Index

  a scale used to assess functional independence. Points ranging from 0 to 100.

  5 minutes

• Modified Rankin Scale

  a 6 point disability scale with possible scores ranging from 0 to 5

  5 minutes

• Fugl-Meyer Assessment (Upper and Lower Extremity Form)

  a 3 point ordinal scale that evaluates sensorimotor function, coordination, pROM and pain

  45 minutes

Secondary Outcomes (1)

• Berg Balance Scale

  10 minutes

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Stroke patients who were hospitalized in Istinye University Liv Hospital Brain Angiography Stroke Center between May 2023 to December 2023.

You may qualify if:

• Patients who diagnosed with stroke
• Less than 1 month passed after onset of stroke
• Upper and lower extremity motor involvement between Brunnstrom stages 2 and 5
• Voluntarily accepting to participate in this research

You may not qualify if:

• Visual and hearing impairment
• Upper or lower extremity amputation
• Significant cognitive impairment (Mini Mental State Test Score \< 18)
• Mental disorders affecting daily life functioning
• Global aphasia
• Other unstable conditions that may affect participation

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

İstinye University Brain Angiography Stroke Center

Istanbul, Esenyurt, 34510, Turkey (Türkiye)

Location

Related Publications (16)

• Baker K, Cano SJ, Playford ED. Outcome measurement in stroke: a scale selection strategy. Stroke. 2011 Jun;42(6):1787-94. doi: 10.1161/STROKEAHA.110.608505. Epub 2011 May 12.

  PMID: 21566236 BACKGROUND

• Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91. doi: 10.1097/00007632-200012150-00014. No abstract available.

  PMID: 11124735 BACKGROUND

• Bushnell C, Bettger JP, Cockroft KM, Cramer SC, Edelen MO, Hanley D, Katzan IL, Mattke S, Nilsen DM, Piquado T, Skidmore ER, Wing K, Yenokyan G. Chronic Stroke Outcome Measures for Motor Function Intervention Trials: Expert Panel Recommendations. Circ Cardiovasc Qual Outcomes. 2015 Oct;8(6 Suppl 3):S163-9. doi: 10.1161/CIRCOUTCOMES.115.002098.

  PMID: 26515205 BACKGROUND

• Carr JH, Shepherd RB, Nordholm L, Lynne D. Investigation of a new motor assessment scale for stroke patients. Phys Ther. 1985 Feb;65(2):175-80. doi: 10.1093/ptj/65.2.175.

  PMID: 3969398 BACKGROUND

• de Vet HC, Terwee CB, Knol DL, Bouter LM. When to use agreement versus reliability measures. J Clin Epidemiol. 2006 Oct;59(10):1033-9. doi: 10.1016/j.jclinepi.2005.10.015. Epub 2006 Aug 10.

  PMID: 16980142 BACKGROUND

• Deyo RA, Centor RM. Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis. 1986;39(11):897-906. doi: 10.1016/0021-9681(86)90038-x.

  PMID: 2947907 BACKGROUND

• Duncan PW, Propst M, Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Phys Ther. 1983 Oct;63(10):1606-10. doi: 10.1093/ptj/63.10.1606.

  PMID: 6622535 BACKGROUND

• Fugl-Meyer AR, Jaasko L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13-31.

  PMID: 1135616 BACKGROUND

• Gladstone DJ, Danells CJ, Black SE. The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair. 2002 Sep;16(3):232-40. doi: 10.1177/154596802401105171.

  PMID: 12234086 BACKGROUND

• Malouin F, Pichard L, Bonneau C, Durand A, Corriveau D. Evaluating motor recovery early after stroke: comparison of the Fugl-Meyer Assessment and the Motor Assessment Scale. Arch Phys Med Rehabil. 1994 Nov;75(11):1206-12. doi: 10.1016/0003-9993(94)90006-x.

  PMID: 7979930 BACKGROUND

• Mayo NE, Wood-Dauphinee S, Ahmed S, Gordon C, Higgins J, McEwen S, Salbach N. Disablement following stroke. Disabil Rehabil. 1999 May-Jun;21(5-6):258-68. doi: 10.1080/096382899297684.

  PMID: 10381238 BACKGROUND

• Alt Murphy M, Resteghini C, Feys P, Lamers I. An overview of systematic reviews on upper extremity outcome measures after stroke. BMC Neurol. 2015 Mar 11;15:29. doi: 10.1186/s12883-015-0292-6.

  PMID: 25880033 BACKGROUND

• Salter K, Jutai JW, Teasell R, Foley NC, Bitensky J. Issues for selection of outcome measures in stroke rehabilitation: ICF Body Functions. Disabil Rehabil. 2005 Feb 18;27(4):191-207. doi: 10.1080/09638280400008537.

  PMID: 15824050 BACKGROUND

• See J, Dodakian L, Chou C, Chan V, McKenzie A, Reinkensmeyer DJ, Cramer SC. A standardized approach to the Fugl-Meyer assessment and its implications for clinical trials. Neurorehabil Neural Repair. 2013 Oct;27(8):732-41. doi: 10.1177/1545968313491000. Epub 2013 Jun 17.

  PMID: 23774125 BACKGROUND

• Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007 Jan;60(1):34-42. doi: 10.1016/j.jclinepi.2006.03.012. Epub 2006 Aug 24.

  PMID: 17161752 BACKGROUND

• The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. WHO MONICA Project Principal Investigators. J Clin Epidemiol. 1988;41(2):105-14. doi: 10.1016/0895-4356(88)90084-4.

  PMID: 3335877 BACKGROUND

Related Links

• Official Fugl-Meyer Assessment Website

MeSH Terms

Conditions

Stroke; Hemiplegia

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Lide Z Uz, 1

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 9, 2023
• First Posted: April 21, 2023
• Study Start: December 15, 2023
• Primary Completion: August 15, 2024
• Study Completion: December 1, 2024
• Last Updated: May 4, 2026

Record last verified: 2026-04

Locations

TU (1)