簡介傅格－梅爾評估量表及其在中風復健之應用

Introduction to Fugl-Meyer Assessment and its Applications for Stroke Rehabilitation

羅文琪(Wen-Chi Lo) ； 湯佩芳(Pei-Fang Tang)

《物理治療》 25卷4期 (2000/07) Pp. 239-250

摘要

傅格－梅爾評估量表(Fugl-Meyer Assessment)是一個針對中風患者設計的優良量化評估工具，為瑞典學者Fugl-Meyer根據Twitchell與Brunnstrom的中風患者動作恢復進程理論設計而來。此評估量表除了按照恢復進程評估中風患者動作功能之外，亦評估動作協調與速度、平衡功能、感覺、關節活動度與關節疼痛等面向。評分方式採零、一、二的三分制，表現愈佳，分數愈高。評估項目共113項，滿分為226分。傅格－梅爾評估量表經許多研究證實信度與效度均佳，並且具有客觀、經濟、簡單方便等優點，評估範圍完整，適用於各個恢復階段之中風患者，因此被公認為一優良之評估工具，在國外已被廣泛使用於臨床及研究上。由於此量表具有上述優點，因此作者撰寫本文來介紹傅格－梅爾評估量表的理論基礎、內容及評分方式，其信度、效度方面的研究，與其在中風患者復健上之應用。期望本文能提供物理治療師與學者於選用中風患者評估量表時之參考。

關鍵字

傅格－梅爾評估量表 ； 評估 ； 信度 ； 效度 ； 中風復健

並列摘要

Fugl-Meyer Assessment (FMA), developed by Fugl-Meyer and based on Twitchell and Brunnstrom's concept of sequential motor recovery of patients suffering from cerebral vascular accidents, is an instrument for quantitative assessment of many aspects of physical conditions of stroke patients. The scale includes not only assessment of stroke patients' motor function in accordance with the typical recovery sequence, but also assessment of many other aspects such as coordination, movement speed, balance, sensation, range of motion, and pain. The scale consists of 113 items. Each item is rated on a three-point scale, ranging from 0 to 2. The higher the score, the better the performance. The maximum of the total score is 226. Many studies have shown that the FMA has excellent reliability and validity. Because of its objectivity, comprehensiveness, economy, simplicity, convenience to use, and application to stroke patients in all stages of the recovery sequence, the scale is internationally reckoned as an excellent assessment tool for stroke patient both in clinical practice and research settings. The purposes of this article were 1) to introduce the theoretical basis, content, and rating method of the FMA, 2) to discuss relevant research investigating the reliability and validity issues concerning the scale, and 3) to discuss considerations when applying this scale in stroke rehabilitation. We hope that this article will be valuable to physical therapists and researchers as they are selecting an assessment instrument in stroke rehabilitation.

並列關鍵字

Fugl-Meyer Assessment ； Assessment ； Reliability ； Validity ； Stroke rehabilitation