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Biomedical subjects

A Fugl-Meyer

Publications and source records attributed to A Fugl-Meyer.

6 recordsLinked to original sources
PubMed2002

The Falls-Efficacy Scale, Swedish version: does it reflect clinically meaningful changes after stroke?

PURPOSE: The overall aim of this prospective investigation was to evaluate the ability of the Falls Efficacy Scale (Swedish version) (FES(S)) to reflect clinically meaningful changes over time. METHOD: Changes on the FES(S) scale were compared with changes in two different standardized measures of observer-assessed balance, the Berg Balance Scale (BBS), the Fugl-Meyer balance subscale (FMB), and of motor function and ambulation in 62 stroke patients. Assessments took place on admission for rehabilitation, at discharge and 10 months after the stroke. Indices of effect size were used to evaluate responsiveness of the instruments. Three time periods were studied: admission to discharge (early response), discharge to 10 month follow-up (late response) and admission to follow-up (overall response). RESULTS: The main findings are that the FES(S) is as responsive as BBS and FMB in detecting changes during the early and overall response periods. Changes in FES(S) scores between admission and discharge correlated significantly with changes in observer-assessed balance, motor function and ambulation scores. CONCLUSIONS: The present results suggest that measurement of perceived confidence in task performance using the FES(S) scale is responsive to improvement in patients with hemiparesis at an early stage after stroke.

Accidental Falls↗
PubMed2001

Walking training of patients with hemiparesis at an early stage after stroke: a comparison of walking training on a treadmill with body weight support and walking training on the ground.

OBJECTIVE: To compare the effect of walking training on a treadmill with body weight support (BWS) and walking training on the ground at an early stage of rehabilitation in patients with hemiparesis after stroke. DESIGN: Randomized controlled experimental study. SETTING: Multicentre design; three departments of rehabilitation medicine. SUBJECTS: Seventy-three consecutive first stroke patients admitted to a rehabilitation clinic were randomized into a treatment group and a control group. INTERVENTIONS: The treatment group received walking training on a treadmill with BWS for 30 minutes, 5 days a week. The control group received walking training according to the Motor Relearning Programme (MRP) on the ground for 30 minutes 5 days a week, not including treadmill training. During the time in the rehabilitation department (about two months), all patients in the study also received professional stroke rehabilitation besides the walking training in the two groups. MAIN OUTCOME MEASURES: Functional Independence Measure (FIM), walking velocity for 10 m, Functional Ambulation Classification (FAC), Fugl-Meyer Stroke Assessment and Berg's Balance Scale. The assessments were performed at admission, at discharge and at 10-month follow-up. RESULTS: There were no statistically significant differences between the groups at discharge or at the 10-month follow-up with regard to FIM, walking velocity, FAC, Fugl-Meyer Stroke Assessment, and Berg's Balance Scale. Patients in both groups improved in these variables from admission to the 10-month follow-up. CONCLUSIONS: Treadmill training with BWS at an early stage of rehabilitation after stroke is a comparable choice to walking training on the ground.

Adult↗
PubMed1994

Validation of four scales for the acute stage of stroke.

OBJECTIVES: To validate whether a simplified scale for the acute stage of stroke--the Scandinavian Stroke Supervision scale--is sufficient for monitoring symptom progression of prognostic importance. DESIGN: The capacity of the scale was compared to that of the Mathew, Toronto and Fugl-Meyer stroke scales and the Barthel ADL index. SETTING: The stroke unit of Danderyd Hospital, which cares for a defined population. SUBJECTS: Fifty noncomatose patients with objectively recorded symptoms at entry were examined over a period of 5 days by one physician (250 ratings/scale). The last 10 patients were also investigated by another doctor in the same manner (50 ratings/scale) and by nurses (50 ratings) the Scandinavian scale only. The amount of time required by each scale was tested in another 10 patients by two nurses (100 ratings/scale). INTERVENTIONS: Routine investigation and treatment. MAIN OUTCOME MEASURES: The reliability, validity, time requirement and correlation of the scales were evaluated, as was their ability to reveal progress of symptoms. RESULTS: All scales were highly significantly correlated. The interobserver agreement was excellent between the physicians but not as good between the physician and the nurses. The prediction of the outcome at discharge and after 3 months was very satisfactory for all of the scales with regard to the whole groups of patients, but none of them could predict the outcome for an individual with certainty. The Scandinavian Stroke Supervision scale was least time consuming, and had the fewest uncertainties expressed by the testers. This scale recorded the progression of slightly fewer symptoms, but did record those with a more serious impact on patient outcome. CONCLUSION: The time-saving, simplified Scandinavian scale was as reliable and as valid as the other scales, and detected deterioration that was important for patient outcome as satisfactorily as the other scales.

Acute Disease↗
PubMed1992

Lengthening of anterior cruciate ligament graft. Roentgen stereophotogrammetry of 32 cases 2 years after repair.

32 patients with old anterior cruciate ligament injuries were operated on with patellar tendon-prepatellar tissue-quadriceps tendon graft over the top without and with augmentation (Kennedy-LAD). The anteroposterior (AP) laxity was assessed preoperatively, and at 6, 12, and 24 months after the operation with roentgen stereophotogrammetry. 6 months postoperatively the instability had decreased 5.4 mm in the nonaugmented and 1.9 mm in the augmented group, but not to normal values. During the following 18 months the AP laxity increased and returned to the preoperative level. At 2 years, 28 of the 32 patients were considered good or excellent, according to the Lysholm score. There was a lack of correlation between AP laxity and functional tests.

Adult↗
PubMed1979

Achilles tendon injury. 3. Structure of rabbit soleus muscles after immobilization at different positions.

This investigation was designed to study the short and long term effects of inactivity on the fine structure of skeletal muscle tissue. Ankles of rabbits were unilaterally immobilized for one of three weeks. The knees were semiflexed and the feet were either in plantar or in dorsal flexed positions. The soleus muscles were examined immediately after removal of the plaster or after six months of observation. The muscle fibres, when immobilized in the slackened state, showed serious degenerative changes and Type 1 fibres, i.e. fibres lightly stained for myofibrillar ATPase at pH 9.4, were often necrotic. The fibre type ratio was changed when examined immediately after removal of the casts so that the relative number of Type 2 fibres was increased. If stretched, essentially normal morphology was seen. The contralateral soleus muscles, which were excessively weight-bearing during the plaster period, were characterized by small, sometimes necrotic, Type 2 fibres and splitting of Type 1 fibres. Whatever the reason for the structural changes it seems correct to point out to the surgeon that too much emphasis on tendon aspects implies certain risks. Overeagerness to obtain a safe way of unloading the tendon during the necessary period of immobilization after suture may result in longstanding damage to the muscle structure and, as a sequel, decreased strength.

Achilles Tendon↗