Slideshow Project DOI 10 1682JRRD 2010 0203 JSP

Slideshow Project DOI: 10. 1682/JRRD. 2010. 0203 JSP Translating measurement findings into rehabilitation practice: An example using Fugl-Meyer Assessment-Upper Extremity with patients following stroke Craig A. Velozo, Ph. D, OTR/L; Michelle L. Woodbury, Ph. D, OTR/L 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. 0203

Slideshow Project DOI: 10. 1682/JRRD. 2010. 0203 JSP • Study Aim – Demonstrate how patient performance can be documented on a keyform and used with other patient-specific information to set goals and plan treatment. • Relevance – Standardized assessments are critical for advancing clinical rehabilitation, yet assessment scores often provide little information for rehabilitation treatment planning. 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. 0203

Methods Slideshow Project DOI: 10. 1682/JRRD. 2010. 0203 JSP • Keyform map of poststroke upper-limb recovery defined by items of the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) was generated by previously published Rasch analysis. • 3 individuals with stroke were randomly selected and their performance on each item was displayed on FMA-UE keyform. 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. 0203

Results Slideshow Project DOI: 10. 1682/JRRD. 2010. 0203 JSP • The forms directly connected qualitative descriptions of patients’ motor ability to assessment measures. • Furthermore, since item descriptions are ordered from easiest to hardest (bottom to top) and patient performance is indicated (can do, can partially do, cannot do), therapists can plan shorter and longer term rehabilitation goals. 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. 0203

Sample FMA-UE Keyform Slideshow Project DOI: 10. 1682/JRRD. 2010. 0203 JSP Patient with severe upper-limb motor impairment (FMA-UE = 19/60, Rasch Ability Measure = – 1. 14 ± 0. 33 logits). 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. 0203

Conclusions Slideshow Project DOI: 10. 1682/JRRD. 2010. 0203 JSP • Evaluation forms, such as keyforms, may help therapists make day-to-day clinical decisions. • Keyforms can be created using IRT statistical methods, which connect the score to patients’ performance on specific items. • Well-developed standardized assessments, especially those with a logical item-difficulty structure, may be promising candidates for generating keyforms. 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. 0203