ArticleBrazilian journal of physical therapy
Intra- and inter-rater reliability of Fugl-Meyer Assessment of Lower Extremity early after stroke.
Article in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients
Comparative Effects of Dual Task and Proprioceptive Neuromuscular Facilitation on Balance ,Cognition and Motor Function in Chronic Stroke Patients
Comparative Effects of Proprioceptive Neuromuscular Facilitation and Modified Constraint Induced Movement Therapy on Lower Limb Function in Patient With Stroke
Who cites it
55 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Pooled it
- Shockwave Therapy or Acupoint Stimulation Combined With Physiotherapy for Spasticity and Motor Function in Post-Stroke Recovery: A Randomized Controlled Trial.Brain and behavior · 2026Trial
- Online versus offline Fugl-Meyer lower extremity training for physical therapy students: a randomized study.BMC medical education · 2026Trial
- Time course of motor recovery after stroke with and without levodopa: a post hoc 6-month longitudinal analysis of the ESTREL trial.European stroke journal · 2026Trial
- Targeted ankle proprioceptive training improves balance, gait, and functional mobility in chronic stroke survivors: a multicenter randomized controlled trial with longitudinal follow-up.Journal of neuroengineering and rehabilitation · 2026Trial
- Effects of multi-sensory virtual reality training on gait adaptability and somatomotor network remodeling in patients with stroke: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2026Trial
- The recovery of lower limb function in stroke patients: which sequence of transcranial direct current stimulation combined with lower limb rehabilitation robot is most effective-A randomized controlled trial.Journal of neuroengineering and rehabilitation · 2026Trial
- Modified Baduanjin improves balance function in subacute stroke survivors: a randomized controlled study.BMC complementary medicine and therapies · 2026Trial
- Novel lower limb robot-assisted gait phase stimulation enhances walking and balance in stroke patients: a pilot trial.Journal of neuroengineering and rehabilitation · 2026Trial
- Visual and visual-proprioceptive training improve gait via sensory reweighting after chronic stroke: a randomized controlled trial.Journal of neuroengineering and rehabilitation · 2026Trial
- Effect of low-frequency repetitive transcranial magnetic stimulation combined with abdominal acupuncture on lower limb motor function and balance in post-stroke hemiplegia: a randomized controlled trial.Frontiers in neurology · 2026Trial
- Effectiveness and safety of a lower-limb walking assist device for motor function recovery in subacute stroke patients: A prospective, randomized, open, parallel-controlled, noninferiority study.The Journal of international medical research · 2025Trial
- Effects of transcranial direct current stimulation combined with gait-oriented motor training on disability, quality of life, and motor function in individuals with subacute stroke: a randomized controlled trial.European journal of physical and rehabilitation medicine · 2025Trial
- Trial
- Evaluation of the Effect of SPIDER System Therapy on Weight Shifting Symmetry in Chronic Stroke Patients-A Randomized Controlled Trial.International journal of environmental research and public health · 2022Trial
- Deep Learning-Based Automated Clinical Gait Assessment From Kinematic Data in People With Stroke: Development and Validation Study.JMIR rehabilitation and assistive technologies · 2026Article
- Standardized International Manual of the Fugl-Meyer Assessment of Motor Function After Stroke.Neurorehabilitation and neural repair · 2026Article
- Classification of postural control characteristics during quiet standing in patients with subacute stroke and their association with lesion networks.Research square · 2026Article
- Psychometric properties of functional gait assessment in people with stroke.BMC neurology · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Fugl-Meyer Assessment of Lower Extremity (FMA-LE) is a widely used and recommended scale for evaluation of post-stroke motor impairment. However, the reliability of the scale has only been established by using parametric statistical methods, which ignores the ordinal properties of the scale.
objectiveTo determined intra- and inter-rater reliability of the FMA-LE at item and summed score level early after stroke.
methodsSixty patients (mean age 65.9 years, median FMA-LE 29 points) admitted to the hospital due to stroke were included. The FMA-LE was simultaneously, but independently, scored by three experienced and trained physical therapists randomly assigned into pairs, on two consecutive days, between 4 to 9 days post stroke. A rank-based statistical method for paired ordinal data was used to assess the level of agreement and systematic and random disagreements.
resultsThe item-level reliability was high (percentage of agreement [PA] ≥75%). Two items (ankle dorsiflexion during flexor synergy and normal reflex activity) showed some systematic disagreement in intrarater analysis. A satisfactory intrarater reliability (PA ≥70%) was reached for all summed scores when a 1- or 2-point difference was accepted between ratings.
conclusionThe FMA-LE is a reliable tool for assessment of motor impairment both within and between raters early after stroke. The scale can be recommended not only for use in Spanish speaking countries, but also internationally. A unified international use of FMA-LE would allow comparison of stroke recovery outcomes worldwide and thereby potentially improve the quality of stroke rehabilitation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.