Fugl-Meyer et al developed a protocol for physical and functional assessment of a hemiplegic patient following a stroke. The examination is divided into various sections, including examination of the wrist. The authors are from the University of Goteborg in Sweden.
Wrist evaluation:
(1) wrist stability with elbow at 90 degrees (wrist at about 15° dorsal flexion)
(2) wrist flexion and extension with elbow at 90 degrees
(3) wrist stability with elbow at 0 degrees (fully extended)
(4) wrist flexion and extension with elbow at 0 degrees (fully extended)
(5) circumduction of the wrist
The arm can be supported if the patient is having difficulty performing the task.
Performance is compared between the affected and unaffected side.
|
Parameter |
Finding |
Points |
|
wrist stability, elbow 90° |
cannot be performed |
0 |
|
|
incomplete and/or requires assistance |
1 |
|
|
adequately performed |
2 |
|
wrist flexion and extension, elbow 90° |
cannot be performed |
0 |
|
|
incomplete and/or requires assistance |
1 |
|
|
adequately performed and can be maintained against slight resistance |
2 |
|
wrist stability, elbow 0° |
cannot be performed |
0 |
|
|
incomplete and/or requires assistance |
1 |
|
|
adequately performed |
2 |
|
wrist flexion and extension, elbow 90° |
cannot be performed |
0 |
|
|
incomplete and/or requires assistance |
1 |
|
|
adequately performed and can be maintained against slight resistance |
2 |
|
circumduction |
cannot be performed |
0 |
|
|
incomplete and/or requires assistance and/or jerky movements |
1 |
|
|
adequately performed |
2 |
total subscore for the wrist =
= SUM(points for all 5 assessments)
Interpretation:
• minimum score: 0
• maximum score: 10 (normal)
• The higher the score the greater the functional ability of the wrist.
Purpose: To examine the wrist of a post-stroke hemiplegic patient as part of the protocol developed by Fugl-Meyer.
Specialty: Sports Medicine & Rehabilitation, Neurology
Objective: severity, prognosis, stage, disability and performance
ICD-10: G81, I61, I62, I63, I64,
