職能治療學系LIN, JAU-HONGJAU-HONGLINHUSEH, I-PINGI-PINGHUSEHSHEU, CHING -FANCHING -FANSHEUHSIEH, CHING-LINCHING-LINHSIEH薛漪平2008-12-082018-07-092008-12-082018-07-092004http://ntur.lib.ntu.edu.tw//handle/246246/89347Objective: To examine the psychometric properties of thesensory scale of the Fugl-Meyer Assessment (FMA-S) in strokepatients with a broad range of neurological and functionalimpairment at times from 14 to 180 days after stroke.Subjects: A total of 176 first stroke patients onsecutivelyadmitted to a universitybased medical centre. Design: This prospective, longitudinal investigation wasbased on data collected at 14, 30, 90 and 180 days afterstroke.Main outcome measures: Reliability (inter-rater reliabilityand internal consistency), validity (convergent andpredictive validity) and responsiveness of the FMA-S wereexamined.Results: The inter- rater agreement of the total score of theFMA-S was excellent, with an intraclass correlationcoefficient of 0.93. The Cronbach’s alphas of the FMA-S atfour time points after stroke ranged from 0.94 to 0.98,indicating excellent internal consistency. However, the FMA-S showed a significant ceiling effect (more than 44. 4% ofthe subjects achieving the highest score), poor to moderateinter-rater reliability for light touch items ( weightedkappa ranging from 0.30 to 0.55), low to moderate validity ( Spearman’s rho ranging from 0.29 to 0.53), and low tomoderate responsiveness (standardized response mean rangingfrom 0.27 to 0.67) at different post-stroke stages ofrecovery.Conclusions: The psychometric properties of the FMA-S inmeasuring sensory function do not support its clinical usein stroke atients. Further studies on methods to improve thepsychometric properties of the FMA-S are needed.en-US