655
Reliability of Fugl-Meyer Assessment of upper extremity in stroke
Fig. 2. Scatterplots and relative operating curves (ROC) showing intra- and inter-rater reliability of Fugl-Meyer Assessment of Upper Extremity
(FMA-UE) total score (0–66). A ROC curve under the reference line indicates that a higher score was more likely used by the rater on the second
test occasion.
Table II. Intra-rater agreement within each rater (A, B and C) and inter-rater agreement between all raters during test occasions 1 and 2 for Fugl-Meyer
Assessment Upper Extremity (FMA-UE) subscale A items and sums
Intra-rater agreement (PA %)
A. UPPER EXTREMITY
I. Reflex activity
Flexors and extensors
II. Within synergies
Shoulder retraction
Shoulder elevation
Shoulder abduction
Shoulder external rotation
Elbow flexion
Forearm supination
Adduction/internal rotation
Elbow extension
Forearm pronation
SUM A II, range 0–18p
SUM A II, 1 point difference
III. Mixed synergies
Hand to lumbar spine
Shoulder flexion 0–90°
Pronation–supination
SUM A III, range 0–6p
IV. Little or no synergies
Shoulder abduction 0–90°
Shoulder flexion 90–180°
Pronation–supination
V.
SUM A IV, range 0–6
Normal reflex activity
Biceps, triceps, finger flexors
SUM A, range 0–36p
SUM A. 1-point difference
SUM A. 2-points difference
Inter-rater agreement (PA %)
Rater A Rater B Rater C Test occasion 1 Test occasion 2
100 100 100 100 100
85
87
85
87
95
79
95 94
94
94
94
97
82
85 83
89
92
94
97
89
89 92
93
97
95
92
90
95 92
98
90
95
93
88
100
94 93
97
95
63
85
97
85 (RC) a
82 (RC) a
66
74
89
64
76
90 (RC) a
80
90
100
97
82
90
82 (RP) a
87
77 100 92 95 98
85
97
82 97
92
86 95
97
90 97
97
95
87
82
87 72 (RC) a 88
88
79 89
92
92 93
90
97 93
92
93
68 89 83 88
90 (RP) a
48
73
75 82
55
63
71 89
59
71
79 97
68
88
96 98
78
82
96
a
Statistically significant disagreement (absolute value of RP/RC≥ 0.1 and 95% CI does not include 0) marked in bold.
PA: percentage of agreement; RP: relative position; RC: relative concentration.
J Rehabil Med 51, 2019