Correlation of fugl-meyer assesment score with barthel index and functional independence measure in patients with stroke

Abstract

Background: The prevention of stroke morbidities that is oriented to the approach of functional performance improve is expected improve the productivity of post-stroke patients. One of the tools to measure the physical performance is Fugl-Meyer Assessment (FMA) scale, while the recommended tests to measure interpedency level are Barthel Index (BI) and Functional Independence Measure (FIM). Method: This study was conducted on 20 outpatient stroke patients in Medical Rehabilitation Installation of Dr. Soetomo General Hospital Surabaya, Indonesia. FMA, BI and FIM examination were performed in all subjects. Results: The authors obtained the correlation coefficient value with r=0.816 and therefore a high positive correlation was found between the total score of FMA and BI, while the correlation coefficient value between the total score of FMA and FIM showed r of 0.728. Thus, the author concluded that there was a positive correlation between the total score of FMA and FIM. The sub-domains FMA-UE, FMA-LE and FMA Balance were highly correlated with BI and FIM. This implied that physical performance measured using FMA could describe the interdependency level of stroke patients in doing ADL. Conclusion: Physical performance (based on Fugl-Meyer Assessment) was positively correlated with the interdependency level of BI and FIM of inpatient stroke patients in Medical Rehabilitation Dr. Soetomo General Hospital Surabaya.