Fugl-Meyer Assessment Lower-Extremity FMA-LE PDF

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Patient last name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient first name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F ugl-Meyer

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Assessment Lower Extremity

(FMA-LE)

Assessment of sensorimotor function: LOWER EXTREMITY I. Reflex activity, supine position Flexors: knee flexors Extensors: patellar, Achilles

None 0 0 Subtotal I

II. Volitional movement within synergies, supine position Flexor synergy: Maximal hip flexion (abduction/external Hip flexion Knee flexion rotation), maximal flexion in knee and ankle joint (palpate distal tendons to ensure active knee flexion). Ankle dorsiflexion Hip extension Extensor synergy: From flexor synergy to the hip Hip adduction extension/adduction, knee extension and ankle plantar Knee extension flexion. Resistance is applied to ensure active movement, evaluate both movement and strength Ankle plantar flexion Subtotal II III. Volitional movement mixing synergies, sitting position, knee 10 cm from the edge of the chair/bed Knee flexion no active motion from actively or no flexion beyond 90°, palpate tendons of hamstrings passively knee flexion beyond 90°, palpate tendons of hamstrings extended knee Ankle no active motion dorsiflexion limited dorsiflexion compare with complete dorsiflexion unaffected side Subtotal III IV. Volitional movement with little or no synergy, standing position, hip at 0° Knee flexion to no active motion/ immediate and simultaneous hip flexion 90° hip at 0°, less than 90° knee flexion or hip flexion during movement balance support at least 90° knee flexion without simultaneous hip flexion is allowed Ankle dorsiflexion compare with unaffected side

no active motion limited dorsiflexion complete dorsiflexion

Subtotal IV V. Normal reflex activity supine position, evaluated only if full score of 4 points achieved on earlier part IV, compare with unaffected side 0 points on part IV or 2 of 3 reflexes markedly hyperactive Reflex activity 1 reflex markedly hyperactive or at least 2 reflexes lively knee flexors, Achilles, patellar maximum of 1 reflex lively, none hyperactive Subtotal V Total

None 0 0 0 0 0 0 0 None

Can be elicited 2 2 /4 Partial Full 1 2 1 2 1 2 1 2 1 2 1 2 1 2 / 14 Partial

Full

0 1 2 0 1 2 None 0

/4 Partial

Full

1 2 0 1 2 /4 None

Partial

Full

0 1 2 /2 / 28...