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Fugl Meyer Assessment Lower Extremity FMA LE

This document appears to be an assessment of a patient's lower extremity sensorimotor function using the Fugl-Meyer Assessment for Lower Extremity (FMA-LE). The assessment evaluates 5 areas: I) reflex activity in a supine position, II) volitional movement within synergies in a supine position, III) volitional movement mixing synergies in a sitting position, IV) volitional movement with little or no synergy in a standing position, and V) normal reflex activity in a supine position. Scores are provided for each test with higher scores indicating better function. The total possible score is 28 points.

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shoaib
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2K views1 page

Fugl Meyer Assessment Lower Extremity FMA LE

This document appears to be an assessment of a patient's lower extremity sensorimotor function using the Fugl-Meyer Assessment for Lower Extremity (FMA-LE). The assessment evaluates 5 areas: I) reflex activity in a supine position, II) volitional movement within synergies in a supine position, III) volitional movement mixing synergies in a sitting position, IV) volitional movement with little or no synergy in a standing position, and V) normal reflex activity in a supine position. Scores are provided for each test with higher scores indicating better function. The total possible score is 28 points.

Uploaded by

shoaib
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Patient last name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date of birth: . . . . / . . . . / . . . . . . . .

Patient first name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . / . . . . / . . . . . . . .

F ugl-Meyer Assessment Lower Extremity


(FMA-LE)

Assessment of sensorimotor function:

LOWER EXTREMITY
I. Reflex activity, supine position None Can be elicited
Flexors: knee flexors 0 2
Extensors: patellar, Achilles 0 2
Subtotal I /4
II. Volitional movement within synergies, supine position None Partial Full
Flexor synergy: Maximal hip flexion (abduction/external Hip flexion 0 1 2
rotation), maximal flexion in knee and ankle joint Knee flexion 0 1 2
(palpate distal tendons to ensure active knee flexion). Ankle dorsiflexion 0 1 2
Hip extension 0 1 2
Extensor synergy: From flexor synergy to the hip
extension/adduction, knee extension and ankle plantar Hip adduction 0 1 2
flexion. Resistance is applied to ensure active Knee extension 0 1 2
movement, evaluate both movement and strength Ankle plantar flexion 0 1 2
Subtotal II / 14
III. Volitional movement mixing synergies, sitting position, knee 10 cm from
None Partial Full
the edge of the chair/bed
Knee flexion no active motion 0
from actively or no flexion beyond 90°, palpate tendons of hamstrings 1
passively
extended knee knee flexion beyond 90°, palpate tendons of hamstrings 2
Ankle no active motion 0
dorsiflexion limited dorsiflexion 1
compare with
unaffected side complete dorsiflexion 2
Subtotal III /4
IV. Volitional movement with little or no synergy, standing position, hip at 0° None Partial Full
Knee flexion to no active motion/ immediate and simultaneous hip flexion 0
90° hip at 0°, less than 90° knee flexion or hip flexion during movement 1
balance support
is allowed at least 90° knee flexion without simultaneous hip flexion 2
Ankle no active motion 0
dorsiflexion limited dorsiflexion 1
compare with
unaffected side complete dorsiflexion 2
Subtotal IV /4
V. Normal reflex activity supine position, evaluated only if full score of 4
None Partial Full
points achieved on earlier part IV, compare with unaffected side
Reflex activity 0 points on part IV or 2 of 3 reflexes markedly hyperactive 0
knee flexors, 1 reflex markedly hyperactive or at least 2 reflexes lively 1
Achilles, patellar maximum of 1 reflex lively, none hyperactive 2
Subtotal V /2
Total / 28

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