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Evaluating Motor Recovery after Stroke: Application of the Fugl-Meyer Assessment for the Upper Extremity

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1.  The Upper Extremity Fugl-Meyer Assessment (FMA-UE) was developed for all of the following populations EXCEPT:
  1. Ischemic CVA
  2. Hemorrhagic CVA
  3. Arteriovenous malformation rupture
  4. Subdural hematoma
2.  How should your patient be positioned when performing the FMA-UE?
  1. Unsupported on edge of mat
  2. In a wheelchair with armrests removed
  3. In a chair with no armrests
  4. Unsupported on edge of bed
3.  The maximum score a patient can receive on the FMA-UE is:
  1. 56
  2. 66
  3. 76
  4. 86
4.  In section five of the FMA-UE (Movements with little or no synergy dependence), your patient is unable to achieve the starting position but tries to abduct his shoulder to 90 degrees anyway. This attempt should be scored as:
  1. 0
  2. 1
  3. 2
  4. Unable to determine
5.  When performing the motion of placing the affected hand on the lumbar spine, the patient must demonstrate which of the follow to score a 1:
  1. Initiate movement
  2. Have the wrist crease cross the ASIS plane
  3. Have the wrist crease cross the PSIS plane
  4. Demonstrate full internal rotation
6.  In order to administer section 6 (normal reflex activity), the patient must demonstrate which of the following:
  1. Perfect scoring on the previous item (pronation/supination with elbow at zero degrees)
  2. Perfect scoring on the previous section (Movements with little or no synergy dependence)
  3. Perfect scoring on section 1 (reflexes)
  4. Hyperactive biceps and triceps reflexes
7.  How should the therapist FIRST demonstrate each of the different FMA-UE items:
  1. Mirror image of the patient's unaffected side
  2. Mirror image of the patient's affected side
  3. No demonstration is permitted for the FMA-UE
  4. Demonstrate each item with the dominant UE
8.  The Fugl-Meyer Assessment (FMA) assesses all of the following EXCEPT:
  1. Joint motion and pain
  2. Balance and sensation
  3. ADLs
  4. Upper extremity and lower extremity motor function
9.  The Fugl-Meyer Assessment is appropriate to use with all of the following patients EXCEPT:
  1. Patients with advanced cognitive deficits who are unable to follow 1-step commands
  2. Patients with adequate visual function
  3. Patients whose upper extremity movement has emerged
  4. Patients who exhibit postural control when seated in a chair
10.  During section 7 (wrist stability and mobility), your patient is able to extend his wrist to 15 degrees but is unable to maintain the position with slight resistance provided by the therapist. What score do you give?
  1. 0
  2. 1
  3. 2
  4. Too little information to score

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