Cross-cultural translation and adaptation of the Danish version of the Fugl-Meyer assessment for post stroke sensorimotor function

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Purpose The Fugl-Meyer assessment (FMA) is the most widely used and recommended clinical assessment scale for evaluating sensorimotor impairments in stroke patients, but an official Danish version has not been available. This study aimed to perform a standardized translation and cross-cultural adaptation (TCCA) of the FMA into Danish. Methods First, a comprehensive eight-step TCCA procedure including forward and backward translation and step-wise reviewing by proof-reader and bilingual physiotherapists, to ensure conceptual and semantic equivalence was applied to develop a Danish version of the FMA. Second, inter-rater reliability of the Danish FMA was assessed in 10 subacute stroke patients. Svensson's statistical method designed for rank-based paired ordinal data to identify items showing non-systematic or systematic disagreements in relative position or concentration was used to make further improvements on translation. Results A Danish FMA version was successfully made by the step-wise TCCA procedure. The clinical validation revealed satisfactory to excellent inter-tester reliability across all items (70-100%). Significant systematic disagreement either in position or concentration or both were observed in about 20% of the items. Conclusions The Danish version of the FMA was translated and adapted allowing for a wider standardized use of the FMA in stroke rehabilitation in Denmark.

Original languageEnglish
JournalDisability and Rehabilitation
Issue number17
Pages (from-to)4888-4895
Number of pages8
Publication statusPublished - 2022

    Research areas

  • Fugl-Meyer&#8217, s assessment, translation and cross-cultural adaptation, outcome assessment, upper extremity, lower extremity, stroke rehabilitation, HEMORRHAGIC STROKE, OUTCOME MEASURES, RECOVERY, RELIABILITY, HEALTH, RECOMMENDATIONS, REHABILITATION, RESPONSIVENESS, ASSOCIATION, DISABILITY

ID: 269863020