Journal of rehabilitation medicine · 2025
Cross-cultural adaptation and validation of the Japanese translation of the Fugl-Meyer Assessment for upper and lower extremity sensorimotor function after stroke.
СтатьяВалидационное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Tomoda Yukitaka, Nagao Toru, Uchida Tomoko, Sato Hiroki, Oonishi Masatoshi, Okamoto Takayuki, Tajitsu Maya, Alt Murphy Margit
Аннотация
OBJECTIVE: To develop an official translation of the original Fugl-Meyer Assessment of upper and lower extremity sensorimotor function into Japanese by following a standardized cross-cultural adaptation process to ensure conceptual, linguistic, and semantic validity.
DESIGN: Cross-cultural translation/validation.
SUBJECTS/PATIENTS: Seven Japanese clinical experts and an external expert developed the translation. The pilot study included 10 participants with stroke.
METHODS: Following the Translation and Cross-Cultural Adaptation of Objectively Assessed Outcome Measures, the Fugl-Meyer Assessment was forward and backward translated and reviewed by an expert group and an external expert familiar with the original scale. The translation was tested in a pilot study with 10 patients with hemiparetic stroke to identify problematic items in intra- and inter-rater agreements.
RESULTS: Sufficient intra- and inter-rater agreements (> 70% agreement) were reached for all items, and only 2 sensation items showed systematic disagreement. These results were incorporated to refine the translation and ensure conceptual, semantic, and linguistic equivalence with the original Fugl-Meyer Assessment.
CONCLUSION: The culturally validated upper and lower extremity Fugl-Meyer Assessment supports the Japanese rehabilitation field and promotes international collaboration by improving the unified assessment of sensorimotor function in individuals with stroke.
DESIGN: Cross-cultural translation/validation.
SUBJECTS/PATIENTS: Seven Japanese clinical experts and an external expert developed the translation. The pilot study included 10 participants with stroke.
METHODS: Following the Translation and Cross-Cultural Adaptation of Objectively Assessed Outcome Measures, the Fugl-Meyer Assessment was forward and backward translated and reviewed by an expert group and an external expert familiar with the original scale. The translation was tested in a pilot study with 10 patients with hemiparetic stroke to identify problematic items in intra- and inter-rater agreements.
RESULTS: Sufficient intra- and inter-rater agreements (> 70% agreement) were reached for all items, and only 2 sensation items showed systematic disagreement. These results were incorporated to refine the translation and ensure conceptual, semantic, and linguistic equivalence with the original Fugl-Meyer Assessment.
CONCLUSION: The culturally validated upper and lower extremity Fugl-Meyer Assessment supports the Japanese rehabilitation field and promotes international collaboration by improving the unified assessment of sensorimotor function in individuals with stroke.