Correlation of the Fugl Meyer assessment, Motricity Index and Barthel Index scales in the assessment of rehabilitation in post-stroke patients

Original Research


Introduction: Measuring scales are an indispensable tool in rehabilitation interventions, especially when you want to intervene with Traditional medicine methods on post-stroke patients. Appropriate scales are a prerequisite to assessing treatment response, the degree of recovery, and the value of the intervention method. The Barthel Index (BI) is a common scale used to measure activity function (activities of daily living - ADL), while the Fugl Meyer Assessment (FMA) and Motricity Index (MI) are commonly used scales to measure motor function.

Methods: A descriptive cross-sectional study was conducted on 128 post-stroke patients with hemiplegia from March 2021 to November 2022. Spearman's test assessed the correlation of 3 scales: BI, FMA, and MI.

Results: FMA and MI significantly correlate with BI, with correlation coefficients of r = 0.659 and r = 0.748, respectively. The subdomains of FMA, including FMA-UE (upper extremity), FMA-LE (lower extremity), and MI, including MI-UE (upper extremity), MI-LE (lower extremity), TCT (Trunk Control Test), are also highly correlated with BI.

Conclusions: Research results show that scales such as FMA and MI strongly correlate with BI and can be a valuable tool to support the comprehensive assessment of motor and activity function in post-stroke patients.

Graphical abstract