The majority of stroke survivors experience motor impairment which benefits from rehabilitation treatment. Telerehabilitation, remote delivery of rehabilitation services, is a possible solution providing access to rehabilitation for stroke survivors living in rural areas or in situations like the COVID-19 pandemic where face-to-face treatment may be risky. However, valid and reliable motor impairment measures have not yet been established over a telerehabilitation platform. The Fugl-Meyer (FM) lower extremity assessment is widely used clinically and in research. Thus, the aim was to develop a modified FM for telerehabilitation (FM-tele) and assess the feasibility and preliminary agreement of FM-tele scores with the FM. Three phases were employed: phase 1 development, phase 2 feasibility, and phase 3 preliminary agreement. Literature review and consultation with clinicians were employed to develop the FM-tele. Community-dwelling individuals with stroke and FM evaluators were consulted to provide feedback via questionnaires on the feasibility of the FM-tele. To assess the preliminary agreement of the FM-tele, individuals with stroke participated in two sessions, one in-person and one via telerehabilitation. The standard version of the FM was administered during the in-person session. The FM-tele was administered in both sessions. From phase 1, clinician consultation identified the following key principles: safety of the client, clear lower extremity visualization, and minimization of position changes which guided FM-tele development (n = 7). Feasibility was established in phase 2 where participants with stroke indicated that they felt safe and experienced ease following the standardized instructions, despite some technological concerns (n = 5). FM evaluators agreed that participants were safe and indicated effective standardized instructions. Phase 3 (n = 5) indicated preliminary agreement of the FM-tele compared with the FM. Participants with stroke and clinical consultation indicated the FM-tele developed for telerehabilitation is feasible. A lower extremity motor assessment tool for telerehabilitation is urgently needed for stroke survivors living in rural areas or when face-to-face visits are impossible. This pilot study provides preliminary support for a future study.

中文翻译：

---

用于远程康复的改良 Fugl-Meyer 下肢评估的开发和可行性：一项试点研究

大多数中风幸存者都会经历运动障碍，这得益于康复治疗。远程康复，远程提供康复服务，是一种可能的解决方案，为生活在农村地区或在 COVID-19 大流行等情况下面对面治疗可能存在风险的中风幸存者提供康复服务。然而，还没有通过远程康复平台建立有效和可靠的运动损伤措施。Fugl-Meyer (FM) 下肢评估在临床和研究中被广泛使用。因此，目的是开发一种用于远程康复的改良 FM (FM-tele)，并评估 FM-tele 分数与 FM 的可行性和初步一致性。采用了三个阶段：第 1 阶段开发、第 2 阶段可行性和第 3 阶段初步协议。使用文献回顾和咨询临床医生来开发 FM-tele。咨询社区居民中风和 FM 评估人员，以通过调查问卷提供有关 FM 电话可行性的反馈。为了评估 FM-tele 的初步协议，中风患者参加了两个会议，一个是面对面的，另一个是通过远程康复的。FM 的标准版本是在面对面会议期间管理的。FM-tele 在两个会话中都进行了管理。从第 1 阶段开始，临床医生会诊确定了以下关键原则：客户的安全、清晰的下肢可视化以及引导 FM-tele 发展的姿势变化的最小化（n = 7）。在第 2 阶段确定了可行性，尽管存在一些技术问题（n = 5），但中风参与者表示，他们在遵循标准化说明后感到安全和轻松。FM 评估员一致认为参与者是安全的，并表示有效的标准化指导。阶段 3 (n = 5) 表明 FM-tele 与 FM 的初步一致。中风和临床咨询的参与者表示，为远程康复开发的 FM-tele 是可行的。对于生活在农村地区或无法进行面对面访问的中风幸存者，迫切需要一种用于远程康复的下肢运动评估工具。该试点研究为未来的研究提供了初步支持。FM 评估员一致认为参与者是安全的，并表示有效的标准化指导。阶段 3 (n = 5) 表明 FM-tele 与 FM 的初步一致。中风和临床咨询的参与者表示，为远程康复开发的 FM-tele 是可行的。对于生活在农村地区或无法进行面对面访问的中风幸存者，迫切需要一种用于远程康复的下肢运动评估工具。该试点研究为未来的研究提供了初步支持。FM 评估员一致认为参与者是安全的，并表示有效的标准化指导。阶段 3 (n = 5) 表明 FM-tele 与 FM 的初步一致。中风和临床咨询的参与者表示，为远程康复开发的 FM-tele 是可行的。对于生活在农村地区或无法进行面对面访问的中风幸存者，迫切需要一种用于远程康复的下肢运动评估工具。该试点研究为未来的研究提供了初步支持。对于生活在农村地区或无法进行面对面访问的中风幸存者，迫切需要一种用于远程康复的下肢运动评估工具。该试点研究为未来的研究提供了初步支持。对于生活在农村地区或无法进行面对面访问的中风幸存者，迫切需要一种用于远程康复的下肢运动评估工具。该试点研究为未来的研究提供了初步支持。