OBJECTIVE: To ensure wider use of the internationally recommended Fugl-Meyer Assessment (FMA) of sensorimotor function for people with stroke, official translations of the scale are needed. This study aimed to perform a translation and cross-cultural adaptation/validation of the FMA into the Czech language. DESIGN: Translation and cross-cultural adaptation/validation. SUBJECTS/PATIENTS: Five clinical experts and 1 external expert participated as reviewers; 11 individuals with stroke in the early subacute phase were included in the pilot testing. METHODS: A standardized process using forward-backward translations, expert panel reviews, and pilot testing between and within the raters (inter- and intra-rater reliability) were employed to ensure conceptual, semantic, and operational validity of the new Czech FMA. Agreement between raters was assessed in 11 individuals with stroke on 2 consecutive days at University Hospital Olomouc by using Svensson's rank-based statistics. RESULTS: Percentage of agreement between and within raters ranged between 70-100% and 55-100%, respectively. Systematic disagreements, found in 7 out of 96 FMA items, were discussed and revised in the final version. CONCLUSION: The Czech FMA offers a more unified and standardized assessment of sensorimotor impairment in clinical and research settings. This will improve stroke rehabilitation care and allow for wider international collaboration.

Department of Clinical Neuroscience Institute of Neuroscience and Physiology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden; Department of Rehabilitation and Health Institute of Neuroscience and Physiology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

Department of Clinical Rehabilitation Faculty of Health Sciences Palacký University Olomouc Czech Republic

Department of Clinical Rehabilitation Faculty of Health Sciences Palacký University Olomouc Czech Republic; Department of Rehabilitation University Hospital Olomouc Czech Republic

Department of Rehabilitation University Hospital Olomouc Czech Republic; Department of Neurology Faculty of Medicine and Dentistry Palacký University Olomouc Czech Republic

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