# Fugl-Meyer上肢動作評估問卷回覆範例 - 復健訓練評估量表實作指引(Rehabilitation Training Scale Implementation Guide) v0.1.0



## Resource Content

```json
{
  "resourceType" : "QuestionnaireResponse",
  "id" : "FMAUEMotorQuestionnaireResponseExample",
  "meta" : {
    "profile" : ["https://build.fhir.org/ig/Kimsber/Rehab-IG/StructureDefinition/SPACQuestionnaireResponse"]
  },
  "questionnaire" : "http://example.org/fhir/Questionnaire/FMAUEMotorQuestionnaireInstance",
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/stroke-patient-001"
  },
  "authored" : "2023-10-01T10:00:00+08:00",
  "item" : [{
    "linkId" : "assessment-phase-fmaue-motion",
    "text" : "請選擇評估階段",
    "answer" : [{
      "valueString" : "初評"
    }]
  },
  {
    "linkId" : "assessment-side-fmaue-motion",
    "text" : "請選擇評估階段",
    "answer" : [{
      "valueCoding" : {
        "code" : "7771000",
        "display" : "Left"
      }
    }]
  },
  {
    "linkId" : "A-shoulder-elbow-forearm",
    "text" : "A.肩部/肘部/前臂",
    "item" : [{
      "linkId" : "A-I-FMAUEMotion",
      "text" : "I.反射反應",
      "item" : [{
        "linkId" : "A-I-a-flexors",
        "text" : "二頭肌或手指屈肌",
        "answer" : [{
          "valueInteger" : 2
        }]
      },
      {
        "linkId" : "A-I-a-extensors",
        "text" : "三頭肌",
        "answer" : [{
          "valueInteger" : 0
        }]
      }]
    },
    {
      "linkId" : "A-II-a-FMAUEMotion",
      "text" : "II.a.屈肌協同動作",
      "item" : [{
        "linkId" : "A-II-a-shoulder-retraction",
        "text" : "肩部回縮",
        "answer" : [{
          "valueInteger" : 2
        }]
      },
      {
        "linkId" : "A-II-a-shoulder-elevation",
        "text" : "肩部抬高",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "A-II-a-shoulder-abduction",
        "text" : "肩外展",
        "answer" : [{
          "valueInteger" : 2
        }]
      },
      {
        "linkId" : "A-II-a-shoulder-outwards-rotation",
        "text" : "肩膀外旋",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "A-II-a-elbow-flexion",
        "text" : "手肘屈曲",
        "answer" : [{
          "valueInteger" : 2
        }]
      },
      {
        "linkId" : "A-II-a-forearm-supination",
        "text" : "前臂旋後",
        "answer" : [{
          "valueInteger" : 1
        }]
      }]
    },
    {
      "linkId" : "A-II-b-FMAUEMotion",
      "text" : "II.b.伸肌協同動作",
      "item" : [{
        "linkId" : "A-II-b-shoulder-add-inward-rotation",
        "text" : "肩部內旋/外旋",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "A-II-b-elbow-extension",
        "text" : "手肘伸展",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "A-II-b-forearm-pronation",
        "text" : "前臂旋前",
        "answer" : [{
          "valueInteger" : 1
        }]
      }]
    },
    {
      "linkId" : "A-III-FMAUEMotion",
      "text" : "III.部份協同動作（不可代償）",
      "item" : [{
        "linkId" : "A-III-hand-to-lumbar-spine",
        "text" : "手到腰椎",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "a-3-shoulder-flexion-0-90",
        "text" : "肩部屈曲0° - 90°",
        "answer" : [{
          "valueInteger" : 2
        }]
      },
      {
        "linkId" : "A-III-elbow-pro-supination",
        "text" : "手肘 90° 前傾/旋後",
        "answer" : [{
          "valueInteger" : 1
        }]
      }]
    },
    {
      "linkId" : "A-IV-FMAUEMotion",
      "text" : "IV.自主運動",
      "item" : [{
        "linkId" : "A-IV-shoulder-abduction-0-90",
        "text" : "肩外展 0° - 90°",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "A-IV-shoulder-flexion-90-180",
        "text" : "手肘 90° 前傾/旋後",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "A-IV-elbow-0-pronation-supination",
        "text" : "手肘 0° 前傾/旋後",
        "answer" : [{
          "valueInteger" : 0
        }]
      }]
    },
    {
      "linkId" : "A-V-FMAUEMotion",
      "text" : "V.反射強度",
      "item" : [{
        "linkId" : "A-V-normal-reflex-activity",
        "text" : "正常反射活動（屈肌/伸肌）",
        "answer" : [{
          "valueInteger" : 0
        }]
      }]
    }]
  },
  {
    "linkId" : "B-wrist-hand",
    "text" : "B.手腕/手部",
    "item" : [{
      "linkId" : "B-I-FMAUEMotion",
      "text" : "I.手腕穩定度",
      "item" : [{
        "linkId" : "B-I-elbow-90-wrist-stability",
        "text" : "手肘 90° 腕部穩定性",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "B-I-elbow-90-wrist-flex-extension",
        "text" : "手肘 90° 腕關節屈曲/伸展",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "B-I-elbow-0-wrist-stability",
        "text" : "手肘 0° 腕部穩定性",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "B-I-elbow-0-wrist-flex-extension",
        "text" : "手肘 0° 腕部屈曲/伸展",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "B-I-wrist-circumduction",
        "text" : "腕部旋轉",
        "answer" : [{
          "valueInteger" : 1
        }]
      }]
    },
    {
      "linkId" : "B-II-FMAUEMotion",
      "text" : "II.手指伸屈",
      "item" : [{
        "linkId" : "B-II-fingers-mass-flexion",
        "text" : "手指屈曲",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "B-II-fingers-mass-extension",
        "text" : "手指伸展",
        "answer" : [{
          "valueInteger" : 1
        }]
      }]
    },
    {
      "linkId" : "B-III-FMAUEMotion",
      "text" : "III.抓握功能",
      "item" : [{
        "linkId" : "B-III-grasp-a",
        "text" : "a. MP 關節伸展，PIP 和 DIP 彎曲；測試抓握力是否抵抗阻力",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "B-III-grasp-b",
        "text" : "b. 指導患者將拇指內收，其他關節在 0° 位置",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "B-III-grasp-c",
        "text" : "c. 食指拇指肚對著，中間插一支鉛筆",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "B-III-grasp-d",
        "text" : "d. 患者用食指和中指的掌側表面互相抵住，抓住一個圓柱形物體（小罐子）。",
        "answer" : [{
          "valueInteger" : 0
        }]
      },
      {
        "linkId" : "B-III-grasp-e",
        "text" : "e. 球形抓握；病人抓住一個網球",
        "answer" : [{
          "valueInteger" : 0
        }]
      }]
    }]
  },
  {
    "linkId" : "C-coordination-speed",
    "text" : "C.協調性/速度",
    "item" : [{
      "linkId" : "C-I-FMAUEMotion",
      "text" : "I.協調性/速度",
      "item" : [{
        "linkId" : "C-I-finger-to-nose-tremor",
        "text" : "手指觸碰鼻子：顫抖",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "C-I-finger-to-nose-dysmetria",
        "text" : "手指觸鼻：辨距不良",
        "answer" : [{
          "valueInteger" : 1
        }]
      },
      {
        "linkId" : "C-I-finger-to-nose-time",
        "text" : "手指到鼻子：時間",
        "answer" : [{
          "valueInteger" : 1
        }]
      }]
    }]
  },
  {
    "linkId" : "D-total-score-FMAUEMotion",
    "text" : "D.FMAUE動作總分",
    "answer" : [{
      "valueInteger" : 26
    }]
  }]
}

```
