Assessing the Streamlined Wolf Motor Function Test as an Outcome Measure for Stroke Rehabilitation

被引:22
作者
Wu, Ching-yi [2 ]
Fu, Tiffany
Lin, Keh-chung [1 ,3 ]
Feng, Chi-tzu [4 ]
Hsieh, Kuang-ping [5 ]
Yu, Hung-wen [6 ]
Lin, Chia-huang [7 ]
Hsieh, Ching-ju [8 ]
Ota, Hisaaki [9 ]
机构
[1] Natl Taiwan Univ, Coll Med, Sch Occupat Therapy, Taipei 10764, Taiwan
[2] Chang Gung Univ, Tao Yuan, Taiwan
[3] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Div Occupat Therapy, Taipei, Taiwan
[4] Buddhist Tzu Chi Gen Hosp, Taipei Branch, Taipei, Taiwan
[5] Cheng Hsin Gen Hosp, Taipei, Taiwan
[6] Mackay Mem Hosp, Taipei, Taiwan
[7] Taipei Med Univ, Shuang Ho Hosp, Taipei, Taiwan
[8] Taipei City Hosp, Heping Branch, Taipei, Taiwan
[9] Sapporo Med Univ Hosp, Sapporo, Hokkaido, Japan
关键词
cerebrovascular accident; rehabilitation; outcome measures; clinimetrics; Wolf Motor Function Test; streamlining; INDUCED MOVEMENT THERAPY; CONSTRAINT-INDUCED THERAPY; UPPER EXTREMITY FUNCTION; QUALITY-OF-LIFE; SHORT-FORM; RELIABILITY; VALIDITY; IMPACT; SCALE; ARM;
D O I
10.1177/1545968310381249
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective. This study investigates the clinimetric properties of the streamlined Wolf Motor Function Test (WMFT), a 6-item version of the performance time scale of the WMFT. Methods. The streamlined WMFT, along with 2 criterion measures, the Fugl-Meyer Assessment (FMA) and the Stroke Impact Scale (SIS), were administered to 64 stroke patients before and after a 3-week intervention. Responsiveness was examined using the Wilcoxon signed rank test and standardized response mean (SRM). Criterion-related validity was investigated using the Spearman correlation coefficient (rho). Results. The mean score on the baseline FMA upper extremity of the patients was 44.84 (standard deviation = 12.77). The streamlined WMFT and the original performance time scale showed comparable responsiveness (SRM = 0.29 and 0.37, respectively). The concurrent validity of the streamlined WMFT was good (rho = 0.57-0.69). For predictive validity, the streamlined WMFT showed slightly better association with the criterion measures (rho = 0.60-0.68) than did the original scale (rho = 0.56-0.64). Conclusions. Compared with the original scale, the streamlined WMFT showed improved clinical utility.
引用
收藏
页码:194 / 199
页数:6
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