Translation, cultural adaptation and reliability of the brazilian version of the Graded Wolf Motor Function Test in adults with severe hemiparesis

Abstract Introduction : The Graded Wolf Motor Function Test (GWMFT) was developed as a modification of the Wolf Motor Function Test (WMFT), designed to address moderate-to-severe upper-extremity motor impairment, consequent to a stroke or brain injury, by combining time and quality of movement measures in both isolated movements and functional tasks. Objectives : To translate and adapt the GWMFT form and instructions manual to Brazilian Portuguese and evaluate the inter-rater reliability. Materials and methods : Ten individuals, mean age 53.2 ± 11.39 (range: 28-72) years and a mean time since stroke onset of 82.5 ± 85.83 (16-288) months participated in the study. After translation and cultural adaptation, two independent evaluators, based on the instructions manual information, administered GWMFT. Video observations were used to rate the time and the compensatory movements in the Functional Ability Scale (FAS). Intra-class Correlation Coefficients (ICCs) and Bland-Altman plots were calculated to examine the inter-rater reliability for performance time and FAS. Results : The translated and adapted version obtained a total ICC inter-rater time 0.99 (0.95-1.00), showing less reliability in the task of lifting a pen, with ICC = 0.71 (- 0.15-0.93). The ICC of the total FAS was 0.98 (0.92-0.99) and the task of elbow extension has shown the lowest ICC rate = 0.83 (0.31-0.96). Conclusion : The GWMFT scale reliability proved to be appropriate to evaluate the paretic upper limb in individuals with chronic hemiparesis post severe stroke.

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The reliability of the graded Wolf Motor Function Test for stroke

British Journal of Occupational Therapy ◽

10.1177/0308022620902697 ◽

2020 ◽

Vol 83 (9) ◽

pp. 585-594 ◽

Cited By ~ 1

Author(s):

Beverley Turtle ◽

Alison Porter-Armstrong ◽

May Stinson

Keyword(s):

Motor Function ◽

Intraclass Correlation ◽

Video Recording ◽

Correlation Coefficients ◽

Rater Reliability ◽

Intraclass Correlation Coefficients ◽

Upper Limb Function ◽

Item Level ◽

Function Test ◽

Wolf Motor Function Test

Introduction The graded Wolf Motor Function Test assesses upper limb function following stroke. Clinical utility is limited by the requirement to video record for scoring purposes. This study aimed to (a) assess whether video recording is required through examination of inter-rater reliability and agreement; and (b) assess intra-rater reliability and agreement. Method A convenience sample of 30 individuals were recruited following stroke. The graded Wolf Motor Function Test was administered within 2 weeks of rehabilitation commencement and at 3 months. Two occupational therapists scored participants through either direct observation or video. Inter- and intra-rater reliability and agreement were examined for item-level and summary scores. Results Excellent inter-rater reliability ( n = 28) was found between scoring through direct observation and by video (intraclass correlation coefficients >0.9), and excellent intra-rater reliability ( n = 21) was found (intraclass correlation coefficients >0.9) for item-level and summary scores. Low agreement was found between raters at the item level. Adequate agreement was found for total functional ability, with increased measurement error found for total performance time. Conclusion The graded Wolf Motor Function Test is a reliable measure of upper limb function. Video recording may not be required by therapists. In view of low agreement, future studies should assess the impact of standardised training.

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Elbow Extension Predicts Motor Impairment and Performance after Stroke

Rehabilitation Research and Practice ◽

10.1155/2011/381978 ◽

2011 ◽

Vol 2011 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Crystal L. Massie ◽

Stacy Fritz ◽

Matthew P. Malcolm

Keyword(s):

Motor Function ◽

Motor Performance ◽

Motor Impairment ◽

Elbow Extension ◽

Shoulder Flexion ◽

Function Test ◽

Wolf Motor Function Test ◽

And Performance ◽

Kinematic Motion Analysis ◽

Kinematic Motion

Background and Purpose. Kinematic motion analysis has helped to characterize poststroke reaching strategies with the hemiparetic arm. However, the relationships between reaching strategy and performance on common functional outcome measures remain unclear.Methods. Thirty-five participants were tested for motor performance and motor impairment using the Wolf Motor Function Test (time and functional ability measure) and Fugl-Meyer assessment, respectively. Kinematic motion analysis of a forward reaching paradigm provided potential predictors of reaching strategy including shoulder flexion, elbow extension, and trunk displacement. A stepwise linear regression model with three potential predictors was used in addition to Pearson-product moment correlations.Results. Kinematic analysis of elbow extension predicted performance on both the Wolf Motor Function Test and Fugl-Meyer assessment. Shoulder flexion and trunk displacement did not significantly predict functional or reaching time outcomes. The Wolf Motor Function Test and the Fugl-Meyer assessment were highly correlated.Conclusions. The ability to incorporate elbow extension during reach is a significant predictor of motor performance and hemiparetic arm motor capacity after stroke.

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Inter-rater and intra-rater reliability of an adapted Wolf motor function test for older patients with shoulder injuries

Zeitschrift für Gerontologie und Geriatrie ◽

10.1007/s00391-017-1226-2 ◽

2017 ◽

Vol 51 (3) ◽

pp. 293-300 ◽

Cited By ~ 3

Author(s):

Corinna Oberle ◽

Clemens Becker ◽

Sabine Schölch ◽

Joerg-Uwe Lenz ◽

Stefan Studier-Fischer ◽

...

Keyword(s):

Motor Function ◽

Older Patients ◽

Shoulder Injuries ◽

Rater Reliability ◽

Function Test ◽

Wolf Motor Function Test

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Wolf Motor Function Test – Für Klienten nach einem Schlaganfall geeignet

ergopraxis ◽

10.1055/s-0030-1255435 ◽

2010 ◽

Vol 3 (06) ◽

pp. 12-13

Keyword(s):

Motor Function ◽

Function Test ◽

Wolf Motor Function Test

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Efeitos da terapia por contensão induzida nas lesões encefálicas adquiridas

Fisioterapia Brasil ◽

10.33233/fb.v17i1.19 ◽

2016 ◽

Vol 17 (1) ◽

pp. 30

Author(s):

Gabriela Da Silva Matuti ◽

Rafaela Do Nascimento Borges Marques ◽

Amanda Conte Magesto ◽

Rafael Eras Garcia ◽

Clarissa Barros De Oliveira

Keyword(s):

Motor Activity ◽

Motor Function ◽

Function Test ◽

Wolf Motor Function Test

Introdução: A Terapia por Contensão Induzida (TCI) é uma técnica de reabilitação que tem como objetivo melhora da função do membro superior.acometido. Objetivos: Determinar se o protocolo da TCI é adequado para a reabilitação do membro superior em adultos com Lesões Encefálicas Adquiridas (LEA), analisar a manutenção dos resultados e identificar possíveis preditores de eficácia da técnica. Método: Estudo retrospectivo, 40 pacientes. As escalas utilizadas foram Motor Activity Log (MAL), Quantidade (QT) e Qualidade (QL) de movimento do membro superior acometido e Wolf Motor Function Test (WMFT). Resultados e discussão: As médias de QT e QL do membro superior acometido no pré e pós-tratamento tiveram um aumento significativo (p < 0,001), enquanto as do WMFT apresentaram uma redução significativa do tempo (p < 0,001), o que representa uma melhora na habilidade motora e maior uso fora do ambiente terapêutico. Os ganhos foram mantidos após 12 meses do término do protocolo, e não foi evidenciado nenhum preditor de evolução. Conclusão: A TCI demonstrou eficácia na melhora da habilidade motora e reversão do não uso aprendido do membro superior acometido, estes resultados foram mantidos após um ano da intervenção. Não foi evidenciado no estudo nenhum fator preditor de eficácia da técnica.Palavras-chave: lesões encefálicas adquiridas, hemiplegia, terapia por contensão induzida, reabilitação.

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