BACKGROUND: To assess upper extremity (UE) capabilities following stroke, the Wolf Motor Function Test (WMFT) measures time to complete 15 UE tasks and 2 strength tasks, but takes 30 to 45 minutes for the clinician to complete. OBJECTIVE: In an effort to streamline the WMFT, this study evaluated the association between the magnitude of improvement on any timed task of the WMFT and the change score on all other tasks among participants in the Extremity Constraint Induced Therapy Evaluation (EXCITE) trial. METHODS: This association was evaluated using regression methods according to chronicity and controlling for key covariates (functional level, gender, concordance) for log mean WMFT scores. RESULTS: After controlling for covariates, 6 tasks (hand to table [front], hand to box [front], reach and retrieve, lift can, lift pencil, and fold towel) influenced the overall WMFT score for survivors meeting EXCITE criteria and treated within 3 to 9 months poststroke. Six different tasks (extend elbow weight, hand to box [front], lift can, lift pencil, turn key in lock, and fold towel) influenced the overall WMFT score for those receiving constraint-induced movement therapy (CIMT) 1 year later. The importance of certain tasks relative to others may best represent overall UE function, but this streamlining enables the clinician to prioritize these tasks in the evaluation. CONCLUSIONS: The delineation of those tasks depends on the time poststroke from enrollment to CIMT. This study demonstrates that the WMFT can be streamlined from 17 to 6 tasks.
RCT Entities:
BACKGROUND: To assess upper extremity (UE) capabilities following stroke, the Wolf Motor Function Test (WMFT) measures time to complete 15 UE tasks and 2 strength tasks, but takes 30 to 45 minutes for the clinician to complete. OBJECTIVE: In an effort to streamline the WMFT, this study evaluated the association between the magnitude of improvement on any timed task of the WMFT and the change score on all other tasks among participants in the Extremity Constraint Induced Therapy Evaluation (EXCITE) trial. METHODS: This association was evaluated using regression methods according to chronicity and controlling for key covariates (functional level, gender, concordance) for log mean WMFT scores. RESULTS: After controlling for covariates, 6 tasks (hand to table [front], hand to box [front], reach and retrieve, lift can, lift pencil, and fold towel) influenced the overall WMFT score for survivors meeting EXCITE criteria and treated within 3 to 9 months poststroke. Six different tasks (extend elbow weight, hand to box [front], lift can, lift pencil, turn key in lock, and fold towel) influenced the overall WMFT score for those receiving constraint-induced movement therapy (CIMT) 1 year later. The importance of certain tasks relative to others may best represent overall UE function, but this streamlining enables the clinician to prioritize these tasks in the evaluation. CONCLUSIONS: The delineation of those tasks depends on the time poststroke from enrollment to CIMT. This study demonstrates that the WMFT can be streamlined from 17 to 6 tasks.
Authors: Carolee J Winstein; J Philip Miller; Sarah Blanton; Edward Taub; Gitendra Uswatte; David Morris; Deborah Nichols; Steven Wolf Journal: Neurorehabil Neural Repair Date: 2003-09 Impact factor: 3.919
Authors: Corinna Oberle; Clemens Becker; Sabine Schölch; Joerg-Uwe Lenz; Stefan Studier-Fischer; Peter Augat; Lars Schwickert Journal: Z Gerontol Geriatr Date: 2017-03-31 Impact factor: 1.281
Authors: Michelle Woodbury; Craig A Velozo; Paul A Thompson; Kathye Light; Gitendra Uswatte; Edward Taub; Carolee J Winstein; David Morris; Sarah Blanton; Deborah S Nichols-Larsen; Steven L Wolf Journal: Neurorehabil Neural Repair Date: 2010-07-08 Impact factor: 3.919
Authors: Gustavo Saposnik; Leonardo G Cohen; Muhammad Mamdani; Sepideth Pooyania; Michelle Ploughman; Donna Cheung; Jennifer Shaw; Judith Hall; Peter Nord; Sean Dukelow; Yongchai Nilanont; Felipe De Los Rios; Lisandro Olmos; Mindy Levin; Robert Teasell; Ashley Cohen; Kevin Thorpe; Andreas Laupacis; Mark Bayley Journal: Lancet Neurol Date: 2016-06-27 Impact factor: 44.182
Authors: Alexandra L Borstad; Seongjin Choi; Petra Schmalbrock; Deborah S Nichols-Larsen Journal: Neuroimage Clin Date: 2015-11-12 Impact factor: 4.881