Deans' stroke musings: Assessing the Streamlined Wolf Motor Function Test as an Outcome Measure for Stroke Rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, December 29, 2020

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

The only valid outcome measure is one question: 'Are you 100% recovered?' If your stroke hospital is not measuring that they are completely incompetent.

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

2011, Neurorehabilitation and Neural Repair
Ching-yi Wu, ScD 1,

Tiffany Fu, PhD 2,

Keh-chung Lin, ScD 2,3,

Chi-tzu Feng 4,

Kuang-ping Hsieh 5,

Hung-wen Yu 6,

Chia-huang Lin 7,

Ching-ju Hsieh, MD 8,

and Hisaaki Ota, PhD 9

Abstract

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 (ρ).

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 (ρ= 0.57-0.69). For predictive validity, the streamlined WMFT showed slightly better association with the criterion measures (ρ= 0.60-0.68) than did the original scale (ρ= 0.56-0.64).
Conclusions
Compared with the original scale, the streamlined WMFT showed improved clinical utility.