Deans' stroke musings: An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke

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.

Sunday, August 31, 2025

An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke

You can see for yourself that nothing in this Wolf Motor Test actually gets you recovered. To me this type of testing is useless except you'll have to consent since it probably is needed to get insurance to pay. To me it would be much more useful to spend my time doing protocol repetitions leading to recovery than this shit. One question to determine patient recovery; 'Are you fully recovered?' Then the doctor and therapist should provide EXACT PROTOCOLS THAT DELIVER RECOVERY! Oh, your incompetent? doctor doesn't have those protocols? Then you're screwed, but your doctor still gets paid for incompetence!

Wolf Motor Function Test (WMFT)

The latest here:

An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke

Dorothy F.Edwards PhD a,b dfedwards@education.wisc.edu Catherine E. Lang PT, PhD b,c,d Joanne M. Wagner PT, PhD e Rebecca Birkenmeier OTD, OTR/L b Alexander W. Dromerick MD b,c,f,g,h Affiliations & Notes Article Info

Abstract

Edwards DF, Lang CE, Wagner JM, Birkenmeier R, Dromerick AW. An evaluation of the Wolf Motor Function Test in motor trials early after stroke.

Objective To examine the internal consistency, validity, responsiveness, and advantages of the Wolf Motor Function Test (WMFT) and compare these results to the Action Research Arm Test (ARAT) in participants with mild to moderate hemiparesis within the first few months after stroke. Design Data were collected as part of the Very Early Constraint-Induced Therapy for Recovery from Stroke (VECTORS) trial, an acute, single-blind randomized controlled trial of constraint-induced movement therapy. Subjects were studied at baseline (day 0), after treatment (day 14), and after 90 days (day 90) poststroke. Setting Inpatient rehabilitation hospital; follow-up 3 months poststroke. Participants Hemiparetic subjects (N=51) enrolled in the VECTORS trial. Intervention None. Main Outcome Measures At each time point, subjects were tested on (1) the WMFT and ARAT, (2) clinical measures of sensorimotor impairments, (3) reach and grasp movements performed in the kinematics laboratory, and (4) clinical measures of disability. Blinded raters performed all evaluations. Analyses at each time point included calculating effect size as indicators of responsiveness, and correlation analyses to examine relationships between WMFT scores and other measures. Results The WMFT is internally consistent, valid, and responsive in the early stages of stroke recovery. Sensorimotor and kinematic measures of reach and grasp support the construct validity of the WMFT. Conclusions In an acute stroke population, the WMFT has acceptable reliability, validity, and responsiveness to change over time. However, when compared with the ARAT, the higher training and testing burdens may not be offset by the relatively small psychometric advantages.