Deans' stroke musings: The Reliability of the Wolf Motor Function Test for Assessing Upper Extremity Function 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.

Wednesday, July 2, 2025

The Reliability of the Wolf Motor Function Test for Assessing Upper Extremity Function 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. Please talk to survivors sometime and see what they want out of research and stroke rehab. Not this crapola! 'Assessments' do nothing for recovery!

Wolf Motor Function Test (WMFT)

The latest here:

The Reliability of the Wolf Motor Function Test for Assessing Upper Extremity Function After Stroke

Morris DM, Uswatte G, Crago JE, Cook EW III, Taub E.

Objective:

To examine the reliability of the Wolf Motor Function Test (WMFT) for assessing upper extremity motor function in adults with hemiplegia.

Design:

Interrater and test-retest reliability. (Nothing about interrater stuff gets survivors recovered! Useless!)

Setting:

A clinical research laboratory at a university medical center.

Patients:

A sample of convenience of 24 subjects with chronic hemiplegia (onset >1yr), showing moderate motor impairment.

Intervention:

The WMFT includes 15 functional tasks. Performances were timed and rated by using a 6-point functional ability scale. The WMFT was administered to subjects twice with a 2-week interval between administrations. All test sessions were videotaped for scoring at a later time by blinded and trained experienced therapists.

Main Outcome Measure:

Interrater reliability was examined by using intraclass correlation coefficients and internal consistency by using Cronbach's alpha. Results: Interrater reliability was.97 or greater for performance time and.88 or greater for functional ability. Internal consistency for test 1 was.92 for performance time and.92 for functional ability; for test 2, it was.86 for performance time and.92 for functional ability. Test-retest reliability was.90 for performance time and.95 for functional ability. Absolute scores for subjects were stable over the 2 test administrations.

Conclusion:

The WMFT is an instrument with high interrater reliability, internal consistency, test-retest reliability, and adequate stability. (But DOES ABSOLUTELY NOTHING TOWARDS RECOVERY!)