Pereira Natalia D, Michaelsen Stella M, Menezes Isabella S, Ovando Angélica C, Lima Renata C M, Teixeira-Salmela Luci F
Programa de Pós-graduação em Ciências do Movimento Humano, Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brasil.
Rev Bras Fisioter. 2011 May-Jun;15(3):257-65.
The Wolf Motor Function Test (WMFT) evaluates the upper limb (UL) performance of adults with hemiparesis by combining time and quality of movement measures in both isolated movements and functional tasks.
To translate and adapt the WMFT form, functional ability scale (FAS) and manual to Brazilian Portuguese and evaluate the intra and inter-rater reliabilities.
Fifteen individuals with a mean age of 57.9±11.1 years and a mean time since stroke onset of 68.5±53.5 months participated. The WMFT was administered by one physiotherapist based on information in the manual, and video observations were assessed by two other independent physical therapists. Information regarding compensatory movements was included in the FAS. Intra-class correlation coefficients (ICCs) and Bland-Altman plots were calculated to examine the intra- and inter-rater reliabilities for performance time and FAS, whereas weighted kappa (Kp) was used to examine the agreement strength for FAS.
The inter-rater ICC values for performance time were above 0.75 in 13 of the 15 tasks. For the FAS, they ranged from 0.87-0.99 for all evaluated tasks, with Kp values ranging from 0.63-0.92. For intra-rater reliability, the ICC ranged from 0.99-1.0 and from 0.96-1.0 for time measurement and FAS, respectively. Kp values ranged from 0.79-0.96 for individual and 0.93 for total scores.
The Brazilian version of the WMFT showed adequate intra- and inter-rater reliabilities for evaluating the paretic UL of individuals with stroke.
狼运动功能测试（WMFT）通过结合孤立运动和功能任务中的运动时间和质量测量来评估偏瘫成年人的上肢（UL）表现。
将WMFT表格、功能能力量表（FAS）及手册翻译成巴西葡萄牙语并进行改编，评估评分者内信度和评分者间信度。
15名参与者，平均年龄57.9±11.1岁，卒中发作后的平均时间为68.5±53.5个月。一名物理治疗师根据手册中的信息进行WMFT测试，另外两名独立的物理治疗师对视频观察进行评估。FAS中纳入了有关代偿运动的信息。计算组内相关系数（ICC）和Bland-Altman图，以检验表现时间和FAS的评分者内信度和评分者间信度，而加权kappa（Kp）用于检验FAS的一致性强度。
15项任务中有13项任务的表现时间评分者间ICC值高于0.75。对于FAS，所有评估任务的ICC值范围为0.87 - 0.99，Kp值范围为0.63 - 0.92。对于评分者内信度，时间测量的ICC范围为0.99 - 1.0，FAS的ICC范围为0.96 - 1.0。个体Kp值范围为0.79 - 0.96，总分Kp值为0.93。
巴西版WMFT在评估卒中患者患侧上肢方面显示出足够的评分者内信度和评分者间信度。
