學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Measurement properties of streamlined Wolf Motor Function Test in
patients at subacute to chronic stages after stroke |
作者 |
Chen, H-F., Wu, C-Y., Lin,
K-C.*, Jang, Y., Lin, S-C., Cheng, J-W., Chung, C-Y., & Yan, Y. |
期刊名稱 |
Neurorehabilitation
and Neural Repair
(SCI期刊) |
發表日期 |
2014 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
Cerebrovascular Accident; Motor
Activity; Upper Extremity; Recovery of Function |
摘要 |
Background.
Previous research using the streamlined-Wolf Motor Function Test (SWMFT) has
focused either the 3 to 9 month period or above 12 month period after stroke
and lacked the information for those at 9 to 12 months. Whether SWMFT scores
reflect motor deficit and recovery from early to late stages after stroke
remains unclear. Objective. A
retrospective study using the Functional Ability Scale (FAS) was conducted to
evaluate whether all SWMFTs items measure the poststroke recovery of upper
extremity (UE) motor function and if they could be used for patients within 9
to 12 months after a stroke. Methods. Rasch
analysis was conducted, and data were drawn from patients 3 months to years
after a stroke. Results. The
continuum of UE motor function in SWMFT-FAS was supported. Subacute patients
had the best motor function, followed by the 9- to 12-month group, and then
chronic patients. Variation in UE motor function was large (2.35–2.72
logits), and motor abilities of these 3 groups overlapped. The 8 SWMFT items
could target a broad range of UE motor function, from –8.28 to 15 7.80
logits. The average difficulty of these 8 items also matched the UE motor
ability of the 16 subgroup at 9 to 12 months after stroke, and individual
versions of the SWMFT performed well to assess the motor ability of this
group. Conclusions.
The SWMFTs had sound hierarchical properties. The SWMFT-C or the SWMFT-S could be used
to evaluate UE function of this subgroup at 9 to 12 months after stroke. |