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吴媛媛,闵 瑜,燕铁斌.Wolf运动功能测试量表评定脑卒中急性期患者上肢功能的效度和信度研究[J].中国康复医学杂志,2009,24(11):992~994
Wolf运动功能测试量表评定脑卒中急性期患者上肢功能的效度和信度研究    点此下载全文
吴媛媛  闵 瑜  燕铁斌
中山大学附属孙逸仙纪念医院康复科,广州,510120
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摘要:
      目的:探讨Wolf运动功能测试量表(WMFT)评定脑卒中急性期患者上肢功能的效度和信度,为临床应用提供客观依据。方法:脑卒中急性期患者共23例自愿参加本研究;1周内对所有病例应用WMFT和Fugl-Meyer量表中上肢运动功能测试部分(U-FMA)进行2次评定。将WMFT结果与U-FMA作相关性检验来验证WMFT的效度;对2次WMFT结果作相关性分析来测试WMFT的重复测量信度。结果:WMFT总分和U-FMA总分的高度相关(r=0.922、0.929,P<0.001)。WMFT各项内容的时间中位数和等级均数的2次重复测试结果高度相关,其组间相关系数ICC=0.989、0.997,组内相关系数ICC=0.980、0.991。结论:Wolf 运动功能测试量表具有良好的效度和信度,可用于脑卒中急性期患者的上肢功能的评价。
关键词:脑卒中  上肢  效度  信度  Wolf运动功能测试量表
Validity and reliability of Wolf motor function test on assessing the upper extremities motor function of Chinese stroke patients in acute stage    Download Fulltext
Department of Rehabilitation Medicine,the Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou ,510120
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Abstract:
      Objective: To study validity and reliability of Wolf motor function test (WMFT) on assessing the upper extremities motor function of acute stroke patients so as to guide clinical application. Method: Twenty-three stroke patients in acute stage participated in the study. Patients were assessed twice with WMFT and the upper extremities motor function test of Fugl-Meyer movement assessment (U-FMA) within one week. The correlation between the assessment results of WMFT and U-FMA were analyzed to study the validity and reliability of WMFT. Result: WMFT was highly correlated with U-FMA in total scores(r=0.922, 0.929,P<0.001). There were high correlation in all items of WMFT between two assessment sessions. The intraclass correlation coefficients(ICC) were 0.989,0.997 for intrarater and 0.980, 0.991 for intarater. Conclusion: The WMFT is valid and reliable on assessing upper extremities motor function of stroke patients in acute stage.
Keywords:stroke  upper extremity  validity  reliability  Wolf motor function test
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