Reliability of the Wolf Motor Function Test for Parkinson's disease

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-18 DOI:10.1016/j.gerinurse.2025.03.056

Vera Lúcia Santos de Britto PhD , Tatiana Vasconcelos da Silva SPT , Cynthia do Carmo Gomes de Andrade SPT , Larissa de Freitas Domingos SPT , Renan Vicente da Silva SPT , Ana Elisa Lemos Silva MSc , Luiz Felipe Vasconcellos PhD , Ana Paula Fontana PhD , Clynton Lourenço Correa PhD

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Abstract

Background

Assessment of upper limbs in Parkinson's disease (PD) is mandatory to be considered in clinical practice and research. However, few clinical assessments for upper limbs in PD are available. The objective was to evaluate some measurement properties of the Wolf Motor Function Test (WMFT) in individuals with PD.

Methods

Cross-sectional. Intrarater, interrater and test-retest reliabilities were established by analyzing the results from video assessments of the WMFT in patients with PD (n = 50).

Results and discussion

Excellent intrarater reliability for execution time (intraclass correlation coefficient - ICC> 0.75) and substantial intrarater reliability (weighted Kappa - K = 0.61-0.80) for Functional Ability Scale (FAS) for most WMFT tasks were observed. Test-retest was moderate for execution time (ICC ≤ 0.75). Both tasks 7 and 14 had excellent test-retest reliability (ICC = 0.99). The interrater reliability was considerable for performance, for most WMFT tasks, for FAS (K = 0.21-0.40).

Conclusions

WMFT showed intrarater and interrater reliabilities to assess the UL in patients with PD.

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帕金森病Wolf运动功能试验的可靠性

背景帕金森病（PD）患者上肢的评估是临床实践和研究中必须考虑的问题。然而，对PD患者上肢的临床评估很少。目的是评估pd患者Wolf运动功能测试（WMFT）的一些测量特性。通过分析PD患者WMFT视频评估的结果（n = 50），建立了内测信度、间测信度和重测信度。执行时间(类内相关系数- ICC>；在大多数WMFT任务中，功能能力量表（FAS）的内部信度（加权Kappa - K = 0.61-0.80）较高。测试-重测在执行时间上是中等的（ICC≤0.75）。任务7和任务14具有极好的重测信度（ICC = 0.99）。对于大多数WMFT任务，对于FAS (K = 0.21-0.40)，表现的判读者信度相当可观。结论swmft在评估PD患者UL方面具有内部和内部的可靠性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.