02778nas a2200313   4500000000100000008004100001653003100042653003000073653002600103653001100129653001100140653001300151653000900164653001600173653003200189653003100221653001100252653003100263653001600294653002000310100001700330700001900347700001600366245010500382300000800487490000700495520194800502022001402450       2016                            d10aActivities of Daily Living10aCross-Cultural Comparison10aDisability Evaluation10aFemale10aHumans10aLanguage10aMale10aMiddle Aged10aPhysical Therapy Modalities10aReproducibility of Results10aStroke10aSurveys and Questionnaires10aTranslating10aUpper Extremity1 aAdhikari S P1 aTretriluxana J1 aChaiyawat P00aReliability and Validity of the Nepali Wolf Motor Function Test following Cross-cultural Adaptation.  a3-80 v143 a<p>Background The Wolf motor function test is a standardized, reliable and valid performance-based measure, which evaluates upper-extremity function. Neither there is any evidence of neurological measure in Nepali nor has this tool been cross-culturally adapted to date. Objective To cross-culturally translate and evaluate reliability and validity of Nepali Wolf motor function test. Method Two forward-translators translated the original version into Nepali. After synthesizing, two back- translators translated it into English. The expert committee consolidated and derived a final Nepali version. Two assessors pretested on three participants to confirm that the original concept of the tool is preserved. The agreement and correlation between back-translators were evaluated. The inter- and intra-rater reliability and agreement of two physiotherapists on eight participants were demonstrated through intra-class-correlation- coefficient and weighted-kappa for time and functional ability respectively. Criterion validity was explored against Fugl- Meyer assessment scale. Result A cross-culturally adapted Nepali Wolf motor function test was pretested and ensured that the Nepali version was still retaining its equivalence (rho: 0.74 to 1.0 for time, 0.82 to 1.0 for functional ability). Good-to- excellent inter- and intra-rater reliability {intra-class-correlation-coefficient(2,1) and (3,1): 0.80 to 1.0 and 0.81 to 1.0 respectively} were demonstrated. Excellent agreement (kappa 0.90, p &lt;0.00) and good correlation (rho 0.57 to 1.0) between back-translators were found. An adequate criterion validity (rho -0.95 for time, 0.91 for functional ability) against Fugl-Meyer assessment scale has been demonstrated. Conclusion A cross-culturally adapted Nepali Wolf motor function test, preserving its original concept, was developed, and the reliability and validity of the tool on individuals with stroke has been demonstrated.</p>
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