Article

Measuring movement performance in people with neurological damage
requires a tool that reflects physiotherapy assessment and clinical reasoning.
The Leeds Movement Performance Index (LMPI) was previously developed by a group
of neurological physiotherapists to fulfill these requirements. OBJECTIVE: To
assess the reliability of the LMPI for use in neurological physiotherapy
practice. METHODS: Twelve senior neurological physiotherapists were trained to
use the LMPI and then asked to measure the movement performance of five patients
whose movement had been previously video-recorded for this purpose. A retest
session was completed after two weeks. Data were analysed to establish internal
and external reliability. RESULTS: Internal reliability was assessed using
Cronbach's alpha coefficient, applied to the entire scale (0.862) and to each
item (range 0.795-0.892). External (inter-rater) reliability was assessed by a
calculation of the intraclass correlation coefficient for scores awarded by
multiple raters (0.959), with individual item reliability ranging from 0.874 to
0.968. External (test-retest) reliability was assessed by calculating the
Spearman's rank correlation coefficient between scores obtained on two testing
occasions (0.792) with values of individual items ranging from 0.397 to 0.674. A
variance components analysis partitioned variance into components arising from
between-patient variability (55.2%) between-therapist variability (7.8%) and
between-testing variability (2.8%). CONCLUSIONS: RESULTS indicate that the LMPI
is a reliable measurement tool when used by senior neurological physiotherapists.

Langue : ANGLAIS