Article

OBJECTIVES: To evaluate the construct validity, inter- and intra-rater
reliabilities, best scoring method and testing methods (direct vs video
observations), and to determine the smallest real difference (SRD) and standard
error of the measurement (SEM) of the lower Extremity Motor Coordination Test
(LEMOCOT). DESIGN: Methodological study. SUBJECTS: Thirty-six stroke subjects.
METHODS: Outcomes include measures of motor recovery, muscular tone, strength,
motor coordination, foot tactile sensation, and gait speed. RESULTS: The LEMOCOT
scores were able to discriminate between stroke individuals from those predicted
for healthy subjects, between the paretic and non-paretic limbs for both the
sub-acute and chronic groups and differentiated between individuals with
different functional levels and degrees of motor recovery. For the intra- and
inter-rater reliabilities, very high and significant coefficients were found for
both the paretic and non-paretic lower limbs for both groups (intra-class
correlation coefficients (ICC) > 0.97, p < 0.0001). Significant differences were
found regarding all scoring methods (18.91 < F < 27.49, p < 0.0001), but they
were not clinically important and all showed adequate test-retest reliability and
acceptable SRD and SEM (< 15%) values. There was also agreement between the
scores from the direct and video observations. CONCLUSION: The LEMOCOT
demonstrated adequate measurement properties in stroke subjects and, therefore,
could be an appropriate measure for research and clinical purposes.

Langue : ANGLAIS