Marina B Pinheiro1, Aline A Scianni1, Louise Ada2, Christina D Faria1, Luci F Teixeira-Salmela3. 1. Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. 2. Discipline of Physiotherapy, Faculty of Health Science, The University of Sydney, New South Wales, Australia. 3. Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: lfts@ufmg.br.
Abstract
OBJECTIVES: (1) To create predictive nomograms for the dominant and nondominant limbs on the Lower Extremity Motor Coordination Test (LEMOCOT) using reference values, and (2) to determine the inter- and intrarater reliability for the LEMOCOT; the best scoring method (first vs mean of the first 2 vs mean of the last 2 vs mean of 3 vs the highest of 3 trials); the best testing method (direct vs video observation); and the ability to detect real change (smallest real difference [SRD] and standard error of the measurement [SEM]). DESIGN: Normative and methodological study. SETTING: Metropolitan area. PARTICIPANTS: Healthy individuals (N=320, 50% women) in 7 age groups: 20 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 69, 70 to 79, and ≥80 years. Each group had 50 participants, except for ≥80 years (n=20). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE LEMOCOT RESULTS: Age and sex explained 48% of the variance in the LEMOCOT scores for the dominant limb and 44% for the nondominant limb (125<F<148; P<.001). No significant differences were found regarding the different scoring methods (.12<F<1.02; .10<P<.92), and all of them demonstrated good reliability (intraclass correlation coefficients between .90 and .99; P<.001). There was agreement between scores from direct and video observation (limits of agreement -1.99 to 1.85; -1.55 to 1.62). Appropriate SEM (2.27-1.85) and SRD (6.27-5.11) values were found. CONCLUSIONS: Reference values were determined for the LEMOCOT, and predictive nomograms were created based on age and sex. The LEMOCOT is reliable, needing only 1 trial (after familiarization) to generate reliable scores; can be scored from either direct or video observation; and has the ability to detect real change over time.
OBJECTIVES: (1) To create predictive nomograms for the dominant and nondominant limbs on the Lower Extremity Motor Coordination Test (LEMOCOT) using reference values, and (2) to determine the inter- and intrarater reliability for the LEMOCOT; the best scoring method (first vs mean of the first 2 vs mean of the last 2 vs mean of 3 vs the highest of 3 trials); the best testing method (direct vs video observation); and the ability to detect real change (smallest real difference [SRD] and standard error of the measurement [SEM]). DESIGN: Normative and methodological study. SETTING: Metropolitan area. PARTICIPANTS: Healthy individuals (N=320, 50% women) in 7 age groups: 20 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 69, 70 to 79, and ≥80 years. Each group had 50 participants, except for ≥80 years (n=20). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE LEMOCOT RESULTS: Age and sex explained 48% of the variance in the LEMOCOT scores for the dominant limb and 44% for the nondominant limb (125<F<148; P<.001). No significant differences were found regarding the different scoring methods (.12<F<1.02; .10<P<.92), and all of them demonstrated good reliability (intraclass correlation coefficients between .90 and .99; P<.001). There was agreement between scores from direct and video observation (limits of agreement -1.99 to 1.85; -1.55 to 1.62). Appropriate SEM (2.27-1.85) and SRD (6.27-5.11) values were found. CONCLUSIONS: Reference values were determined for the LEMOCOT, and predictive nomograms were created based on age and sex. The LEMOCOT is reliable, needing only 1 trial (after familiarization) to generate reliable scores; can be scored from either direct or video observation; and has the ability to detect real change over time.
Authors: Larissa T Aguiar; Júlia C Martins; Eliza M Lara; Julianna A Albuquerque; Luci F Teixeira-Salmela; Christina D C M Faria Journal: Braz J Phys Ther Date: 2016-07-11 Impact factor: 3.377
Authors: Simon D Holzapfel; Pamela R Bosch; Chong D Lee; Patricia S Pohl; Monica Szeto; Brittany Heyer; Shannon D Ringenbach Journal: Rehabil Res Pract Date: 2019-02-13