title: Measurement properties of the lower extremity motor coordination test in individuals with stroke.
abstract: OBJECTIVE
  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).
  
  
  METHODS
  Methodological study.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  The LEMOCOT demonstrated adequate measurement properties in stroke subjects and, therefore, could be an appropriate measure for research and clinical purposes.
authors.affiliation: Department of Physical Therapy , Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Kênia Kiefer Parreiras
authors.initials: KK
authors.lastname: de Menezes
authors.forename: Aline Alvim
authors.initials: AA
authors.lastname: Scianni
authors.forename: Iza
authors.initials: I
authors.lastname: Faria-Fortini
authors.forename: Patrick Roberto
authors.initials: PR
authors.lastname: Avelino
authors.forename: Christina D C M
authors.initials: CD
authors.lastname: Faria
authors.forename: Luci Fuscaldi
authors.initials: LF
authors.lastname: Teixeira-Salmela
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology*; D011597:Psychomotor Performance / Q000502:physiology*; D015203:Reproducibility of Results; D020521:Stroke / Q000503:physiopathology*