Article

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.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS