Lower Extremity Motor Coordination Test (LEMOCOT): Difference between revisions

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== Technique: ==
== Technique: ==
The patients, in the sitting position, are instructed to alternately move their lower limb as quickly as possible and touch with their halluces two red targets with 6 cm in diameter (one proximal and one distal), separated by a distance of 30 cm for 20 seconds (1, 2(2005,2014. During the test, the examiner counts the number of touched targets, and for the final score, the calculation of only the touched targets are considered
The patient, in a comfortable sitting position, with heels on the proximal target and with the knees at 90° of flexion, is instructed to alternately move his/her lower limb as quickly as possible and touch with the hallux two red targets with 6 cm in diameter (one proximal and one distal), separated by a distance of 30 cm for 20 seconds. An additional instruction is given not to sacrifice the accuracy of the touches nor the quality of the movement to increase speed.  A familiarization trial is conducted first before the examiner counts the number of touched targets.<ref>de Menezes KK, Scianni AA, Faria-Fortini I, Avelino PR, Faria CD, Teixeira-Salmela LF. [https://pubmed.ncbi.nlm.nih.gov/25882758/ Measurement properties of the lower extremity motor coordination test in individuals with stroke]. Journal of Rehabilitation Medicine. 2015 Jun 5;47(6):502-7.</ref><ref>Menezes KP, Nascimento LR, Pinheiro MB, Scianni AA, Faria CD, Avelino P, Faria-Fortini I, Teixeira-Salmela LF. [https://pubmed.ncbi.nlm.nih.gov/28352935/ Lower limb motor coordination is significantly impaired in ambulatory people with chronic stroke: a cross-sectional study.] J Rehabil Med. 2017 Apr 1;49:322-6.</ref> 


== Evidence: ==
== Evidence: ==
The test-retest reliability and construct validity of the LEMOCOT was established with 173 individuals (29 elderly and 144 post-stroke patients). For the assessment of convergent validity, the LEMOCOT was compared to the following instruments: Fugl-Meyer scale (FMS) scores, Berg balance scale scores, walking speeds (5-meter walking test), walking endurance (2-minute walking test), and functional autonomy measurement system.
The test-retest reliability and construct validity of the LEMOCOT was established with 173 individuals (29 elderly and 144 post-stroke patients). For the assessment of convergent validity, the LEMOCOT was compared to the following instruments: Fugl-Meyer scale (FMS) scores, Berg balance scale scores, walking speeds (5-meter walking test), walking endurance (2-minute walking test), and functional autonomy measurement system.

Revision as of 13:31, 22 October 2020

Purpose:[edit | edit source]

Lower Extremity Motor Coordination Test was developed as an easy, yet effective tool to clinically assess and evaluate the deficits in lower limb motor coordination in conditions such as stroke, spinal cord injuries, ataxia, Parkinson’s disease, schizophrenia or other psychiatric illnesses. 

Technique:[edit | edit source]

The patient, in a comfortable sitting position, with heels on the proximal target and with the knees at 90° of flexion, is instructed to alternately move his/her lower limb as quickly as possible and touch with the hallux two red targets with 6 cm in diameter (one proximal and one distal), separated by a distance of 30 cm for 20 seconds. An additional instruction is given not to sacrifice the accuracy of the touches nor the quality of the movement to increase speed. A familiarization trial is conducted first before the examiner counts the number of touched targets.[1][2] 

Evidence:[edit | edit source]

The test-retest reliability and construct validity of the LEMOCOT was established with 173 individuals (29 elderly and 144 post-stroke patients). For the assessment of convergent validity, the LEMOCOT was compared to the following instruments: Fugl-Meyer scale (FMS) scores, Berg balance scale scores, walking speeds (5-meter walking test), walking endurance (2-minute walking test), and functional autonomy measurement system.

  1. de Menezes KK, Scianni AA, Faria-Fortini I, Avelino PR, Faria CD, Teixeira-Salmela LF. Measurement properties of the lower extremity motor coordination test in individuals with stroke. Journal of Rehabilitation Medicine. 2015 Jun 5;47(6):502-7.
  2. Menezes KP, Nascimento LR, Pinheiro MB, Scianni AA, Faria CD, Avelino P, Faria-Fortini I, Teixeira-Salmela LF. Lower limb motor coordination is significantly impaired in ambulatory people with chronic stroke: a cross-sectional study. J Rehabil Med. 2017 Apr 1;49:322-6.