Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients
Background Stroke is among the three leading causes of disability around the world, and it results in immediate difficulty in mobility and gait. There is a lack of instruments to evaluate what daily life is like for these individuals using their lower limbs in real-life environments (outside of the...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Academia Brasileira de Neurologia (ABNEURO)
2023-04-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1767826 |
| _version_ | 1797815188724908032 |
|---|---|
| author | Elaine Menezes-Oliveira Marília Escudero Cecconi Clarissa Barros de Oliveira Milena Vegas Sandra Regina Alouche Ricardo Mario Arida Gabriela da Silva Matuti |
| author_facet | Elaine Menezes-Oliveira Marília Escudero Cecconi Clarissa Barros de Oliveira Milena Vegas Sandra Regina Alouche Ricardo Mario Arida Gabriela da Silva Matuti |
| author_sort | Elaine Menezes-Oliveira |
| collection | DOAJ |
| description | Background Stroke is among the three leading causes of disability around the world, and it results in immediate difficulty in mobility and gait. There is a lack of instruments to evaluate what daily life is like for these individuals using their lower limbs in real-life environments (outside of the clinical environment).
Objective To perform the translation and cultural adaptation to Brazilian Portuguese of the Lower-Extremity Motor Activity Log (LE-MAL) and test its measurement properties in chronic poststroke individuals.
Methods The LE-MAL was translated into Brazilian Portuguese and adapted to the Brazilian culture. The comprehension and relevance of the final version were analyzed by a committee of specialists. The reliability, validity, and responsiveness of the LE-MAL/Brazil to detect changes after lower extremity constraint-induced movement therapy (LE-CIMT) and an intensive conventional therapy were tested.
Results The LE-MAL/Brazil showed excellent inter- and intrarater reliability, with an intraclass correlation coefficient and Cronbach alpha > 0.70, as well as standard error of measurement and smallest detectable change < 10% of the total instrument score when applied by the same evaluators.
Conclusion The responsiveness of the LE-MAL/Brazil to detect changes showed better results after LE-CIMT than after the intensive conventional therapy, with most of the correlations > 0.50. |
| first_indexed | 2024-03-13T08:18:56Z |
| format | Article |
| id | doaj.art-a85c391bad9a4fd8b965bb3da2703e47 |
| institution | Directory Open Access Journal |
| issn | 0004-282X 1678-4227 |
| language | English |
| last_indexed | 2024-03-13T08:18:56Z |
| publishDate | 2023-04-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-a85c391bad9a4fd8b965bb3da2703e472023-05-31T12:26:16ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria0004-282X1678-42272023-04-01810436937610.1055/s-0043-1767826Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patientsElaine Menezes-Oliveira0Marília Escudero Cecconi1Clarissa Barros de Oliveira2Milena Vegas3Sandra Regina Alouche4Ricardo Mario Arida5Gabriela da Silva Matuti6Universidade Federal de São Paulo, Programa de Neurologia/Neurociências, São Paulo SP, Brazil.Associação de Assistência à Criança com Deficiência, Departamento de Fisioterapia de Adultos, São Paulo SP, Brazil.Associação de Assistência à Criança com Deficiência, Departamento de Fisioterapia de Adultos, São Paulo SP, Brazil.Associação de Assistência à Criança com Deficiência, Departamento de Fisioterapia de Adultos, São Paulo SP, Brazil.Universidade Cidade de São Paulo, Departamento de Fisioterapia, São Paulo SP, Brazil.Universidade Federal de São Paulo, Departamento de Fisiologia, São Paulo SP, Brazil.Associação de Assistência à Criança com Deficiência, Departamento de Fisioterapia de Adultos, São Paulo SP, Brazil.Background Stroke is among the three leading causes of disability around the world, and it results in immediate difficulty in mobility and gait. There is a lack of instruments to evaluate what daily life is like for these individuals using their lower limbs in real-life environments (outside of the clinical environment). Objective To perform the translation and cultural adaptation to Brazilian Portuguese of the Lower-Extremity Motor Activity Log (LE-MAL) and test its measurement properties in chronic poststroke individuals. Methods The LE-MAL was translated into Brazilian Portuguese and adapted to the Brazilian culture. The comprehension and relevance of the final version were analyzed by a committee of specialists. The reliability, validity, and responsiveness of the LE-MAL/Brazil to detect changes after lower extremity constraint-induced movement therapy (LE-CIMT) and an intensive conventional therapy were tested. Results The LE-MAL/Brazil showed excellent inter- and intrarater reliability, with an intraclass correlation coefficient and Cronbach alpha > 0.70, as well as standard error of measurement and smallest detectable change < 10% of the total instrument score when applied by the same evaluators. Conclusion The responsiveness of the LE-MAL/Brazil to detect changes showed better results after LE-CIMT than after the intensive conventional therapy, with most of the correlations > 0.50.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1767826strokeevaluation studygaitpostural balance |
| spellingShingle | Elaine Menezes-Oliveira Marília Escudero Cecconi Clarissa Barros de Oliveira Milena Vegas Sandra Regina Alouche Ricardo Mario Arida Gabriela da Silva Matuti Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients Arquivos de Neuro-Psiquiatria stroke evaluation study gait postural balance |
| title | Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients |
| title_full | Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients |
| title_fullStr | Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients |
| title_full_unstemmed | Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients |
| title_short | Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients |
| title_sort | measurement properties of the brazilian portuguese version of the lower extremity motor activity log for chronic hemiparetic poststroke patients |
| topic | stroke evaluation study gait postural balance |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1767826 |
| work_keys_str_mv | AT elainemenezesoliveira measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients AT mariliaescuderocecconi measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients AT clarissabarrosdeoliveira measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients AT milenavegas measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients AT sandrareginaalouche measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients AT ricardomarioarida measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients AT gabrieladasilvamatuti measurementpropertiesofthebrazilianportugueseversionofthelowerextremitymotoractivitylogforchronichemipareticpoststrokepatients |