Measurement properties of the Brazilian Portuguese version of the Lower-Extremity Motor Activity Log for chronic hemiparetic poststroke patients

• Published in: Arquivos de neuro-psiquiatria Vol. 81; no. 4; pp. 369 - 376
• Main Authors: Menezes-Oliveira, Elaine, Cecconi, Marília Escudero, Oliveira, Clarissa Barros de, Vegas, Milena, Alouche, Sandra Regina, Arida, Ricardo Mario, Matuti, Gabriela da Silva
• Format: Journal Article
• Language: English
• Published: Germany Arquivos de Neuro-Psiquiatria 01.04.2023; Thieme Revinter Publicações Ltda; Academia Brasileira de Neurologia - ABNEURO; Academia Brasileira de Neurologia (ABNEURO)
• Subjects: Brazil; Emotions; evaluation study; Gait; Humans; Lower Extremity; Motor Activity; NEUROSCIENCES; Original; postural balance; PSYCHIATRY; Reproducibility of Results; stroke; Brazil; Stroke; Gait; Acidente Vascular Cerebral; Estudo de Avaliação; Equilíbrio Postural; Evaluation Study; Postural Balance; Marcha
• ISSN: 0004-282X; 1678-4227; 1678-4227
• DOI: 10.1055/s-0043-1767826

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). 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. 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. 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. 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.