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Reliability and Validity of the Lower Extremity Motor Activity Log for Measuring Real-World Leg Use in Adults With Multiple Sclerosis |
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| Authors: | Sarah M dos Anjos Victor W Mark Christina M Rodriguez David M Morris Jean E Crago Danna K King Gitendra Uswatte Edward Taub |
| Institution: | 1. Department of Occupational Therapy, University of Alabama at Birmingham, Birmingham, AL;2. Department of Neurology, University of Alabama at Birmingham, Birmingham, AL;3. Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL;4. Department of Psychology, University of Alabama at Birmingham, Birmingham, AL;5. Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL;6. Outpatient Rehabilitation Department, Spain Rehabilitation Center, University of Alabama at Birmingham, Birmingham, AL |
| Abstract: | ObjectivesTo determine the test-retest reliability and validity of the Lower Extremity Motor Activity Log (LE-MAL) for assessing LE use in the community in adults with multiple sclerosis (MS).DesignProspective analysis of measures conducted by trained examiners.SettingParticipants were evaluated by telephone on several measures of LE use.ParticipantsAdults with MS (N=43).InterventionsNot applicable.Main Outcome MeasuresThe LE-MAL has 3 subscales (Assistance, Functional Performance, and Confidence). It was administered twice, at least 2 weeks apart. The Multiple Sclerosis Walking Scale (MSWS-12), Patient Determined Disease Steps (PDDS), and Mobility Scale were only administered during the first call.ResultsThe test-retest reliability of the composite and the 3 subscale LE-MAL scores were high (intraclass correlation, >0.94). The composite and subscale LE-MAL scores were strongly correlated with the MSWS-12, PDDS, and Mobility Scale scores (r=–0.56 to –0.77; P<.001).ConclusionThis initial study suggests that the LE-MAL reliably and validly measures LE use in the community in adults with MS. |
| Keywords: | Multiple sclerosis Rehabilitation AS"} {"#name":"keyword" "$":{"id":"kwrd0025"} "$$":[{"#name":"text" "_":"Assistance Scale CFA"} {"#name":"keyword" "$":{"id":"kwrd0035"} "$$":[{"#name":"text" "_":"confirmatory factor analysis CFI"} {"#name":"keyword" "$":{"id":"kwrd0045"} "$$":[{"#name":"text" "_":"comparative fit index CS"} {"#name":"keyword" "$":{"id":"kwrd0055"} "$$":[{"#name":"text" "_":"Confidence Scale FP"} {"#name":"keyword" "$":{"id":"kwrd0065"} "$$":[{"#name":"text" "_":"Functional Performance Scale ICC"} {"#name":"keyword" "$":{"id":"kwrd0075"} "$$":[{"#name":"text" "_":"intraclass correlation coefficient LE"} {"#name":"keyword" "$":{"id":"kwrd0085"} "$$":[{"#name":"text" "_":"lower extremity LE-MAL"} {"#name":"keyword" "$":{"id":"kwrd0095"} "$$":[{"#name":"text" "_":"Lower Extremity Motor Activity Log MAL"} {"#name":"keyword" "$":{"id":"kwrd0105"} "$$":[{"#name":"text" "_":"Motor Activity Log MS"} {"#name":"keyword" "$":{"id":"kwrd0115"} "$$":[{"#name":"text" "_":"multiple sclerosis MSWS-12"} {"#name":"keyword" "$":{"id":"kwrd0125"} "$$":[{"#name":"text" "_":"Multiple Sclerosis Waking Scale PDDS"} {"#name":"keyword" "$":{"id":"kwrd0135"} "$$":[{"#name":"text" "_":"Patient Determined Disease Steps PT"} {"#name":"keyword" "$":{"id":"kwrd0145"} "$$":[{"#name":"text" "_":"physical therapy RMSEA"} {"#name":"keyword" "$":{"id":"kwrd0155"} "$$":[{"#name":"text" "_":"root mean square error of approximation TLI"} {"#name":"keyword" "$":{"id":"kwrd0165"} "$$":[{"#name":"text" "_":"Tucker-Lewis index UE"} {"#name":"keyword" "$":{"id":"kwrd0175"} "$$":[{"#name":"text" "_":"upper extremity |
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