Lower Extremity Motor Coordination Test (LEMOCOT)

Purpose:

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:

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]

Setup of Lower Extremity Motor Coordination LEMOCOT[3]

Evidence:

Test-retest reliability in stroke population

Intraclass correlation (ICC) >0.97

Construct validity p<0.0001

ICC values (dominant and non-dominant limbs) 0.90<ICC<0.99[1]

Validity and Reliability in Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) population

ICC 0.92 - 0.97[4]

Normative Values for LEMOCOT[5]

Normative values (Male)
Normative values (Female)

References

  1. 1.0 1.1 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.
  3. Kwan MS, Hassett LM, Ada L, Canning CG. Relationship between lower limb coordination and walking speed after stroke: an observational study. Brazilian journal of physical therapy. 2019 Nov 1;23(6):527-31.
  4. Lessard I, Lavoie C, Côté I, Mathieu J, Brais B, Gagnon C. Validity and reliability of the LEMOCOT in the adult ARSACS population: a measure of lower limb coordination. Journal of the Neurological Sciences. 2017 Jun 15;377:193-6.
  5. Pinheiro MB, Scianni AA, Ada L, Faria CD, Teixeira-Salmela LF. Reference values and psychometric properties of the lower extremity motor coordination test. Archives of physical medicine and rehabilitation. 2014 Aug 1;95(8):1490-7.