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Psychometric evaluation of the leg activity measure (LegA) for outcome measurement in people with brain injury and spasticity

Research output: Contribution to journalArticlepeer-review

Stephen A. Ashford, Richard J. Siegert, Heather Williams, Ajoy Nair, Samantha Orridge, Lynne Turner-Stokes

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalDisability & Rehabilitation
Early online date22 Jul 2019
Accepted/In press11 Jul 2019
E-pub ahead of print22 Jul 2019
PublishedJul 2019


King's Authors


The aim of this study is to evaluate the properties of the Leg Activity measure according to COnsensus‐based Standards for the selection of health Measurement INstruments.
Participants were assessed at baseline, one day, 6 weeks and 12 weeks, following treatment for leg spasticity with botulinum toxin and physical interventions.
In stage 1, 64 participants were recruited to evaluate the initial psychometric properties of Leg Activity measure. In stage 2, 100 additional participants were recruited, to evaluate the scaling properties. Total sample of 164 participants was used.

Construct validity was supported for ‘passive function’, ‘active function’ and ‘impact on quality of life’. Cronbach’s alpha was 0.86, 0.97 and 0.87 respectively for the scales. Item level test-retest agreement ranged from 91-97% (Kappa 0.75-0.95). Following treatment for spasticity (n=64), the Leg Activity measure ‘passive function’ and ‘impact on life’ scales were responsive to change.

Principal components analysis confirmed the constructs and a unidimensional Rasch Partial Credit Model was subsequently established for each scale. Transformation to an interval scale was achieved. Using the ordinal-to-interval conversion tables, parametric statistical analysis may be used.
The study provides support for the Leg Activity measure being valid, reliable and responsive.

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