Measurement properties of the upright motor control test for adults with stroke: a systematic review.
Edward James R Gorgon, Rolando T Lazaro
PMID 29340194WHAT IT FOUND
In adults with stroke, knee extension and knee flexion scores on the Upright Motor Control Test may help tell community walkers from household walkers.
No published data showed whether different clinicians score it the same or whether it tracks change.
Key findings
01Two studies found that a Strong score on either the Knee Extension or Knee Flexion subtest suggested community ambulation, while Weak or Moderate scores on both suggested household ambulation.
02One study found that Knee Extension scores positively correlated with peak vertical ground reaction force during sit-to-stand, diagonal reach, and stepping tasks.
03No included study assessed reliability or content validity, and no study formally assessed responsiveness.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The review included only 3 studies, and all had a fair overall methodological rating. The included studies mainly tested the knee subtests, so evidence for the other subtests is absent. No study assessed reliability or content validity, and no study formally assessed responsiveness. The two criterion validity studies did not adequately describe missing data or justify the gold standard. The construct validity study lacked a clear a priori hypothesis and details about the comparator instrument. One study omitted the Moderate score for the Knee Flexion subtest.
Declared interests
No funder was named.
The easy way to misread this
Do not use the UMCT to track recovery or to compare clinicians. The review found no published data on whether different clinicians score it the same or whether it tracks change, so score changes may not be stable or meaningful.