The Comprehensive Motor Coordination Scale (CCS), developed with the purpose of analyzing the coordination of multiple body segments in individuals with neurological lesions, based on observational kinematics, assesses the quality of movement in patients with neurological dysfunctions.

To perform the cross-cultural adaptation and measurement properties of CCS evaluation in patients with neurological disorders. Specifically, it is intended to evaluate the construct validity, inter-rater and intra-rater reliability, and responsiveness, of the Brazilian Portuguese version of the CCS in individuals with stroke.

The translation and comprehension analysis of the Portuguese-Brazil version was verified by specialists. The CCS will be applied to individuals with stroke, in conjunction with the graduation scale of this health condition, the Fugl-Meyer Scale, which grades the severity of this health condition. Each individual will perform 3 evaluations. Evaluators were trained by means of video for correct scale application and analysis. Two evaluators will apply the CCS to analyze inter-rater reliability in the first evaluation. Videos of all CCS tests will also be recorded for later scoring if two evaluators are not present. In the second evaluation, up to 5 days after the first, the CCS will be reapplied by one of the previous evaluators, allowing the analysis of intra-rater reliability. In the third application of the CCS, responsiveness of the scale will be evaluated after 10 physiotherapy sessions. Concurrent analysis will use the Box and Blocks Test and the 10-meter walking test (applied in the first and third evaluation).

So far, data from 33 patients have been collected, with a mean age of 53.9 years (SD = 14.2), with the diagnosis of stroke, all chronic. Of this, 15 (45%) are female. Regarding education level, most patients had completed high school (27.3%). 57.6% of patients have predominantly left hemiparesis and 42.4%, right hemiparesis. Regarding the degree of stroke impairment, the mean Fugl Meyer score was 161.7 points (SD= 31.2).

We expect that the Brazilian version of the CCS will achieve good inter- and intra-evaluator reliability, strong positive correlation with patient severity and good responsiveness. The validation of video analysis should be confirmed.

The results of this study will provide information about the measurement properties of this new motor coordination assessment scale. Based on this information, implementation in clinical practice will be direct, allowing clinicians to use a valid tool, based on observational kinematics, both in-person and via video. The CCS will allow the assessment of motor coordination in patients with neurological disorders for clinical decision making and monitoring of recovery process after injury.