“…Two studies exploring structural validity found good evidence utilising Rasch analysis, with results indicative of unidimensionality, with the overarching factor accounting for 99.8% [ 64 ] and 82.9% [ 73 ] of the variance in test scores for children with intellectual deficits (BOT), and typically developing children (BOT-BF), respectively. Similarly to the results of the Rasch studies, one additional study found that the four subscales were correlated, so a bifactor model, with an overarching motor skill factor, and four correlated sub-factors [ 81 ]. When the subscales and composite scales were evaluated separately using Rasch analysis, one study found multiple issues with fine motor integration, bilateral coordination, balance and body coordination which limit the justification of their use including multi-dimensional scales, items working differently for males and females, disordered item difficulty ratings, and/or the ability of the subscale/ composite score to differentiate between abilities [ 135 ].…”