Interdisciplinary Consensus in Evaluating the Severity Subscale of the Original and Revised Toronto Western Spasmodic Torticollis Rating Scale Through Video-Based Assessment: An Inter-Rater Reliability Study.

IF 2.6 4区医学 Q2 CLINICAL NEUROLOGY Movement Disorders Clinical Practice Pub Date : 2024-10-08 DOI:10.1002/mdc3.14222

Shimelis Girma Kassaye, Joke De Pauw, Ségolène De Waele, Willem De Hertogh, Esayas Kebede Gudina, David Crosiers

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Abstract

Background: Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) is widely employed for cervical dystonia (CD) evaluation.

Objective: To assess the inter-rater reliability of the severity subscale of the original and revised TWSTRS using video recordings.

Methods: Three raters, a PhD student with a nursing degree, a physiotherapist specialized in CD, and a neurologist-in-training independently rated all videos. The inter-rater reliability was assessed with the intra-class correlation coefficient (ICC).

Results: The total severity score of both tools demonstrated a good inter-rater reliability (ICC = 0.87 to 0.88). The inter-rater reliability of individual sub-items varied from poor (ICC = 0.29) to excellent (ICC = 0.9).

Conclusions: The total severity score of both TWSTRS showed good inter-rater reliability in a multidisciplinary team, indicating their applicability for online patients' assessment. We recommend using the total subscale for outcome comparison. Furthermore, there is a need for more accurate definitions of duration factor and shoulder elevation.

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通过视频评估原版和修订版多伦多西方痉挛性皮肌痉挛评定量表的严重程度分量表的跨学科共识：评分者间可靠性研究

背景：多伦多西方痉挛性肌张力障碍评定量表（TWSTRS）被广泛用于颈肌张力障碍（CD）的评估：使用视频记录评估原版和修订版多伦多西方痉挛性颈肌张力障碍评定量表严重程度分量表的评分者间可靠性：方法：由三名评分者（一名护理专业博士生、一名 CD 专业物理治疗师和一名神经科实习医生）对所有视频进行独立评分。结果：两个工具的严重程度总分均为 0.5 分，而两个工具的严重程度总分均为 0.5 分：结果：两种工具的严重程度总分均显示出良好的评分者间可靠性（ICC = 0.87 至 0.88）。单个子项目的评分者间可靠性从较差（ICC = 0.29）到极佳（ICC = 0.9）不等：结论：两个 TWSTRS 的严重程度总分在多学科团队中均显示出良好的评分者间可靠性，表明它们适用于在线患者评估。我们建议使用总分量表进行结果比较。此外，还需要对持续时间因素和肩部抬高进行更准确的定义。

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来源期刊

Movement Disorders Clinical Practice CLINICAL NEUROLOGY-

CiteScore

4.00

自引率

7.50%

发文量

218

期刊介绍： Movement Disorders Clinical Practice- is an online-only journal committed to publishing high quality peer reviewed articles related to clinical aspects of movement disorders which broadly include phenomenology (interesting case/case series/rarities), investigative (for e.g- genetics, imaging), translational (phenotype-genotype or other) and treatment aspects (clinical guidelines, diagnostic and treatment algorithms)