The Toronto Western Spasmodic Torticollis Rating Scale: Reliability in neurologists and physiotherapists

Inter-rater reliability for the Toronto Western Spasmodic Torticollis Rating Scale has been determined for neurologists, but not for physiotherapists. We assessed the inter-rater reliability of scoring the clinical severity subscale of the Toronto Western Spasmodic Torticollis Rating Scale by two ph...

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Bibliographic Details
Published in:Parkinsonism & related disorders Vol. 18; no. 5; pp. 635 - 637
Main Authors: Boyce, Melani J., Canning, Colleen G., Mahant, Neil, Morris, John, Latimer, Jane, Fung, Victor S.C.
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01.06.2012
Subjects:
Aged
Analysis of Variance
Basal ganglia
Central nervous system diseases
Cervical dystonia
Dystonia
Female
Humans
Male
Measurement
Middle Aged
Movement disorders
Neurologic Examination - methods
Neurologic Examination - standards
Neurology
Neurology - standards
Observer Variation
Physical Therapists - standards
Reliability
Reproducibility of Results
Severity of Illness Index
Time Factors
Torticollis
Torticollis - diagnosis
Measurement
Reliability
Cervical dystonia
ISSN:1353-8020, 1873-5126, 1873-5126
Online Access:Get full text
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Summary:Inter-rater reliability for the Toronto Western Spasmodic Torticollis Rating Scale has been determined for neurologists, but not for physiotherapists. We assessed the inter-rater reliability of scoring the clinical severity subscale of the Toronto Western Spasmodic Torticollis Rating Scale by two physiotherapists and two neurologists. Seven individuals with cervical dystonia were assessed on video a total of 23 times. The assessments were randomized and rated by all raters. Reliability for all raters considered together, assessed by the Intraclass Correlation Coefficient (ICC 2,1) was 0.74 (p < 0.001, 95% CI 0.46–0.88). Reliability for the two clinician groups was not significantly different: neurologists ICC (2,1) = 0.75 (p < 0.001, 95% CI 0.44–0.89), physiotherapists ICC (2,1) = 0.82 (p < 0.001, 95% CI 0.30–0.94). The clinical severity subscale of the Toronto Western Spasmodic Torticollis Rating Scale can be assessed with good inter-rater reliability when physiotherapists and neurologists are represented in the same rater pool.
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ISSN:1353-8020
1873-5126
1873-5126
DOI:10.1016/j.parkreldis.2012.02.007