01653nas a2200205   4500000000100000008004100001260001700042100001300059700001400072700001400086700001700100700001500117700001200132245010900144250001500253300001000268490000700278520111600285020004601401       2012                            d  c-357263871641 aBoyce M.1 aMahant N.1 aMorris J.1 aLatimer Jane1 aCanning C.1 aFung V.00aThe Toronto Western Spasmodic Torticollis Rating Scale: reliability in neurologists and physiotherapists  a2012/03/13  a635-70 v183 a<p>
INTRODUCTION: 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. METHODS: Seven individuals with cervical dystonia were assessed on video a total of 23 times. The assessments were randomized and rated by all raters. RESULTS: Reliability for all raters considered together, assessed by the Intraclass Correlation Coefficient (ICC 2,1) was 0.74 (p &lt; 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 &lt; 0.001, 95% CI 0.44-0.89), physiotherapists ICC (2,1) = 0.82 (p &lt; 0.001, 95% CI 0.30-0.94). CONCLUSION: 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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