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 < 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). 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.
AD - Westmead Hospital, Sydney, Australia. AN - 22405838 BT - Parkinsonism and Related Disorders DA - -35726387164 DP - NLM ET - 2012/03/13 LA - eng M1 - 5 N1 - Boyce, Melani JCanning, Colleen GMahant, NeilMorris, JohnLatimer, JaneFung, Victor S CResearch Support, Non-U.S. Gov'tEnglandParkinsonism Relat Disord. 2012 Jun;18(5):635-7. Epub 2012 Mar 8. N2 -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 < 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). 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.
PY - 2012 SN - 1873-5126 (Electronic)1353-8020 (Linking) SP - 635 EP - 7 T2 - Parkinsonism and Related Disorders TI - The Toronto Western Spasmodic Torticollis Rating Scale: reliability in neurologists and physiotherapists VL - 18 ER -