Mayo and NINDS scales for assessment of tendon reflexes: between observer agreement and implications for communication

被引:59
作者
Manschot, S
van Passel, L
Buskens, E
Algra, A
van Gijn, J
机构
[1] Univ Utrecht Hosp, Dept Neurol, Utrecht, Netherlands
[2] Univ Utrecht Hosp, Dept Clin Epidemiol, Utrecht, Netherlands
关键词
notation scales; tendon reflexes; between observer agreement;
D O I
10.1136/jnnp.64.2.253
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of this study was to assess the between observer reliability of two standard notation scales for grading tendon reflexes, The Mayo Clinic scale and the NINDS scale. In a university department of neurology two or three physicians judged the biceps, triceps, knee, and ankle tendon reflexes in two groups of 50 patients using either scale. The interobserver agreement was assessed by means of kappa statistics. The agreement among doctors was never better than "fair" for both scales (highest kappa value 0.35). A verbal description rather than a codified scale may improve communication among doctors.
引用
收藏
页码:253 / 255
页数:3
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