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Parkinsonism Relat Disord. 2012 Jun;18(5):635-7. doi: 10.1016/j.parkreldis.2012.02.007. Epub 2012 Mar 8.

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

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1
Westmead Hospital, Sydney, Australia.

Abstract

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.

[Indexed for MEDLINE]

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