Document Detail


Agreement of repeated motor and sensory scores at individual myotomes and dermatomes in young persons with spinal cord injury.
MedLine Citation:
PMID:  23147133     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Study design:A prospective repeated measures multicenter study to determine reliability at individual spinal levels when applied to young persons with spinal cord injury (SCI).Objectives:To evaluate intra- and inter-rater agreement of repeated motor and sensory scores at individual spinal levels.Setting:Shriners Hospitals for Children-Philadelphia and Chicago, USAMethods:A total 189 youth with complete and incomplete SCI underwent four neurological exams by two different raters. Agreement between and within raters for each myotome and dermatome was evaluated for complete and incomplete SCI separately. Intraclass correlation coefficients and 95% confidence intervals were calculated.Results:Overall, both intra- and inter-rater agreement resulted in moderate-to-high agreement among myotomes. Subjects with complete SCI had moderate agreement for light touch (LT) and pin prick (PP) testing, whereas subjects with incomplete SCI had >60.0% of dermatomes resulting in poor agreement for PP testing.Conclusion:Overall, moderate-to-high agreement was found for muscle strength comparisons and moderate-to-poor agreement was found for PP and LT.Spinal Cord advance online publication, 13 November 2012; doi:10.1038/sc.2012.127.
Authors:
L Krisa; J Gaughan; L Vogel; R R Betz; M J Mulcahey
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-13
Journal Detail:
Title:  Spinal cord     Volume:  -     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Shriners Hospitals for Children, Philadelphia, PA, USA.
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