Kassaye Shimelis Girma, De Pauw Joke, De Waele Ségolène, De Hertogh Willem, Gudina Esayas Kebede, Crosiers David
Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Rehabilitation Sciences and Physiotherapy/Movant, Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium.
Mov Disord Clin Pract. 2024 Dec;11(12):1587-1591. doi: 10.1002/mdc3.14222. Epub 2024 Oct 8.
Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) is widely employed for cervical dystonia (CD) evaluation.
To assess the inter-rater reliability of the severity subscale of the original and revised TWSTRS using video recordings.
Three raters, a PhD student with a nursing degree, a physiotherapist specialized in CD, and a neurologist-in-training independently rated all videos. The inter-rater reliability was assessed with the intra-class correlation coefficient (ICC).
The total severity score of both tools demonstrated a good inter-rater reliability (ICC = 0.87 to 0.88). The inter-rater reliability of individual sub-items varied from poor (ICC = 0.29) to excellent (ICC = 0.9).
The total severity score of both TWSTRS showed good inter-rater reliability in a multidisciplinary team, indicating their applicability for online patients' assessment. We recommend using the total subscale for outcome comparison. Furthermore, there is a need for more accurate definitions of duration factor and shoulder elevation.
多伦多西部痉挛性斜颈评定量表（TWSTRS）被广泛用于颈部肌张力障碍（CD）的评估。
使用视频记录评估原始版和修订版TWSTRS严重程度子量表的评分者间信度。
三名评分者，一名拥有护理学位的博士生、一名专门从事CD治疗的物理治疗师和一名实习神经科医生，独立对所有视频进行评分。采用组内相关系数（ICC）评估评分者间信度。
两种工具的总严重程度评分均显示出良好的评分者间信度（ICC = 0.87至0.88）。各个子项目的评分者间信度从较差（ICC = 0.29）到优秀（ICC = 0.9）不等。
TWSTRS的总严重程度评分在多学科团队中显示出良好的评分者间信度，表明它们适用于在线患者评估。我们建议使用总子量表进行结果比较。此外，需要对持续时间因素和肩部抬高进行更准确的定义。
