Masanic C A, Bayley M T
Hamilton Health Sciences Corporation, Department of Medicine, McMaster University, Ontario, Canada.
Arch Phys Med Rehabil. 1998 Jul;79(7):811-5. doi: 10.1016/s0003-9993(98)90361-6.
To determine the interrater reliability of a battery of tests that assess for neurologic soft signs in an acquired brain injury population.
Correlation study of the battery's interrater reliability.
Inpatient and outpatient acquired brain injury rehabilitation program.
Fourteen patients with an acquired brain injury and two control subjects.
The battery of tests for neurologic soft signs was administered to all 16 subjects. Each subject was videotaped. Fifteen "nonexpert" allied health professionals independently rated the subjects' performances. Two scoring systems were used. All neurologic soft signs were rated on an ordinal scale, and, where possible, a quantitative measure of performance was recorded.
Using the ordinal scale scoring system, all neurologic soft signs had interclass correlation coefficients (ICCs) of > or =.60. The signs "Two-Point Discrimination" and "Go-No-Go part 1 and part 2" achieved ICCs of > or = .75. For the scoring system requiring a quantitative measure of performance, ICCs ranged from .18 to .97.
Neurologic soft signs administered to an acquired brain injury population can be reliably rated by "nonexpert" clinicians. The signs should be rated on an ordinal scale.
确定一组用于评估后天性脑损伤人群神经学软体征的测试的评分者间信度。
该组测试评分者间信度的相关性研究。
住院和门诊后天性脑损伤康复项目。
14名后天性脑损伤患者和2名对照受试者。
对所有16名受试者进行神经学软体征测试组。对每个受试者进行录像。15名“非专家”的专职医疗专业人员独立对受试者的表现进行评分。使用了两种评分系统。所有神经学软体征都按顺序量表进行评分，并在可能的情况下记录表现的定量测量值。
使用顺序量表评分系统时，所有神经学软体征的组内相关系数（ICC）均≥0.60。“两点辨别”和“是-否测试第1部分和第2部分”的ICC≥0.75。对于需要表现定量测量的评分系统，ICC范围为0.18至0.97。
“非专家”临床医生能够可靠地对后天性脑损伤人群的神经学软体征进行评分。这些体征应按顺序量表进行评分。
