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Interrater reliability of assessment set of clinical features of patients with multiple sclerosis
Marková, Pavla ; Řasová, Kamila (advisor) ; Novotná, Irena (referee)
Title: Interrater reliability of assessment set of clinical features of patients with multiple sclerosis Objectives: The aim of this thesis is to verify interrater reliability of the assessment set of clinical features of patients with multiple sclerosis which purpose is to evaluate sensitivly and comprehensivly the stage of the patients' clinical condition. Methods: According to the inclusion criteria, the patients with MS were selected by an independent neurologist who determined the EDSS score and duration of the disease. After, patients were evaluated by the assessment set by two independent physiotherapists. The assessment set of clinical features incluedes Low-Contrast Letter Acuity Test which tests contrast vision, Nine Hole Peg Test investiges fine motor skills, Timed 25 - Foot Walk evaluates walking speed over a distance of 7,5 m, Paced Auditory Serial Addition assesses cognitive function, Motricity Index tests muscle strength, Modified Ashworth Scale spasticity, Berg balance Scale equilibrium. Furthemore, the tests for evaluation of righting, equilibrium and protective reactions, the test evaluating knee hyperextension, the examination of dysdiadochokinesia and ataxia. Results: High interrater reliability was confirmed in all tests in the examinig set (ICC: 0,80 - 1), except for MAS...
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Reliability of "Muscle excitability scale" for spasticity assessment in patients with spinal cord injury
Kadrmanová, Ivana ; Kříž, Jiří (advisor) ; Hlinková, Zuzana (referee)
The aim of this paper was to define interrater reliability of "Muscle excitability scale" in assessment of lower extremities muscle spasticity in patiens with spinal cord injury. Raters were two students of 2nd grade of master study of physiotherapy. Testing was performed at Centrum Paraple o.p.s. and 48 patients took part in the research. Except the Muscle excitability scale, Modified Ashworth scale, Penn spasm frequency scale and Clonus scale were also assessed. Percentage rate of agreement and also value of kappa coefficient that state value of agreement between raters were assigned for each scale. Percent agreement for Muscle excitability scale was 54,2 % for right and 64,6 % for left lower extremity. Kappa coefficient and therefore interrater reliability of this test was assessed on 0,38 on the right side and 0,51 on the left. The results and thein comparison with other used scales are discussed in this thesis.
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Interrater reliability of assessment set of clinical features of patients with multiple sclerosis
Marková, Pavla ; Řasová, Kamila (advisor) ; Novotná, Irena (referee)
Title: Interrater reliability of assessment set of clinical features of patients with multiple sclerosis Objectives: The aim of this thesis is to verify interrater reliability of the assessment set of clinical features of patients with multiple sclerosis which purpose is to evaluate sensitivly and comprehensivly the stage of the patients' clinical condition. Methods: According to the inclusion criteria, the patients with MS were selected by an independent neurologist who determined the EDSS score and duration of the disease. After, patients were evaluated by the assessment set by two independent physiotherapists. The assessment set of clinical features incluedes Low-Contrast Letter Acuity Test which tests contrast vision, Nine Hole Peg Test investiges fine motor skills, Timed 25 - Foot Walk evaluates walking speed over a distance of 7,5 m, Paced Auditory Serial Addition assesses cognitive function, Motricity Index tests muscle strength, Modified Ashworth Scale spasticity, Berg balance Scale equilibrium. Furthemore, the tests for evaluation of righting, equilibrium and protective reactions, the test evaluating knee hyperextension, the examination of dysdiadochokinesia and ataxia. Results: High interrater reliability was confirmed in all tests in the examinig set (ICC: 0,80 - 1), except for MAS...
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