Interrater reliability of the Neuromuscular Recovery Scale for spinal cord injury.

Abstract:

OBJECTIVE:To determine the interrater reliability of the Neuromuscular Recovery Scale (NRS), an outcome measure designed to classify people with complete or incomplete spinal cord injury (SCI) into 4 phase-of-injury groups by assessing motor performance based on normal preinjury function and disallowing use of compensation for 4 treadmill-based items and 6 overground/mat items. DESIGN:Masked comparison, multicenter observational study. SETTING:Outpatient rehabilitation. PARTICIPANTS:Raters (N=14) and a criterion standard expert assigned scores to 10 video NRS assessments of persons with SCI. The raters were volunteers from the NeuroRecovery Network. INTERVENTION:Not applicable. MAIN OUTCOME MEASURE:Interrater reliability measured with the Kendall coefficient of concordance (W). RESULTS:Interrater reliability was generally strong (W=.91-.98; 95% confidence interval [CI], .65-.99), while lower reliability occurred for treadmill stand retraining (W=.87; 95% CI, .06-1) and seated trunk extension (W=.82; 95% CI, .28-.94). Less experienced raters assigned slightly lower scores than the expert for most items, but the difference was less than half a point and did not weaken concordance. CONCLUSIONS:NRS had strong interrater reliability, a necessary first step in establishing its utility as a clinical and research outcome measure.

journal_name

Arch Phys Med Rehabil

authors

Basso DM,Velozo C,Lorenz D,Suter S,Behrman AL

doi

10.1016/j.apmr.2014.11.026

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1397-403

issue

8

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)01346-X

journal_volume

96

pub_type

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