Interrater reliability of a clinical scale of rigidity.
The purposes of this study were 1) to describe a clinical scale of rigidity and testing procedure for use in patients with Parkinson's disease and 2) to examine the scale's interrater reliability. Twenty subjects (3 women, 17 men; mean age = 64 years, s = 16.3) participated in the study. Criteria for participation were 1) diagnosis of Parkinson's disease, 2) physician-documented rigidity, 3) ability to follow one-step verbal directions, and 4) ability to attain at least 75% of the standard passive-range-of-motion measurements of the elbow, forearm, and wrist of the tested upper extremity. Each of two raters used a standardized set of instructions and test procedures. The degree of rigidity was assessed using a four-point scale ranging from 0 (absent) to 3 (severe). The observed agreement between raters was 16 out of 20 trials. A Cohen's weighted Kappa was used to analyze the data (Kw = .636, p = .20). Factors were identified that may have contributed to the discrepancy between agreement and the agreement beyond chance.
Van Dillen
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LR
Washington University Medical School, St. Louis, MO.
Roach
K E
KE
D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009122:Muscle Hypertonia / Q000503:physiopathology*; D010300:Parkinson Disease / Q000503:physiopathology*; D012016:Reference Values