title: A Spanish validation of the Coma Recovery Scale-Revised (CRS-R).
abstract: METHODS
  Analysis of inter-rater reliability and concurrent validity.
  
  
  OBJECTIVE
  To determine measurement properties of a Spanish version of The Coma Recovery Scale-Revised (CRS-R).
  
  
  METHODS
  A sample of 35 in-patients with severe acquired brain injury. To test concurrent validity of the translated scale, the Glasgow Coma Scale (GSC) and Disability Rating Scale (DRS) were also administered. Two experts in the field were recruited to assess inter-rater agreement.
  
  
  RESULTS
  Inter-rater reliability was good for total CRS-R scores (Cronbach α = 0.973, p = 0.001). Sub-scale analysis showed moderate-to-high inter-rater agreement. Total CRS-R scores correlated significantly (p < 0.05) with total GCS (r = 0.74) and DRS (r = 0.54) scores, indicating acceptable concurrent validity.
  
  
  CONCLUSIONS
  The Spanish version of CRS-R can be administered reliably by trained and experienced examiners. CRS-R appears capable of differentiating patients in Emergence from Minimally Conscious State (EMCS) or in Minimally Conscious State (MCS) from those in a Vegetative State (VS).
authors.affiliation: Department of Physical Therapy and.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Tamashiro
authors.forename: Maria Elisa
authors.initials: ME
authors.lastname: Rivas
authors.forename: Melania
authors.initials: M
authors.lastname: Ron
authors.forename: Fernando
authors.initials: F
authors.lastname: Salierno
authors.forename: Marisol
authors.initials: M
authors.lastname: Dalera
authors.forename: Lisandro
authors.initials: L
authors.lastname: Olmos
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000503:physiopathology* / Q000534:rehabilitation; D003128:Coma / Q000503:physiopathology* / Q000534:rehabilitation; D003243:Consciousness; D015600:Glasgow Coma Scale; D006801:Humans; D008875:Middle Aged; D008991:Monitoring, Physiologic; D018458:Persistent Vegetative State / Q000503:physiopathology* / Q000534:rehabilitation; D011379:Prognosis; D020127:Recovery of Function; D015203:Reproducibility of Results; D013030:Spain
keywords: Assessment scale; Coma-Recovery Scale revised; coma; disorders of consciousness; minimally conscious state; vegetative state