RELIABILITY OF SUBTLE (SOFT) NEUROLOGICAL SIGNS IN CHILDREN
RELIABILITY OF SUBTLE (SOFT) NEUROLOGICAL SIGNS IN CHILDREN
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DOI：
10.1097/00004583-198909000-00017
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发表时间：
1989-09-01
影响因子：
13.3
通讯作者：
DENCKLA, MB
中科院分区：
文献类型：
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作者：
VITIELLO, B;RICCIUTI, AJ;DENCKLA, MB
采用修订的神经系统细微体征检查法（NESS），对54例精神病患者和25例正常儿童（年龄5-17岁）的神经系统细微体征的可靠性和稳定性进行了评估。在64个测试项目中，有40个发现了可接受的评分者间可靠性（kappa ≥ 0.50，或组内相关系数≥ 0.70）。2周时的重测信度对于大多数分类评分项目都不令人满意，包括一些“经典”的细微体征，如溢出或节律障碍。连续项目，如执行20个连续动作所需的时间，在重新测试时基本保持稳定。练习效果仅在书写感觉测试中明显。整体内部一致性良好（Cronbach α = 0.74）。鉴于溢出和节律障碍的稳定性差，研究人员和临床医生应该更多地依赖于可以在连续量表上评估的细微体征。
Reliability and stability of neurological “subtle” (“soft”) signs were assessed in 54 psychiatric patients and 25 normal children, aged 5–17 years, using the revised Neurological Examination for Subtle Signs (NESS). Acceptable interrater reliability (kappa ≥ 0.50, or intraclass correlation coefficient ≥ 0.70) was found for 40 of the 64 items tested. Test-retest reliability at 2 weeks was unsatisfactory for most of the categorically scored items, including some “classic” subtle signs such as overflows or dysrhythmias. Continuous items, such as time needed to perform 20 consecutive movements, remained mostly stable at retest. A practicing effect was evident only in the graphesthesia test. Overall internal consistency was good (Cronbach's alpha = 0.74). Given the poor stability of overflows and dysrhythmias, researchers and clinicians should rely more on subtle signs that can be assessed on continuous scales.