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首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Reliability and diagnostic characteristics of clinical tests of upper limb motor function
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Reliability and diagnostic characteristics of clinical tests of upper limb motor function

机译：上肢运动功能临床检查的可靠性和诊断特征

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摘要

There is a paucity of information on the inter-rater reliability and predictive value of components of the neurological examination. Selected tests of upper limb motor function were studied in 34 patients with Parkinson's disease, upper motor neuron disease or cerebellar disease and in 25 control participants. Video recordings were independently evaluated and scored by two clinicians to determine inter-rater reliability (kappa) and predictive values. Kappa values ranged from 0.00 to 0.73. Highest positive predictive values (PPV) were obtained for the Barré test, arm raise, forearm rolling and finger nose tests. Negative predictive values (NPV) were mostly low, with highest values for unimanual sequential finger tap and rhythmic tap. The combined tests had PPV of 0.58 and NPV of 0.73. This study demonstrates that these clinical tests have poor inter-rater reliability and low negative predictive value when used in isolation.
机译：关于神经系统检查组成部分的评定者间信度和预测价值的信息很少。在34名帕金森氏病，上运动神经元疾病或小脑疾病患者和25名对照参与者中研究了选定的上肢运动功能测试。录像由两名临床医生独立评估和评分，以确定评分者之间的信度（kappa）和预测值。 Kappa值的范围是0.00到0.73。在Barré测试，手臂抬高，前臂翻滚和手指鼻子测试中获得了最高的阳性预测值（PPV）。负预测值（NPV）大多较低，单手连续手指轻拍和节律轻拍最高。组合测试的PPV为0.58，NPV为0.73。这项研究表明，这些临床试验单独使用时，评估者之间的信度差，阴性预测值低。

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