METHODS: Twelve volunteers with PD participated and these were asked to execute finger tapping, hand opening/closing and pronation/supination movements. Each task was recorded and rated by fourteen PD health experts for each patient. The scores were assessed on an individual basis. Intra and inter-rater agreement and correlation were estimated.
RESULTS: The results showed that agreements and correlations between experienced examiners were high with low variability. In addition, group analysis was noted as possessing the potential to solve individual inconsistency bias.
CONCLUSIONS: Furthermore, this study demonstrated the need for a group with prior training and experience, along with indicating the importance for the development of a clinical protocol that can use telemedicine for the evaluation of individuals with PD, as well as the inclusion of a specialized mediating group. In Addition, this research helps to the development of a valid remote assessment of bradykinesia.
方法:参加了12名PD志愿者,他们被要求进行手指敲击,手打开/闭合和内旋/旋后动作。每个任务由14位PD健康专家为每个患者进行记录和评级。分数是在个人基础上评估的。评估者内部和评估者之间的一致性和相关性进行了估计。
结果:结果表明,经验丰富的审查员之间的一致性和相关性很高,变异性低。此外,小组分析被认为具有解决个体不一致偏差的潜力.
结论:此外,这项研究表明,需要一个有事先培训和经验的小组,同时指出了开发可以使用远程医疗评估PD患者的临床方案的重要性,以及包括一个专门的调解小组。此外,这项研究有助于对运动迟缓进行有效的远程评估。