An evaluation of the reliability and validity of the plantar response in a psychogeriatric population

McCance, C.; Watt, James; Hall, David J.

doi:10.1016/0021-9681(68)90045-3

Cited by 23 publications

(13 citation statements)

References 5 publications

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“…McCance et al (1968) assessed the reproducibility of plantar responses in a geriatric population where the chance of an extensor plantar response being found again at a second examination by either the same observer or another observer was only 50%. Sisk et al (1970) examined discrepancies in duplicate histories and examinations of patients suspected of cerebral vascular disease.…”

Section: Discussionmentioning

confidence: 99%

Observer variability in assessing impaired consciousness and coma.

Teasdale¹,

Knill‐Jones²,

Sande³

1978

Journal of Neurology, Neurosurgery & Psychiatry

269

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SUMMARY Head-injured patients were examined by a number of observers whose assessments were compared. Considerable discrepancies occurred when overall "levels" of consciousness and coma were used, and also with some terms which are in common use. More consistent assessments were obtained by employing the "Glasgow Coma Scale," which describes eye opening, verbal behaviour, and motor responsiveness. Nurses and general surgeons were as consistent as neurosurgeons when using this scale, and it was relatively resistant to language or cultural differences between observers. The practical reliability of the Glasgow scale enhances its value, both for monitoring individual cases and for making meaningful comparisons between series of patients with acute brain damage.

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Section: Discussionmentioning

confidence: 99%

Observer variability in assessing impaired consciousness and coma.

Teasdale¹,

Knill‐Jones²,

Sande³

1978

Journal of Neurology, Neurosurgery & Psychiatry

269

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“…The low reliability found in these studies is possibly due to methodological differences (nonuniform application of stimuli and differing techniques of the physicians involved). Other studies have found the interobserver agreement to be moderate, with kappa values ranging from 0.55 to 0.62 (Cook et al, 2009;Lee et al, 2011;McCance et al, 1968;Singerman & Lee, 2008).…”

Section: Interrater Reliabilitymentioning

confidence: 95%

“…Three of these studies allowed their raters two options (Maher et al, 1992;Miller & Johnston, 2005;Singerman & Lee, 2008), three options were used in two studies (Cook et al, 2009;McCance et al, 1968), and four aspects were noted in one of the previously mentioned studies (Lee et al, 2011). The present study purposely used a rating scale of only two options, namely pathological and nonpathological, to confine the raters to the rating options that would be used to make clinical diagnoses.…”

Section: Interrater Reliabilitymentioning

confidence: 99%

“…Many studies have examined the inter observer or interrater reliability of the Babinski reflex (Cook, Roman, Stewart, Leithe, & Isaacs, 2009;Lee, Tay, Lim, & Tam, 2011;Maher, Reilly, Daly, & Hutchinson, 1992;McCance, Watt, & Hall, 1968;Miller & Johnston, 2005;Singerman & Lee, 2008;Van Gijn, 1996;Van Gijn, 2002;Vogel, 1992). These studies have reached widely different conclusions that range from recommending the reflex be taken out of the clinical neurological exam (Miller et al, 2005) to almost perfect interrater reliability (Van Gijn, 1996;Vogel, 1992).…”

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confidence: 99%

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The Interrater Reliability of Subjective Assessments of the Babinski Reflex

Dafkin

Green

Kerr

et al. 2015

Journal of Motor Behavior

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The Babinski reflex is a clinical diagnostic tool; however, the interrater reliability of this tool is currently greatly contested. A comparison between rater groups with objective measurements of the Babinski reflex was therefore conducted. Fifteen recorded Babinski reflexes were assessed by 12 neurologists and 12 medical students as being either pathological or nonpathological. Kinematic and electromyographic variables were collected and used to assess which aspects of the Babinski reflex predict classification. Substantial interrater agreement within the neurologist and student groups (κ = .72 and .67, respectively) was shown; however, there were some differing aspects between what neurologists and students used to assess the reflex as determined by objective kinematic measurements.

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“…Interpretation can vary with observer or occasion (McCance et al, 1968), and with technique of stimulation: Dohrmann and Nowack (1973) found slow stroking of the lateral plantar border and the plantar arch to be the best way to elicit (anatomical) extension of the big toe in patients. But even with the appropriate techniques doubts may remain.…”

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confidence: 99%

Babinski response: stimulus and effector.

Gijn¹

1975

Journal of Neurology, Neurosurgery & Psychiatry

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SYNOPSIS This is an electromyographic study of the activity in flexor and extensor muscles of the big toe in 22 patients with a Babinski sign and 49 controls, after mechanical or electrical stimulation of the sole. The results indicate: (1) the Babinski sign is mediated by the extensor hallucis longus (EHL), and not by the extensor hallucis brevis; (2) electrical stimuli may fail to activate the EHL in these patients, and conversely may evoke EHL reflexes in control subjects; (3) in skin reflexes, electrical and mechanical stimuli are not freely interchangeable.

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An evaluation of the reliability and validity of the plantar response in a psychogeriatric population

Cited by 23 publications

References 5 publications

Observer variability in assessing impaired consciousness and coma.

Observer variability in assessing impaired consciousness and coma.

The Interrater Reliability of Subjective Assessments of the Babinski Reflex

Babinski response: stimulus and effector.

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