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Inter-rater Reliability of the Revised Physical and Neurological Examination of Subtle Signs (PANESS) scored using
Adrian M Svingos1,2, Taralee Hamner3, Kayla B Huntington1
1Kennedy Krieger Institute.
Abstract:
The Physical and Neurological Examination of Subtle Signs (PANESS) is a brief neuromotor exam designed for use in children. This study examined the inter-rater reliability of PANESS scoring using video review in 23 typically developing youth, aged 10-18 years, who were either never-concussed or evaluated following clinical recovery from concussion. Moderate to excellent inter-rater reliability was identified across PANESS subscores and total score. The strongest inter-rater reliability was observed for the Timed Motor portion of the PANESS (ICCs >.90) suggesting that this section in particular may be a strong candidate for video-based scoring or telehealth administration.
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