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Catz, A. et al.

Catz, Itzkovich, Steinberg, Philo, Ring, Ronen, Spasser, Gepstein, Tamir,

Disability assessment by a single rater or a team: a comparative study with the Catz-Itzkovich spinal cord independence measure.

The Catz-Itzkovich Spinal Cord Independence Measure was found to be reliable and more sensitive than the FIM to functional changes, when used by a multidisciplinary team. This study was performed to find out whether assessment may be similar when done by a single rater. Twenty-eight patients with spinal cord lesions participated in the study, in which examinations performed within a week by a single nurse or a team were compared for correlation, differences and agreement. The team members scored their relevant fields. A significant correlation was found between the nurse's scoring and that of physiotherapists and occupational therapists (r = 0.82-0.94; p < 0.0001), and the differences between the mean scores were small. The agreement between raters was modest, however (total agreement 38-90%, Kappa 0.17-0.73). It was concluded that although disability assessment performed by a single nurse may not be as accurate as by a multidisciplinary team, it could be reliable and valid.[1]

References

Disability assessment by a single rater or a team: a comparative study with the Catz-Itzkovich spinal cord independence measure. Catz, A., Itzkovich, M., Steinberg, F., Philo, O., Ring, H., Ronen, J., Spasser, R., Gepstein, R., Tamir, A. Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine. (2002) [Pubmed]

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