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Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain‐Barré syndrome
Abstract
In studies of Guillain‐Barré syndrome, functional deficit is usually assessed according to a functional scale consisting of several categories. The level of interobserver agreement in this scoring method is not known; furthermore, this method seems to be insensitive when applied to bedridden and artificially ventilated patients. We have developed an additional score (MRC‐sumscore), reflecting muscle strength in general. Both scoring methods, tested in Guillain‐Barré patients, have an almost perfect interobserver agreement. For the functional score k = 0.85, and for the MRC‐sumscore r2 = 0.96. The MRC‐sumscore is easily assessed and more sensitive than the functional score when patients are bedridden or artificially ventilated.
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The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148
Cited by
Schweickert, W. D., Pohlman, M. C., Pohlman, A. S., Nigos, C., Pawlik, A. J., Esbrook, C. L., Spears, L., Miller, M., Franczyk, M., Deprizio, D., et al. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60658-9 · Cited by 3,339
Early Neuromuscular Blockade in the Acute Respiratory Distress Syndrome
The National Heart, L. (2019) · New England Journal of Medicine · doi:10.1056/nejmoa1901686 · Cited by 886
ICU-Acquired Weakness and Recovery from Critical Illness
Kress, J. P., & Hall, J. B. (2014) · New England Journal of Medicine · doi:10.1056/nejmra1209390 · Cited by 855
Intravenous immunoglobulin for Guillain-Barré syndrome
Hughes, R. A., Swan, A. V., & van Doorn, P. A. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002063.pub6 · Cited by 721
Paternostro-Sluga, T., Grim-Stieger, M., Posch, M., Schuhfried, O., Vacariu, G., Mittermaier, C., Bittner, C., & Fialka-Moser, V (2008) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0235 · Cited by 652
Metadata
- Authors
- Kleyweg, R. P., Van Der Meché, F. G. A., & Schmitz, P. I. M.
- Venue
- Muscle & Nerve
- Publisher
- Wiley
- Published
- 1991-11
- Volume
- 14
- Issue
- 11
- Pages
- 1103-1109
- ISSN
- 0148-639X (ISSN-L)
- 1097-4598
- OpenAlex
- W1974551350
- Cited by
- 926
- References
- 1
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain‐Barré syndrome. https://app.cochat.ai/papers/10.1002/mus.880141111
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- Kleyweg, R. P., Van Der Meché, F. G. A., & Schmitz, P. I. M. (1991). Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain‐Barré syndrome. Muscle & Nerve. https://doi.org/10.1002/mus.880141111
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