Publication details
Video analýza funkčních neurologických poruch hybnosti a posouzení přesnosti zhodnocených výsledků
| Title in English | Video analysis of functional neurological movement disorders and assessment of the accuracy of the evaluated results |
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| Authors | |
| Year of publication | 2023 |
| Type | Conference abstract |
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| Citation | |
| Description | INTRODUCTION Functional neurological disorders (FND), or dissociative/conversion disorders, are disorders that are very variable with difficult assessment of movement symptoms even for experienced physiotherapists. One of the possibilities of clinical assessment in FND is the use of video analysis of movement according to the Hinson protocol and the Simplified Functional Movement Disorders Rating Scale - SFMRDS. The goal was to determine the reliability of symptom severity ratings between experienced and inexperienced examiners, where we hypothesized that values would differ. METHODS We evaluated 39 videos during the initial examination and 25 videos during the final examination in patients with FND according to the SFMRDS scale and the Hinson protocol. The videos were selected according to the study criteria. First evaluator was a physiotherapist with 4 years of experience with FND, and the second was a 5th-year student of physiotherapy with minimal experience (5 months of experience with FND). Reliability between an experienced and a non-experienced rater was assessed by means of the "Intraclass correlation coefficient" (ICC) for both pre- and post-physiotherapy values. The evaluation took place in SPSS 26 statistics. RESULTS The ICC result for the total SFMRDS scale values between the experienced and inexperienced rater on the input data was 0.952 (95% confidence interval; lower limit 0.911, upper limit 0.975). For outcome data after completed physiotherapy 0.880 (95% confidence interval; lower limit 0.747, upper limit 0.945). The result shows a strong correlation of the evaluated results between the experienced evaluator and the unexperienced evaluator. CONCLUSION According to our findings, the SFMRDS scale and video protocol of Hinson is characterized by a simple assessment with a high reliability of the accuracy of the results. It seems that despite the considerable difference in experience with physiotherapy in FNS. This tool is suitable for clinical practice even for unexperienced physiotherapists. However, it is necessary to develop this hypothesis and include it in the evaluation of a rehabilitation doctor, a neurologist and a physiotherapist with varying degrees of experience. |