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Child Neuropsychology
A Journal on Normal and Abnormal Development in Childhood and Adolescence
Volume 29, 2023 - Issue 6
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Research Article

Inter-rater Reliability of the Revised Physical and Neurological Examination of Subtle Signs (PANESS) scored using video review

Adrian M. Svingosa Kennedy Krieger Institute;b Johns Hopkins University School of MedicineCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0001-7271-2136View further author information
ORCID Icon,
Taralee Hamnerc Nationwide Children’s HospitalView further author information
,
Kayla B. Huntingtona Kennedy Krieger InstituteView further author information
,
Hsuan Wei Chena Kennedy Krieger InstituteORCID Iconhttps://orcid.org/0000-0002-3869-8075View further author information
ORCID Icon,
Kristie L. Sweeneya Kennedy Krieger InstituteView further author information
,
Michael Ellis-Stockleya Kennedy Krieger InstituteView further author information
,
Martha B. Dencklaa Kennedy Krieger Institute;b Johns Hopkins University School of MedicineView further author information
,
Luke G. Kalba Kennedy Krieger InstituteView further author information
,
Beth S. Slominea Kennedy Krieger Institute;b Johns Hopkins University School of MedicineView further author information
&
Stacy J. Suskauera Kennedy Krieger Institute;b Johns Hopkins University School of MedicineORCID Iconhttps://orcid.org/0000-0002-5009-5584View further author information
ORCID Icon show all
Pages 922-933 | Received 14 Jun 2022, Accepted 21 Oct 2022, Published online: 10 Nov 2022
 
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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.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the National Institutes of Health [5T32HD007414-27; 5R01HD0900266-03].

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