Mayo and NINDS scales for assessment of tendon reflexes: between observer agreement and implications for communication

Table 4

Agreement on asymmetry observed between left and right limb reflexes (κ (Z_α ^*SD))

	Two judges^4-151	Three judges^4-152
Mayo Clinic reflex scale:
Biceps	0.15-0.37	0.29 (0.15)
Triceps	−0.14-0.26	0.01 (0.16)
Knee	−0.17-0.37	0.02 (0.15)
Ankle	0.16-0.48	0.28 (0.15)
NINDS reflex scale:
Biceps	0.13-0.32	0.24 (0.14)
Triceps	0.00-0.23	0.12 (0.16)
Knee	0.21-0.60	0.48 (0.16)
Ankle	0.16-0.18	0.18 (0.15)

↵4-151 Range of κ observed for two judges.
↵4-152 κ for three judges; Mayo clinic scale 30 patients, NINDS scale 31 patients.
κ (Z_α ^*SD) yields 95% CI.

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Mayo and NINDS scales for assessment of tendon reflexes: between observer agreement and implications for communication

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