Interrater reliability of face-to-face, tele- and video-based assessments with the modified Mallet classification in brachial plexus birth injuries

Author:

Delioğlu Kıvanç1ORCID,Unes Sefa1,Tuncdemir Merve1,Ozal Cemil1,Bıyık Kubra Seyhan1,Uzumcugil Akin2

Affiliation:

1. Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey

2. Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey

Abstract

The modified Mallet classification is widely used to measure motor function in brachial plexus birth injuries. The aim of the study was to investigate agreement and reliability of this classification under three different evaluation conditions: face-to-face; live tele-assessment; and delayed video-based assessment. A total of 100 children aged 4–15 years were included. Children were assessed by two raters except for live tele-assessment, which was performed by four raters. Agreement between the three different assessment conditions for the same rater were between strong and excellent for both raters 1 and 2. The interrater reliability for raters 1 and 2 under different assessment conditions was strong to excellent. Interrater reliability among the four raters was moderate to strong in tele-assessment. The modified Mallet classification may have appropriate reliability to be used in remote medical follow-up. Level of evidence: III

Publisher

SAGE Publications

Subject

Surgery

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