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

Child Neuropsychol. 2023 Aug;29(6):922-933. doi: 10.1080/09297049.2022.2140797. Epub 2022 Nov 10.

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.

Keywords: PANESS; motor; neurologic; psychometrics; reliability.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Brain Concussion* / diagnosis
  • Child
  • Humans
  • Neurologic Examination
  • Reproducibility of Results