{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:05:27Z","timestamp":1788404727228,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) is widely employed for cervical dystonia (CD) evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the inter\u2010rater reliability of the severity subscale of the original and revised TWSTRS using video recordings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three raters, a PhD student with a nursing degree, a physiotherapist specialized in CD, and a neurologist\u2010in\u2010training independently rated all videos. The inter\u2010rater reliability was assessed with the intra\u2010class correlation coefficient (ICC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total severity score of both tools demonstrated a good inter\u2010rater reliability (ICC\u2009=\u20090.87 to 0.88). The inter\u2010rater reliability of individual sub\u2010items varied from poor (ICC\u2009=\u20090.29) to excellent (ICC\u2009=\u20090.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The total severity score of both TWSTRS showed good inter\u2010rater reliability in a multidisciplinary team, indicating their applicability for online patients\u2019 assessment. We recommend using the total subscale for outcome comparison. Furthermore, there is a need for more accurate definitions of duration factor and shoulder elevation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mdc3.14222","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T12:50:48Z","timestamp":1728391848000},"page":"1587-1591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Interdisciplinary Consensus in Evaluating the Severity Subscale of the Original and Revised Toronto Western Spasmodic Torticollis Rating Scale Through Video\u2010Based Assessment: An Inter\u2010Rater Reliability Study"],"prefix":"10.1002","volume":"11","author":[{"given":"Shimelis Girma","family":"Kassaye","sequence":"first","affiliation":[{"name":"Institute of Health, Jimma University  Jimma Ethiopia"},{"name":"Department of Rehabilitation Sciences and Physiotherapy\/Movant Faculty of Medicine and Health Science, University of Antwerp  Antwerp 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