Inter-rater reliability of physiotherapists using the Pirani scoring system for clubfoot: Comparison with a modified five-point scale

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Abstract

This study examines inter-rater reliability between physiotherapists using the Pirani scoring system for clubfoot, and whether the addition of two scale points to give a modified five-point severity scale improves reliability. A total of 65 infant feet were assessed by two raters, with 21 different rater combinations used. The Pirani scoring system was found to be a reliable assessment tool when used by physiotherapists to score clubfoot, with a minimum of fair to good inter-rater reliability demonstrated across all clinical signs. The modified five-point scale proved significantly more reliable than the three-point scale; however, the benefit is not sufficient to warrant varying the original three-point scale.

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Harvey, N. J., Mudge, A. J., Daley, D. T., Sims, S. K., & Adams, R. D. (2014). Inter-rater reliability of physiotherapists using the Pirani scoring system for clubfoot: Comparison with a modified five-point scale. Journal of Pediatric Orthopaedics Part B, 23(6), 493–500. https://doi.org/10.1097/BPB.0000000000000083

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