Assessment of neurological 'soft signs' in adolescents: reliability studies

Dev Med Child Neurol. 1986 Aug;28(4):428-39.


The validity and reliability of a scoring system for 'neurological soft signs' in teenagers was assessed. Six scales were adapted and fitted into the framework of a conventional neurological examination. The following emerged: each of the three multi-item scales had high internal consistency; inter-rater agreement on mirror movements of 'live' subjects was satisfactory; ratings of videotapes agreed among examiners for mirror movements and dysdiadochokinesis but not for choreiform movements; data-based cut-off scores defining present vs. absent were congruent with the ratings of outside neurologists; and each examiner was consistent in rating mirror movements and rapid alternating movements from videotapes over several months.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Child
  • Humans
  • Male
  • Movement Disorders / diagnosis
  • Nervous System Diseases / diagnosis*
  • Neurologic Examination* / methods
  • Neurologic Examination* / standards
  • Videotape Recording