STUDY DESIGN: Intra-rater reliability study, cross-sectional design. OBJECTIVES: To report on the intra-rater agreement of the anorectal examinations and classification of injury severity in @entity1 with @entity1566 ( @entity1566 ). SETTING: Two, non-profit @entity1 's hospitals specializing in pediatric @entity1566 . METHODS: 180 subjects had at least two trials of the anorectal examinations as defined by the International Standards for Neurological Classification of @entity1566 . Intraclass correlation coefficients (ICC) and 95% confidence intervals (CI) were used to evaluate the agreement. ICC>0.90=high agreement; ICC between 0.75-0.89=moderate agreement; ICC<0.75=poor agreement. RESULTS: When evaluated for the entire sample, agreement was moderate-high for anal sensation and contraction and injury classification. When evaluated as a function of age at examination and @entity130 , agreement for anal sensation was poor for subjects with @entity1688 in the 12-15-year age group (ICC=0.56) and 16-21-year age group (ICC=0.70) and for subjects with @entity451 in the 6-11-year age group (ICC=0.69). Agreement for anal contraction was moderate for subjects with @entity1688 in the 16-21-year age group (ICC=0.81) and subjects with @entity451 in the 12-15-year age group (ICC=0.78) and poor for subjects with @entity451 in the 6-11-year age group (ICC=0.67). Agreement for injury classification was poor for subjects with @entity1688 in the 12-15-year group (ICC=0.56) and 16-21-year group (ICC=0.74) and @entity451 in the 6-11-year group (ICC=0.11) and 12-15-year group (ICC=0.63). Anorectal responses had high agreement in subjects with @entity1688 in the 6-11-year group and moderate to high agreement in subjects with @entity451 in the 16-21-year group. CONCLUSION: The data do not fully support the use of anorectal examination in @entity1 . Further work is warranted to establish the validity of anorectal examination.

Intra-rater agreement of the anorectal exam and classification of injury severity in @entity1 with XXXX .

@entity1 :: ('9606', 'Species') :: ['children'] @entity1688 :: ('MESH:D011782', 'Disease') :: ['tetraplegia'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['Spinal Cord Injury', 'spinal cord injury', 'SCI'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia'] @entity130 :: ('MESH:D014947', 'Disease') :: ['type of injury']
@entity1566 :: (MESH:D013119,Disease) :: ['spinal cord injury']
