OBJETIVO GENERAL. Determinar la concordancia de los Hallazgos Clínicos con los electromiográficos en Radiculopatía lumbar

OBJETIVOS ESPECÍFICOS. 1. Describir las características del dolor referido por los pacientes.

  1. Describir la frecuencia con la que se presentan las alteraciones de los reflejos de estiramiento muscular.

  2. Describir la frecuencia de alteraciones en la fuerza muscular.

  3. Describir las alteraciones en latencias y amplitudes nerviosas, en la neuroconducción, motora y sensorial.

  4. Describir la frecuencia de alteraciones en la respuesta F.

  5. Describir las alteraciones más frecuenten en el reflejo H.

  6. Describir el hallazgo más significativo en la actividad espontánea.

  7. Describir las características del PAUM ante un diagnóstico confirmatorio de radiculopatía.

#Se trabajó con los siguientes paquetes
library(tidyverse)
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library(magrittr)
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library(gtsummary)
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library(dlookr)
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library(gtable)
library(gt)
library(ggpubr)
library(readxl)
dbdrilse <- read_excel("C:/Users/fidel/OneDrive - CINVESTAV/PROYECTO MDatos/TRABAJOS/Dra Ilse Escamilla/dbdrilse.xlsx")
## New names:
## • `RADICULOPATIA` -> `RADICULOPATIA...1`
## • `RADICULOPATIA` -> `RADICULOPATIA...52`
dbdrailse<-dbdrilse
dbdrailse
## # A tibble: 51 × 53
##    RADICULOPATI…¹  EDAD RAZA  SEXO  DOLOR TIPO …² IRRAD…³ INTEN…⁴ SENSI…⁵ FUERZA
##    <chr>          <dbl> <chr> <chr> <chr> <chr>   <chr>   <chr>   <chr>   <chr> 
##  1 SI                49 MEX   F     SI    ARDORO… AMBAS … SEVERO  ALTERA… ALTER…
##  2 SI                69 MEX   F     SI    OPRESI… AMBOS … MODERA… NO ALT… ALTER…
##  3 NO                57 MEX   F     SI    OPRESI… LUMBAR… LEVE    ALTERA… ALTER…
##  4 NO                60 MEX   F     SI    QUEMAN… AMBAS … LEVE    ALTERA… ALTER…
##  5 SI                33 MEX   F     NO    <NA>    <NA>    <NA>    ALTERA… ALTER…
##  6 NO                62 MEX   F     SI    TIRON   EXTRME… LEVE    NO ALT… ALTER…
##  7 NO                48 MEX   F     SI    PUNZAN… LUMBAR… MODERA… NO ALT… ALTER…
##  8 SI                50 MEX   M     SI    OPRESI… LUMBAR… LEVE    ALTERA… ALTER…
##  9 NO                52 MEX   F     SI    PUNZATE PELVIC… LEVE    ALTERA… ALTER…
## 10 NO                64 MEX   F     SI    PUNZAN… LUMBAR… LEVE    ALTERA… ALTER…
## # … with 41 more rows, 43 more variables:
## #   `REFLEJOS DE LIBERACION PIRAMIDAL` <chr>, REMS <chr>, `REM ANORMAL` <chr>,
## #   `AMPLITUD MOTORA DE NERVIO PERONEO` <chr>, `AMPLITUD PERONEO` <chr>,
## #   `AMPLITUD MOTORA DE NERVIO TIBIAL` <chr>, `AMPLITUD TIBIAL` <chr>,
## #   `AMPLITUD SENSITIVA DE NERVIO SURAL ALTERADA` <chr>,
## #   `AMPLITUD SURAL` <chr>,
## #   `LATENCIA INICIAL DE NERVIO PERONEO ALTERADA` <chr>, …

Analísis Exploratorio de la base de datos

library(funModeling) 
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##  / Now in Spanish: librovivodecienciadedatos.ai
library(tidyverse) 
library(Hmisc)
glimpse(dbdrailse)
## Rows: 51
## Columns: 53
## $ RADICULOPATIA...1                                            <chr> "SI", "SI…
## $ EDAD                                                         <dbl> 49, 69, 5…
## $ RAZA                                                         <chr> "MEX", "M…
## $ SEXO                                                         <chr> "F", "F",…
## $ DOLOR                                                        <chr> "SI", "SI…
## $ `TIPO DE DOLOR`                                              <chr> "ARDOROSO…
## $ IRRADIACIÓN                                                  <chr> "AMBAS PI…
## $ `INTENSIDAD DEL DOLOR`                                       <chr> "SEVERO",…
## $ SENSIBILIDAD                                                 <chr> "ALTERADA…
## $ FUERZA                                                       <chr> "ALTERADA…
## $ `REFLEJOS DE LIBERACION PIRAMIDAL`                           <chr> "NO", "NO…
## $ REMS                                                         <chr> "ALTERADO…
## $ `REM ANORMAL`                                                <chr> "PATELAR …
## $ `AMPLITUD MOTORA DE NERVIO PERONEO`                          <chr> "NORMAL",…
## $ `AMPLITUD PERONEO`                                           <chr> NA, NA, N…
## $ `AMPLITUD MOTORA DE NERVIO TIBIAL`                           <chr> "NORMAL",…
## $ `AMPLITUD TIBIAL`                                            <chr> NA, "BILA…
## $ `AMPLITUD SENSITIVA DE NERVIO SURAL ALTERADA`                <chr> "ANORMAL"…
## $ `AMPLITUD SURAL`                                             <chr> "BILATERA…
## $ `LATENCIA INICIAL DE NERVIO PERONEO ALTERADA`                <chr> "NORMAL",…
## $ `LATENCIA PERONEO`                                           <chr> NA, NA, N…
## $ `LATENCIA INICIAL DE NERVIO TIBIAL ALATERADA`                <chr> "NORMAL",…
## $ `LATENCIA TIBIAL`                                            <chr> NA, "BILA…
## $ `LATENCIA PICO DE NERVIO SURAL`                              <chr> "ANORMAL"…
## $ `LATENCIA SURAL`                                             <chr> "BILATERA…
## $ `VELOCIDAD DE NEUROCONDUCCION DE NERVIO PERONEO`             <chr> "NORMAL",…
## $ `VELOCIDAD PERONEO`                                          <chr> NA, "DERE…
## $ `VELOCIDAD DE NEUROCONDUCCION DE NERVIO TIBIAL ALTERADA`     <chr> "NORMAL",…
## $ `VELOCIDAD TIBIAL`                                           <chr> NA, "BILA…
## $ `RESPUESTA F`                                                <chr> "NORMAL",…
## $ `NERVIO RF`                                                  <chr> NA, "BILA…
## $ `REFLEJO H`                                                  <chr> "ANORMAL"…
## $ `NERVIO RH`                                                  <chr> "TIBIAL D…
## $ `ELECTROMIOGRAFIA ACT ESPONTANEA, PRESENTO? Datos alterados` <chr> "PRESENTO…
## $ `RUIDO DE PLACA`                                             <lgl> NA, NA, N…
## $ `ESPICULA DE PLACA`                                          <lgl> NA, NA, N…
## $ `POTENCIAL DE FIBRILACION`                                   <chr> NA, "L4, …
## $ `ONDA AGUDA POSITIVA`                                        <chr> "L4, S1",…
## $ `DESCARGA MIOTONICA`                                         <lgl> NA, NA, N…
## $ `DESCARGA REPETITIVA COMPLEJA`                               <lgl> NA, NA, N…
## $ `POTENCIAL DE FASCICULACIÓN`                                 <chr> NA, NA, N…
## $ `DESCARGA MIOQUIMICA`                                        <chr> NA, NA, N…
## $ `POTENCIAL DE CALAMBRE`                                      <lgl> NA, NA, N…
## $ `DESCARGA NEUROMIOTONICA`                                    <lgl> NA, NA, N…
## $ `TEMBLOR DE REPOSO`                                          <lgl> NA, NA, N…
## $ `MIOTOMO AFECTADO`                                           <chr> "L4, S1",…
## $ `MIOTOMO DERECHO`                                            <chr> "L4, S1 D…
## $ `MIOTOMO IZQUIERDO`                                          <chr> NA, "IZQ"…
## $ `REPORTE ANORMAL`                                            <chr> "ANORMAL"…
## $ `REPORTE NORMAL`                                             <chr> NA, NA, "…
## $ `RADICULOPATIA REPORTE`                                      <chr> "ANORMAL"…
## $ RADICULOPATIA...52                                           <chr> "SI", "SI…
## $ MIOTOMO                                                      <chr> "L5 DEREC…
df_status(dbdrailse)
##                                                      variable q_zeros p_zeros
## 1                                           RADICULOPATIA...1       0       0
## 2                                                        EDAD       0       0
## 3                                                        RAZA       0       0
## 4                                                        SEXO       0       0
## 5                                                       DOLOR       0       0
## 6                                               TIPO DE DOLOR       0       0
## 7                                                 IRRADIACIÓN       0       0
## 8                                        INTENSIDAD DEL DOLOR       0       0
## 9                                                SENSIBILIDAD       0       0
## 10                                                     FUERZA       0       0
## 11                           REFLEJOS DE LIBERACION PIRAMIDAL       0       0
## 12                                                       REMS       0       0
## 13                                                REM ANORMAL       0       0
## 14                          AMPLITUD MOTORA DE NERVIO PERONEO       0       0
## 15                                           AMPLITUD PERONEO       0       0
## 16                           AMPLITUD MOTORA DE NERVIO TIBIAL       0       0
## 17                                            AMPLITUD TIBIAL       0       0
## 18                AMPLITUD SENSITIVA DE NERVIO SURAL ALTERADA       0       0
## 19                                             AMPLITUD SURAL       0       0
## 20                LATENCIA INICIAL DE NERVIO PERONEO ALTERADA       0       0
## 21                                           LATENCIA PERONEO       0       0
## 22                LATENCIA INICIAL DE NERVIO TIBIAL ALATERADA       0       0
## 23                                            LATENCIA TIBIAL       0       0
## 24                              LATENCIA PICO DE NERVIO SURAL       0       0
## 25                                             LATENCIA SURAL       0       0
## 26             VELOCIDAD DE NEUROCONDUCCION DE NERVIO PERONEO       0       0
## 27                                          VELOCIDAD PERONEO       0       0
## 28     VELOCIDAD DE NEUROCONDUCCION DE NERVIO TIBIAL ALTERADA       0       0
## 29                                           VELOCIDAD TIBIAL       0       0
## 30                                                RESPUESTA F       0       0
## 31                                                  NERVIO RF       0       0
## 32                                                  REFLEJO H       0       0
## 33                                                  NERVIO RH       0       0
## 34 ELECTROMIOGRAFIA ACT ESPONTANEA, PRESENTO? Datos alterados       0       0
## 35                                             RUIDO DE PLACA       0       0
## 36                                          ESPICULA DE PLACA       0       0
## 37                                   POTENCIAL DE FIBRILACION       0       0
## 38                                        ONDA AGUDA POSITIVA       0       0
## 39                                         DESCARGA MIOTONICA       0       0
## 40                               DESCARGA REPETITIVA COMPLEJA       0       0
## 41                                 POTENCIAL DE FASCICULACIÓN       0       0
## 42                                        DESCARGA MIOQUIMICA       0       0
## 43                                      POTENCIAL DE CALAMBRE       0       0
## 44                                    DESCARGA NEUROMIOTONICA       0       0
## 45                                          TEMBLOR DE REPOSO       0       0
## 46                                           MIOTOMO AFECTADO       0       0
## 47                                            MIOTOMO DERECHO       0       0
## 48                                          MIOTOMO IZQUIERDO       0       0
## 49                                            REPORTE ANORMAL       0       0
## 50                                             REPORTE NORMAL       0       0
## 51                                      RADICULOPATIA REPORTE       0       0
## 52                                         RADICULOPATIA...52       0       0
## 53                                                    MIOTOMO       0       0
##    q_na   p_na q_inf p_inf      type unique
## 1     0   0.00     0     0 character      2
## 2     0   0.00     0     0   numeric     28
## 3     0   0.00     0     0 character      2
## 4     0   0.00     0     0 character      2
## 5     0   0.00     0     0 character      2
## 6     6  11.76     0     0 character     11
## 7     6  11.76     0     0 character     30
## 8     6  11.76     0     0 character      3
## 9     0   0.00     0     0 character      2
## 10    0   0.00     0     0 character      2
## 11    0   0.00     0     0 character      2
## 12    0   0.00     0     0 character      2
## 13   18  35.29     0     0 character     16
## 14    0   0.00     0     0 character      2
## 15   40  78.43     0     0 character      3
## 16    0   0.00     0     0 character      2
## 17   48  94.12     0     0 character      3
## 18    0   0.00     0     0 character      2
## 19   41  80.39     0     0 character      2
## 20    0   0.00     0     0 character      2
## 21   49  96.08     0     0 character      2
## 22    0   0.00     0     0 character      2
## 23   50  98.04     0     0 character      1
## 24    0   0.00     0     0 character      2
## 25   40  78.43     0     0 character      4
## 26    0   0.00     0     0 character      2
## 27   43  84.31     0     0 character      3
## 28    0   0.00     0     0 character      2
## 29   45  88.24     0     0 character      4
## 30    0   0.00     0     0 character      2
## 31   26  50.98     0     0 character     14
## 32    0   0.00     0     0 character      3
## 33   48  94.12     0     0 character      2
## 34    0   0.00     0     0 character      2
## 35   51 100.00     0     0   logical      0
## 36   51 100.00     0     0   logical      0
## 37   37  72.55     0     0 character     13
## 38   28  54.90     0     0 character     21
## 39   51 100.00     0     0   logical      0
## 40   51 100.00     0     0   logical      0
## 41   50  98.04     0     0 character      1
## 42   50  98.04     0     0 character      1
## 43   51 100.00     0     0   logical      0
## 44   51 100.00     0     0   logical      0
## 45   51 100.00     0     0   logical      0
## 46   30  58.82     0     0 character     12
## 47   34  66.67     0     0 character     12
## 48   40  78.43     0     0 character      8
## 49   35  68.63     0     0 character      1
## 50   16  31.37     0     0 character      1
## 51    0   0.00     0     0 character      2
## 52    0   0.00     0     0 character      2
## 53   34  66.67     0     0 character     17

Frecuencias

#dbdrailse %>% select(RADICULOPATIA...1, DOLOR) %>% tbl_summary(by=RADICULOPATIA...1) %>% add_p()

tabla para exploración de datos dividida entre pacientes que presentaron o no radiculopatía

str(dbdrailse)
## tibble [51 × 53] (S3: tbl_df/tbl/data.frame)
##  $ RADICULOPATIA...1                                         : chr [1:51] "SI" "SI" "NO" "NO" ...
##  $ EDAD                                                      : num [1:51] 49 69 57 60 33 62 48 50 52 64 ...
##  $ RAZA                                                      : chr [1:51] "MEX" "MEX" "MEX" "MEX" ...
##  $ SEXO                                                      : chr [1:51] "F" "F" "F" "F" ...
##  $ DOLOR                                                     : chr [1:51] "SI" "SI" "SI" "SI" ...
##  $ TIPO DE DOLOR                                             : chr [1:51] "ARDOROSO" "OPRESIVO" "OPRESIVO" "QUEMANTE" ...
##  $ IRRADIACIÓN                                               : chr [1:51] "AMBAS PIERNAS" "AMBOS MIEMBROS PELVICOS" "LUMBAR SIN IRRADIAR" "AMBAS PIERNAS" ...
##  $ INTENSIDAD DEL DOLOR                                      : chr [1:51] "SEVERO" "MODERADO" "LEVE" "LEVE" ...
##  $ SENSIBILIDAD                                              : chr [1:51] "ALTERADA" "NO ALTERADA" "ALTERADA" "ALTERADA" ...
##  $ FUERZA                                                    : chr [1:51] "ALTERADA" "ALTERADA" "ALTERADA" "ALTERADA" ...
##  $ REFLEJOS DE LIBERACION PIRAMIDAL                          : chr [1:51] "NO" "NO" "NO" "NO" ...
##  $ REMS                                                      : chr [1:51] "ALTERADO" "ALTERADO" "NO ALTERADO" "ALTERADO" ...
##  $ REM ANORMAL                                               : chr [1:51] "PATELAR Y AQUILEO BILATERAL" "NO EVOCABLES BILATERAL" NA "PATELAR Y AUQILEO BILATERAL" ...
##  $ AMPLITUD MOTORA DE NERVIO PERONEO                         : chr [1:51] "NORMAL" "NORMAL" "NORMAL" "NORMAL" ...
##  $ AMPLITUD PERONEO                                          : chr [1:51] NA NA NA NA ...
##  $ AMPLITUD MOTORA DE NERVIO TIBIAL                          : chr [1:51] "NORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ AMPLITUD TIBIAL                                           : chr [1:51] NA "BILATERAL" NA NA ...
##  $ AMPLITUD SENSITIVA DE NERVIO SURAL ALTERADA               : chr [1:51] "ANORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ AMPLITUD SURAL                                            : chr [1:51] "BILATERAL" "BILATERAL" NA NA ...
##  $ LATENCIA INICIAL DE NERVIO PERONEO ALTERADA               : chr [1:51] "NORMAL" "NORMAL" "NORMAL" "NORMAL" ...
##  $ LATENCIA PERONEO                                          : chr [1:51] NA NA NA NA ...
##  $ LATENCIA INICIAL DE NERVIO TIBIAL ALATERADA               : chr [1:51] "NORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ LATENCIA TIBIAL                                           : chr [1:51] NA "BILATERAL" NA NA ...
##  $ LATENCIA PICO DE NERVIO SURAL                             : chr [1:51] "ANORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ LATENCIA SURAL                                            : chr [1:51] "BILATERAL" "BILATERAL" NA NA ...
##  $ VELOCIDAD DE NEUROCONDUCCION DE NERVIO PERONEO            : chr [1:51] "NORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ VELOCIDAD PERONEO                                         : chr [1:51] NA "DERECHO" NA NA ...
##  $ VELOCIDAD DE NEUROCONDUCCION DE NERVIO TIBIAL ALTERADA    : chr [1:51] "NORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ VELOCIDAD TIBIAL                                          : chr [1:51] NA "BILATERAL" NA NA ...
##  $ RESPUESTA F                                               : chr [1:51] "NORMAL" "ANORMAL" "NORMAL" "ANORMAL" ...
##  $ NERVIO RF                                                 : chr [1:51] NA "BILATERAL TIBIAL Y PERONEO" NA "PERONEO BIATERAL" ...
##  $ REFLEJO H                                                 : chr [1:51] "ANORMAL" "ANORMAL" "ANORMAL" "NO SE REALIZO" ...
##  $ NERVIO RH                                                 : chr [1:51] "TIBIAL DERECHO" "BILATERAL" "BILATERAL" NA ...
##  $ ELECTROMIOGRAFIA ACT ESPONTANEA, PRESENTO? Datos alterados: chr [1:51] "PRESENTO" "PRESENTO" "NO PRESENTO" "PRESENTO" ...
##  $ RUIDO DE PLACA                                            : logi [1:51] NA NA NA NA NA NA ...
##  $ ESPICULA DE PLACA                                         : logi [1:51] NA NA NA NA NA NA ...
##  $ POTENCIAL DE FIBRILACION                                  : chr [1:51] NA "L4, S1 IZQ" NA NA ...
##  $ ONDA AGUDA POSITIVA                                       : chr [1:51] "L4, S1" "L4, S1 IZQ" NA "S1 IZQ" ...
##  $ DESCARGA MIOTONICA                                        : logi [1:51] NA NA NA NA NA NA ...
##  $ DESCARGA REPETITIVA COMPLEJA                              : logi [1:51] NA NA NA NA NA NA ...
##  $ POTENCIAL DE FASCICULACIÓN                                : chr [1:51] NA NA NA NA ...
##  $ DESCARGA MIOQUIMICA                                       : chr [1:51] NA NA NA NA ...
##  $ POTENCIAL DE CALAMBRE                                     : logi [1:51] NA NA NA NA NA NA ...
##  $ DESCARGA NEUROMIOTONICA                                   : logi [1:51] NA NA NA NA NA NA ...
##  $ TEMBLOR DE REPOSO                                         : logi [1:51] NA NA NA NA NA NA ...
##  $ MIOTOMO AFECTADO                                          : chr [1:51] "L4, S1" "L4, S1" NA "S1" ...
##  $ MIOTOMO DERECHO                                           : chr [1:51] "L4, S1 DERECHO" NA NA NA ...
##  $ MIOTOMO IZQUIERDO                                         : chr [1:51] NA "IZQ" NA "IZQ" ...
##  $ REPORTE ANORMAL                                           : chr [1:51] "ANORMAL" "ANORMAL" NA NA ...
##  $ REPORTE NORMAL                                            : chr [1:51] NA NA "NORMAL" "NORMAL" ...
##  $ RADICULOPATIA REPORTE                                     : chr [1:51] "ANORMAL" "ANORMAL" "NORMAL" "NORMAL" ...
##  $ RADICULOPATIA...52                                        : chr [1:51] "SI" "SI" "NO" "NO" ...
##  $ MIOTOMO                                                   : chr [1:51] "L5 DERECHO" "L4, L5, S1 IIZQUIERDO" NA NA ...
dbdrailse %>% select(EDAD,RAZA,SEXO,DOLOR,`TIPO DE DOLOR`,IRRADIACIÓN,`INTENSIDAD DEL DOLOR`,RADICULOPATIA...1) %>% tbl_summary(by=RADICULOPATIA...1) %>% add_p() %>% add_overall()
## Warning for variable 'EDAD':
## simpleWarning in wilcox.test.default(x = DATA[[1L]], y = DATA[[2L]], ...): cannot compute exact p-value with ties
Characteristic Overall, N = 511 NO, N = 351 SI, N = 161 p-value2
EDAD 60 (50, 66) 57 (50, 62) 68 (57, 72) 0.027
RAZA >0.9
MEX 50 (98%) 34 (97%) 16 (100%)
USA 1 (2.0%) 1 (2.9%) 0 (0%)
SEXO 0.053
F 35 (69%) 27 (77%) 8 (50%)
M 16 (31%) 8 (23%) 8 (50%)
DOLOR 0.069
NO 6 (12%) 2 (5.7%) 4 (25%)
SI 45 (88%) 33 (94%) 12 (75%)
TIPO DE DOLOR 0.7
ADORMECIMIENTO 1 (2.2%) 1 (3.0%) 0 (0%)
ARDOROSO 3 (6.7%) 1 (3.0%) 2 (17%)
DESCARGA ELECTRICA 1 (2.2%) 1 (3.0%) 0 (0%)
MIALGICO 1 (2.2%) 1 (3.0%) 0 (0%)
OPRESIVO 15 (33%) 11 (33%) 4 (33%)
PUNZANTE 17 (38%) 12 (36%) 5 (42%)
PUNZATE 1 (2.2%) 1 (3.0%) 0 (0%)
PUNZNATE 2 (4.4%) 2 (6.1%) 0 (0%)
QUEMANTE 2 (4.4%) 2 (6.1%) 0 (0%)
TIRON 1 (2.2%) 1 (3.0%) 0 (0%)
TOQUE ELECTRICO 1 (2.2%) 0 (0%) 1 (8.3%)
Unknown 6 2 4
IRRADIACIÓN 0.2
AMBAS PIERNAS 2 (4.4%) 1 (3.0%) 1 (8.3%)
AMBOS MIEMBROS PELVICOS 1 (2.2%) 0 (0%) 1 (8.3%)
CADERA IZQ 1 (2.2%) 1 (3.0%) 0 (0%)
CADERA SIN IRRADIAR 1 (2.2%) 1 (3.0%) 0 (0%)
CADERA, AMBAS PIERNAS 1 (2.2%) 1 (3.0%) 0 (0%)
EXTRMEIDAD PELVICA DERECHA 1 (2.2%) 1 (3.0%) 0 (0%)
GLUETO DERECHO 1 (2.2%) 0 (0%) 1 (8.3%)
GLUTEO 1 (2.2%) 1 (3.0%) 0 (0%)
GLUTEO HACIA EXTREMIDAD INFERIOR IZQUIERDA 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR 5 (11%) 5 (15%) 0 (0%)
LUMBAR CON IRRADIACION PIERNA IZQ 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR HACIA AMBAS RODILLAS 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR HACIA GLUTEO IZQUIERDO 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR HACIA RODILLA IZQ 1 (2.2%) 0 (0%) 1 (8.3%)
LUMBAR SIN IRRADIAR 3 (6.7%) 2 (6.1%) 1 (8.3%)
LUMBAR Y GLUTEO DCHO 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR Y PIERNA DCHA 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBOSACRO 1 (2.2%) 0 (0%) 1 (8.3%)
LUMBOSACRO Y PIERNA DERECHA 1 (2.2%) 1 (3.0%) 0 (0%)
MIEMBRO PELVICO IZQUIERDO 3 (6.7%) 1 (3.0%) 2 (17%)
MIEMBROS PELVICOS 1 (2.2%) 0 (0%) 1 (8.3%)
MUSLO IZQ 1 (2.2%) 1 (3.0%) 0 (0%)
NO IRRADIA 1 (2.2%) 1 (3.0%) 0 (0%)
PELVICO Y ESPALDA 1 (2.2%) 1 (3.0%) 0 (0%)
PELVIS 1 (2.2%) 0 (0%) 1 (8.3%)
PIERNA DERECHA 3 (6.7%) 3 (9.1%) 0 (0%)
PIERNA IZQ 3 (6.7%) 3 (9.1%) 0 (0%)
PLANTAS DE LOS PIES 1 (2.2%) 0 (0%) 1 (8.3%)
SIN IRRADIACIÓN 3 (6.7%) 2 (6.1%) 1 (8.3%)
SIN IRRADIACIÓN EN LUMBAR 1 (2.2%) 1 (3.0%) 0 (0%)
Unknown 6 2 4
INTENSIDAD DEL DOLOR 0.037
LEVE 28 (62%) 23 (70%) 5 (42%)
MODERADO 15 (33%) 10 (30%) 5 (42%)
SEVERO 2 (4.4%) 0 (0%) 2 (17%)
Unknown 6 2 4
1 Median (IQR); n (%)
2 Wilcoxon rank sum test; Fisher's exact test; Pearson's Chi-squared test

1. Describir las características del dolor referido por los pacientes.

#DOlor en pacientes con radiculopatía, relación sexo, edad y caracteristicas en pacientes con radiculopatía

#DOlor en pacientes con radiculopatía, relación sexo, edad y caracteristicas en pacientes con radiculopatía


dbdolorradiculo<-dbdrailse %>% select(EDAD,RAZA,SEXO,DOLOR,`TIPO DE DOLOR`,IRRADIACIÓN,`INTENSIDAD DEL DOLOR`,RADICULOPATIA...1)

#dolor Solo con radiculopatía
dbdolorradiculopat <- dbdolorradiculo %>% filter(RADICULOPATIA...1 == "SI") 

dolorrad <-dbdolorradiculopat %>%
  group_by(DOLOR) %>%
  summarise(counts = n()) %>% 
  mutate(prop = round(counts*100/sum(counts), 1))

ggplot(dolorrad, aes(x = DOLOR, y = prop, fill= DOLOR)) +
  geom_bar(stat = "identity") +
  geom_text(aes(label = prop), vjust = -0.2, fontface=2, size= 6) + 
  theme_pubclean() + ylab("%") + xlab ("Dolor en pacientes con radiculopatía")+
  theme(text = element_text(size = 16, face="bold"), axis.text = element_text(size = 16, face="bold"),
        legend.text = element_text(size = 12),)+scale_fill_brewer(palette="Set3")+
  theme(axis.text.x = element_text(angle = 45, hjust = 1))+theme(legend.position = "none")

dolor <- dbdolorradiculopat %>%
  count(DOLOR) %>%
  mutate(
    perc = round(proportions(n) * 100, 1),
    res = str_c(n, "(", perc, "%)"),
    `Intesidad del Dolor` = as.factor(DOLOR)
    )

dolor <- dolor %>% drop_na()

ggplot(dolor, aes(DOLOR, n, fill = DOLOR)) +
  geom_col() +
  geom_text(aes(label = res), vjust = -0.5,fontface=2, size= 6) + 
  theme_pubclean() + ylab("conteo") + xlab ("Prevalencia de dolor en pacientes con radiculopatía")+
  theme(text = element_text(size = 16, face="bold"), axis.text = element_text(size = 16, face="bold"),
        legend.text = element_text(size = 12),)+scale_fill_brewer(palette="Set3")+
  theme(axis.text.x = element_text(angle = 0, hjust = 0.5))+theme(legend.position = "none")

##Tipo de Dolor en radiculopatía

#usando el paquete EDA

tipodolor <- dbdolorradiculopat %>%
  count(`TIPO DE DOLOR`) %>%
  mutate(
    perc = round(proportions(n) * 100, 1),
    res = str_c(n, "(", perc, "%)"),
    `Intesidad del Dolor` = as.factor(`TIPO DE DOLOR`)
    )

tipodolor <- tipodolor %>% drop_na()

ggplot(tipodolor, aes(`TIPO DE DOLOR`, n, fill = `TIPO DE DOLOR`)) +
  geom_col() +
  geom_text(aes(label = res), vjust = -0.5,fontface=2, size= 6) + 
  theme_pubclean() + ylab("conteo") + xlab ("Tipo de dolor en pacientes con radiculopatía")+
  theme(text = element_text(size = 16, face="bold"), axis.text = element_text(size = 16, face="bold"),
        legend.text = element_text(size = 12),)+scale_fill_brewer(palette="Set3")+
  theme(axis.text.x = element_text(angle = 0, hjust = 0.5))+theme(legend.position = "none")

Irradiación del dolor

irradiadolor <- dbdolorradiculopat %>%
  count(IRRADIACIÓN) %>%
  mutate(
    perc = round(proportions(n) * 100, 1),
    res = str_c(n, "(", perc, "%)"),
    `Intesidad del Dolor` = as.factor(IRRADIACIÓN)
    )

irradiadolor <- irradiadolor %>% drop_na()

ggplot(irradiadolor, aes(IRRADIACIÓN, n, fill = IRRADIACIÓN)) +
  geom_col() +
  geom_text(aes(label = res), vjust = 0.5,hjust = 0.01,fontface=2, size= 6) + 
  theme_pubclean() + ylab("conteo") + xlab ("Tipo de dolor en pacientes con radiculopatía")+
  theme(text = element_text(size = 16, face="bold"), axis.text = element_text(size = 16, face="bold"),
        legend.text = element_text(size = 12),)+scale_fill_brewer(palette="Set3")+
  theme(axis.text.x = element_text(angle = 45, hjust = 0.5))+theme(legend.position = "none")+coord_flip()

##Intensidad del dolor

dbdolorradiculopat<-dbdolorradiculopat %>% mutate(`INTENSIDAD DEL DOLOR` = factor(`INTENSIDAD DEL DOLOR`, levels=c("LEVE", "MODERADO","SEVERO")))

dolorrad <-dbdolorradiculopat %>%
  group_by(DOLOR) %>%
  summarise(counts = n()) %>% 
  mutate(prop = round(counts*100/sum(counts), 1))

ggplot(dolorrad, aes(x = DOLOR, y = prop, fill= DOLOR)) +
  geom_bar(stat = "identity") +
  geom_text(aes(label = prop), vjust = -0.2, fontface=2, size= 6) + 
  theme_pubclean() + ylab("%") + xlab ("Dolor en pacientes con radiculopatía")+
  theme(text = element_text(size = 16, face="bold"), axis.text = element_text(size = 16, face="bold"),
        legend.text = element_text(size = 12),)+scale_fill_brewer(palette="Set3")+
  theme(axis.text.x = element_text(angle = 45, hjust = 1))+theme(legend.position = "none")

dolorrad
## # A tibble: 2 × 3
##   DOLOR counts  prop
##   <chr>  <int> <dbl>
## 1 NO         4    25
## 2 SI        12    75
fg <- dbdolorradiculopat %>%
  count(`INTENSIDAD DEL DOLOR`) %>%
  mutate(
    perc = round(proportions(n) * 100, 1),
    res = str_c(n, "(", perc, "%)"),
    `Intesidad del Dolor` = as.factor(`INTENSIDAD DEL DOLOR`)
    )

fg <- fg %>% drop_na()

ggplot(fg, aes(`Intesidad del Dolor`, n, fill = `Intesidad del Dolor`)) +
  geom_col() +
  geom_text(aes(label = res), vjust = -0.5,fontface=2, size= 6) + 
  theme_pubclean() + ylab("conteo") + xlab ("Dolor en pacientes con radiculopatía")+
  theme(text = element_text(size = 16, face="bold"), axis.text = element_text(size = 16, face="bold"),
        legend.text = element_text(size = 12),)+scale_fill_brewer(palette="Set3")+
  theme(axis.text.x = element_text(angle = 0, hjust = 0.5))+theme(legend.position = "none")

2.Describir la frecuencia con la que se presentan las alteraciones de los reflejos de estiramiento muscular.

dbdrailse %>% select(FUERZA,`REFLEJOS DE LIBERACION PIRAMIDAL`, `REMS`, `REM ANORMAL`,RADICULOPATIA...1) %>% tbl_summary(by=RADICULOPATIA...1) %>% add_overall() %>% add_p()
## Warning: The `fmt_missing()` function is deprecated and will soon be removed
## * Use the `sub_missing()` function instead
Characteristic Overall, N = 511 NO, N = 351 SI, N = 161 p-value2
FUERZA >0.9
ALTERADA 40 (78%) 27 (77%) 13 (81%)
NO ALTERADA 11 (22%) 8 (23%) 3 (19%)
REFLEJOS DE LIBERACION PIRAMIDAL >0.9
NO 50 (98%) 34 (97%) 16 (100%)
STRANSKY BILATERAL 1 (2.0%) 1 (2.9%) 0 (0%)
REMS 0.065
ALTERADO 32 (63%) 19 (54%) 13 (81%)
NO ALTERADO 19 (37%) 16 (46%) 3 (19%)
REM ANORMAL 0.7
AQUILEO BILATERAL 14 (42%) 9 (45%) 5 (38%)
AQUILEO BILATERAL, PATELAR IZQ 1 (3.0%) 1 (5.0%) 0 (0%)
AQUILEO DERECHO 1 (3.0%) 0 (0%) 1 (7.7%)
AQUILEO IZQUIERDO 1 (3.0%) 1 (5.0%) 0 (0%)
AQUILEO Y PATELAR BILATERAL 1 (3.0%) 1 (5.0%) 0 (0%)
NO EVOCABLES BILATERAL 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR BILATERAL 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR BILAYERAL, AQUILEO IZQ 1 (3.0%) 1 (5.0%) 0 (0%)
PATELAR DCHO 2 (6.1%) 2 (10%) 0 (0%)
PATELAR DECHO, AUILEO BILATERAL 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR DERECHO 2 (6.1%) 1 (5.0%) 1 (7.7%)
PATELAR IZQ, AQUILEO IZQ 1 (3.0%) 1 (5.0%) 0 (0%)
PATELAR IZQUIERDO, AQUILEO IZQUIERDO 1 (3.0%) 1 (5.0%) 0 (0%)
PATELAR Y AQUILEO BILATERAL 3 (9.1%) 1 (5.0%) 2 (15%)
PATELAR Y AQUILEO DERECHOS 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR Y AUQILEO BILATERAL 1 (3.0%) 1 (5.0%) 0 (0%)
Unknown 18 15 3
1 n (%)
2 Fisher's exact test; Pearson's Chi-squared test

Describir la frecuencia de alteraciones en la respuesta F Y .

df<- dbdrailse %>% select(`RESPUESTA F`)

df <- df %>%
  group_by(`RESPUESTA F`) %>% 
  summarise(counts = n())

df %>% gt()
RESPUESTA F counts
ANORMAL 25
NORMAL 26
df <- df %>%
  arrange(desc(`RESPUESTA F`)) %>%
  mutate(prop = round(counts*100/sum(counts), 1),
         res = str_c(counts, "(", prop, "%)"),
         lab.ypos = cumsum(prop) - 0.5*prop)
head(df, 4)
## # A tibble: 2 × 5
##   `RESPUESTA F` counts  prop res     lab.ypos
##   <chr>          <int> <dbl> <chr>      <dbl>
## 1 NORMAL            26    51 26(51%)     25.5
## 2 ANORMAL           25    49 25(49%)     75.5
ggplot(df , aes(x = "", y = prop, fill = `RESPUESTA F`)) +
  geom_bar(width = 1, stat = "identity", color = "white") +
  geom_text(aes(y = lab.ypos, label = res), color = "black",
            fontface=2, size= 6)+
  coord_polar("y", start = 0)+
  ggpubr::fill_palette("Set2")+
  theme_void() + labs(fill = "Respuesta F") + 
  theme(text = element_text(size = 12, face="bold"))

reflejo H.

df<- dbdrailse %>% select(`REFLEJO H`)

df <- df %>%
  group_by(`REFLEJO H`) %>% 
  summarise(counts = n())

df %>% gt()
REFLEJO H counts
ANORMAL 3
NO SE REALIZO 7
NORMAL 41
df <- df %>%
  arrange(desc(`REFLEJO H`)) %>%
  mutate(prop = round(counts*100/sum(counts), 1),
         res = str_c(counts, "(", prop, "%)"),
         lab.ypos = cumsum(prop) - 0.5*prop)
head(df, 4)
## # A tibble: 3 × 5
##   `REFLEJO H`   counts  prop res       lab.ypos
##   <chr>          <int> <dbl> <chr>        <dbl>
## 1 NORMAL            41  80.4 41(80.4%)     40.2
## 2 NO SE REALIZO      7  13.7 7(13.7%)      87.3
## 3 ANORMAL            3   5.9 3(5.9%)       97.0
ggplot(df , aes(x = "", y = prop, fill = `REFLEJO H`)) +
  geom_bar(width = 1, stat = "identity", color = "white") +
  geom_text(aes(y = lab.ypos, label = res), color = "black",
            fontface=2, size= 6)+
  coord_polar("y", start = 0)+
  ggpubr::fill_palette("Set2")+
  theme_void() + labs(fill = "Reflejo H") + 
  theme(text = element_text(size = 12, face="bold"))

4. Describir las alteraciones en latencias y amplitudes nerviosas, en la neuroconducción, motora y sensorial.

dbdrailselter<- dbdrailse

dbdrailselter %>% tbl_summary(by=RADICULOPATIA...1) %>% add_p() %>% add_overall()
## Warning for variable 'EDAD':
## simpleWarning in wilcox.test.default(x = DATA[[1L]], y = DATA[[2L]], ...): cannot compute exact p-value with ties
## There was an error in 'add_p()/add_difference()' for variable 'LATENCIA TIBIAL', p-value omitted:
## Error in stats::fisher.test(c(NA, "BILATERAL", NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'RUIDO DE PLACA', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'ESPICULA DE PLACA', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'DESCARGA MIOTONICA', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'DESCARGA REPETITIVA COMPLEJA', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'POTENCIAL DE FASCICULACIÓN', p-value omitted:
## Error in stats::fisher.test(c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'DESCARGA MIOQUIMICA', p-value omitted:
## Error in stats::fisher.test(c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'POTENCIAL DE CALAMBRE', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'DESCARGA NEUROMIOTONICA', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'TEMBLOR DE REPOSO', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, NA, NA, NA, NA, NA, NA, NA, NA, : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'REPORTE ANORMAL', p-value omitted:
## Error in stats::chisq.test(x = c("ANORMAL", "ANORMAL", NA, NA, "ANORMAL", : 'x' and 'y' must have at least 2 levels
## There was an error in 'add_p()/add_difference()' for variable 'REPORTE NORMAL', p-value omitted:
## Error in stats::chisq.test(x = c(NA, NA, "NORMAL", "NORMAL", NA, "NORMAL", : 'x' and 'y' must have at least 2 levels
## Warning: The `fmt_missing()` function is deprecated and will soon be removed
## * Use the `sub_missing()` function instead
Characteristic Overall, N = 511 NO, N = 351 SI, N = 161 p-value2
EDAD 60 (50, 66) 57 (50, 62) 68 (57, 72) 0.027
RAZA >0.9
MEX 50 (98%) 34 (97%) 16 (100%)
USA 1 (2.0%) 1 (2.9%) 0 (0%)
SEXO 0.053
F 35 (69%) 27 (77%) 8 (50%)
M 16 (31%) 8 (23%) 8 (50%)
DOLOR 0.069
NO 6 (12%) 2 (5.7%) 4 (25%)
SI 45 (88%) 33 (94%) 12 (75%)
TIPO DE DOLOR 0.7
ADORMECIMIENTO 1 (2.2%) 1 (3.0%) 0 (0%)
ARDOROSO 3 (6.7%) 1 (3.0%) 2 (17%)
DESCARGA ELECTRICA 1 (2.2%) 1 (3.0%) 0 (0%)
MIALGICO 1 (2.2%) 1 (3.0%) 0 (0%)
OPRESIVO 15 (33%) 11 (33%) 4 (33%)
PUNZANTE 17 (38%) 12 (36%) 5 (42%)
PUNZATE 1 (2.2%) 1 (3.0%) 0 (0%)
PUNZNATE 2 (4.4%) 2 (6.1%) 0 (0%)
QUEMANTE 2 (4.4%) 2 (6.1%) 0 (0%)
TIRON 1 (2.2%) 1 (3.0%) 0 (0%)
TOQUE ELECTRICO 1 (2.2%) 0 (0%) 1 (8.3%)
Unknown 6 2 4
IRRADIACIÓN 0.2
AMBAS PIERNAS 2 (4.4%) 1 (3.0%) 1 (8.3%)
AMBOS MIEMBROS PELVICOS 1 (2.2%) 0 (0%) 1 (8.3%)
CADERA IZQ 1 (2.2%) 1 (3.0%) 0 (0%)
CADERA SIN IRRADIAR 1 (2.2%) 1 (3.0%) 0 (0%)
CADERA, AMBAS PIERNAS 1 (2.2%) 1 (3.0%) 0 (0%)
EXTRMEIDAD PELVICA DERECHA 1 (2.2%) 1 (3.0%) 0 (0%)
GLUETO DERECHO 1 (2.2%) 0 (0%) 1 (8.3%)
GLUTEO 1 (2.2%) 1 (3.0%) 0 (0%)
GLUTEO HACIA EXTREMIDAD INFERIOR IZQUIERDA 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR 5 (11%) 5 (15%) 0 (0%)
LUMBAR CON IRRADIACION PIERNA IZQ 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR HACIA AMBAS RODILLAS 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR HACIA GLUTEO IZQUIERDO 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR HACIA RODILLA IZQ 1 (2.2%) 0 (0%) 1 (8.3%)
LUMBAR SIN IRRADIAR 3 (6.7%) 2 (6.1%) 1 (8.3%)
LUMBAR Y GLUTEO DCHO 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBAR Y PIERNA DCHA 1 (2.2%) 1 (3.0%) 0 (0%)
LUMBOSACRO 1 (2.2%) 0 (0%) 1 (8.3%)
LUMBOSACRO Y PIERNA DERECHA 1 (2.2%) 1 (3.0%) 0 (0%)
MIEMBRO PELVICO IZQUIERDO 3 (6.7%) 1 (3.0%) 2 (17%)
MIEMBROS PELVICOS 1 (2.2%) 0 (0%) 1 (8.3%)
MUSLO IZQ 1 (2.2%) 1 (3.0%) 0 (0%)
NO IRRADIA 1 (2.2%) 1 (3.0%) 0 (0%)
PELVICO Y ESPALDA 1 (2.2%) 1 (3.0%) 0 (0%)
PELVIS 1 (2.2%) 0 (0%) 1 (8.3%)
PIERNA DERECHA 3 (6.7%) 3 (9.1%) 0 (0%)
PIERNA IZQ 3 (6.7%) 3 (9.1%) 0 (0%)
PLANTAS DE LOS PIES 1 (2.2%) 0 (0%) 1 (8.3%)
SIN IRRADIACIÓN 3 (6.7%) 2 (6.1%) 1 (8.3%)
SIN IRRADIACIÓN EN LUMBAR 1 (2.2%) 1 (3.0%) 0 (0%)
Unknown 6 2 4
INTENSIDAD DEL DOLOR 0.037
LEVE 28 (62%) 23 (70%) 5 (42%)
MODERADO 15 (33%) 10 (30%) 5 (42%)
SEVERO 2 (4.4%) 0 (0%) 2 (17%)
Unknown 6 2 4
SENSIBILIDAD >0.9
ALTERADA 25 (49%) 17 (49%) 8 (50%)
NO ALTERADA 26 (51%) 18 (51%) 8 (50%)
FUERZA >0.9
ALTERADA 40 (78%) 27 (77%) 13 (81%)
NO ALTERADA 11 (22%) 8 (23%) 3 (19%)
REFLEJOS DE LIBERACION PIRAMIDAL >0.9
NO 50 (98%) 34 (97%) 16 (100%)
STRANSKY BILATERAL 1 (2.0%) 1 (2.9%) 0 (0%)
REMS 0.065
ALTERADO 32 (63%) 19 (54%) 13 (81%)
NO ALTERADO 19 (37%) 16 (46%) 3 (19%)
REM ANORMAL 0.7
AQUILEO BILATERAL 14 (42%) 9 (45%) 5 (38%)
AQUILEO BILATERAL, PATELAR IZQ 1 (3.0%) 1 (5.0%) 0 (0%)
AQUILEO DERECHO 1 (3.0%) 0 (0%) 1 (7.7%)
AQUILEO IZQUIERDO 1 (3.0%) 1 (5.0%) 0 (0%)
AQUILEO Y PATELAR BILATERAL 1 (3.0%) 1 (5.0%) 0 (0%)
NO EVOCABLES BILATERAL 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR BILATERAL 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR BILAYERAL, AQUILEO IZQ 1 (3.0%) 1 (5.0%) 0 (0%)
PATELAR DCHO 2 (6.1%) 2 (10%) 0 (0%)
PATELAR DECHO, AUILEO BILATERAL 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR DERECHO 2 (6.1%) 1 (5.0%) 1 (7.7%)
PATELAR IZQ, AQUILEO IZQ 1 (3.0%) 1 (5.0%) 0 (0%)
PATELAR IZQUIERDO, AQUILEO IZQUIERDO 1 (3.0%) 1 (5.0%) 0 (0%)
PATELAR Y AQUILEO BILATERAL 3 (9.1%) 1 (5.0%) 2 (15%)
PATELAR Y AQUILEO DERECHOS 1 (3.0%) 0 (0%) 1 (7.7%)
PATELAR Y AUQILEO BILATERAL 1 (3.0%) 1 (5.0%) 0 (0%)
Unknown 18 15 3
AMPLITUD MOTORA DE NERVIO PERONEO 0.078
ANORMAL 11 (22%) 5 (14%) 6 (38%)
NORMAL 40 (78%) 30 (86%) 10 (62%)
AMPLITUD PERONEO >0.9
BILATERAL 2 (18%) 1 (20%) 1 (17%)
DERECHO 6 (55%) 3 (60%) 3 (50%)
IZQUIERDO 3 (27%) 1 (20%) 2 (33%)
Unknown 40 30 10
AMPLITUD MOTORA DE NERVIO TIBIAL 0.2
ANORMAL 3 (5.9%) 1 (2.9%) 2 (12%)
NORMAL 48 (94%) 34 (97%) 14 (88%)
AMPLITUD TIBIAL >0.9
BILATERAL 1 (33%) 0 (0%) 1 (50%)
DERECHO 1 (33%) 1 (100%) 0 (0%)
IZQUIERDO 1 (33%) 0 (0%) 1 (50%)
Unknown 48 34 14
AMPLITUD SENSITIVA DE NERVIO SURAL ALTERADA 0.006
ANORMAL 10 (20%) 3 (8.6%) 7 (44%)
NORMAL 41 (80%) 32 (91%) 9 (56%)
AMPLITUD SURAL >0.9
BILATERAL 9 (90%) 3 (100%) 6 (86%)
DERECHO 1 (10%) 0 (0%) 1 (14%)
Unknown 41 32 9
LATENCIA INICIAL DE NERVIO PERONEO ALTERADA 0.094
ANORMAL 2 (3.9%) 0 (0%) 2 (12%)
NORMAL 49 (96%) 35 (100%) 14 (88%)
LATENCIA PERONEO >0.9
BILATERAL 1 (50%) 0 (NA%) 1 (50%)
DERECHO 1 (50%) 0 (NA%) 1 (50%)
Unknown 49 35 14
LATENCIA INICIAL DE NERVIO TIBIAL ALATERADA 0.3
ANORMAL 1 (2.0%) 0 (0%) 1 (6.2%)
NORMAL 50 (98%) 35 (100%) 15 (94%)
LATENCIA TIBIAL
BILATERAL 1 (100%) 0 (NA%) 1 (100%)
Unknown 50 35 15
LATENCIA PICO DE NERVIO SURAL 0.002
ANORMAL 11 (22%) 3 (8.6%) 8 (50%)
NORMAL 40 (78%) 32 (91%) 8 (50%)
LATENCIA SURAL 0.7
BILATERAL 8 (73%) 2 (67%) 6 (75%)
DCHO 1 (9.1%) 0 (0%) 1 (12%)
DERECHO 1 (9.1%) 1 (33%) 0 (0%)
IZQUIERDO 1 (9.1%) 0 (0%) 1 (12%)
Unknown 40 32 8
VELOCIDAD DE NEUROCONDUCCION DE NERVIO PERONEO 0.2
ANORMAL 8 (16%) 4 (11%) 4 (25%)
NORMAL 43 (84%) 31 (89%) 12 (75%)
VELOCIDAD PERONEO >0.9
DCHO 1 (12%) 1 (25%) 0 (0%)
DERECHO 5 (62%) 2 (50%) 3 (75%)
IZQUIERDO 2 (25%) 1 (25%) 1 (25%)
Unknown 43 31 12
VELOCIDAD DE NEUROCONDUCCION DE NERVIO TIBIAL ALTERADA 0.4
ANORMAL 6 (12%) 3 (8.6%) 3 (19%)
NORMAL 45 (88%) 32 (91%) 13 (81%)
VELOCIDAD TIBIAL 0.6
BILATERAL 2 (33%) 0 (0%) 2 (67%)
DCHO 1 (17%) 1 (33%) 0 (0%)
DERECHO 1 (17%) 1 (33%) 0 (0%)
IZQUIERDO 2 (33%) 1 (33%) 1 (33%)
Unknown 45 32 13
RESPUESTA F 0.012
ANORMAL 25 (49%) 13 (37%) 12 (75%)
NORMAL 26 (51%) 22 (63%) 4 (25%)
NERVIO RF >0.9
BILATERAL TIBIAL Y PERONEO 1 (4.0%) 0 (0%) 1 (8.3%)
ERONEO DERECHO 1 (4.0%) 0 (0%) 1 (8.3%)
PERONEO BIATERAL 1 (4.0%) 1 (7.7%) 0 (0%)
PERONEO BILATERAL 4 (16%) 2 (15%) 2 (17%)
PERONEO BILATERAL, TIBIAL IZQ 1 (4.0%) 0 (0%) 1 (8.3%)
PERONEO DCHO 2 (8.0%) 1 (7.7%) 1 (8.3%)
PERONEO DERECHO 5 (20%) 3 (23%) 2 (17%)
PERONEO IZQUIERDO 3 (12%) 2 (15%) 1 (8.3%)
PERONEO Y TIBIAL BILATERAL 1 (4.0%) 0 (0%) 1 (8.3%)
PERONEO Y TIBIAL DERECHO 1 (4.0%) 0 (0%) 1 (8.3%)
PERONEO Y TIBIAL DERECHO, TIBIAL IZQ 1 (4.0%) 1 (7.7%) 0 (0%)
PERONEOS BILATERAL 1 (4.0%) 1 (7.7%) 0 (0%)
TIBIAL BILATERAL 1 (4.0%) 1 (7.7%) 0 (0%)
TIBIAL DERECHO 2 (8.0%) 1 (7.7%) 1 (8.3%)
Unknown 26 22 4
REFLEJO H 0.4
ANORMAL 3 (5.9%) 1 (2.9%) 2 (12%)
NO SE REALIZO 7 (14%) 5 (14%) 2 (12%)
NORMAL 41 (80%) 29 (83%) 12 (75%)
NERVIO RH >0.9
BILATERAL 2 (67%) 1 (100%) 1 (50%)
TIBIAL DERECHO 1 (33%) 0 (0%) 1 (50%)
Unknown 48 34 14
ELECTROMIOGRAFIA ACT ESPONTANEA, PRESENTO? Datos alterados <0.001
NO PRESENTO 28 (55%) 28 (80%) 0 (0%)
PRESENTO 23 (45%) 7 (20%) 16 (100%)
RUIDO DE PLACA 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
ESPICULA DE PLACA 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
POTENCIAL DE FIBRILACION >0.9
L1, S1 DERECHO 1 (7.1%) 0 (0%) 1 (8.3%)
L3 IZQ, S1 DCHO 1 (7.1%) 0 (0%) 1 (8.3%)
L3, L4 PARAVERTEBRAL 1 (7.1%) 0 (0%) 1 (8.3%)
L4 2 (14%) 1 (50%) 1 (8.3%)
L4 DCHO 1 (7.1%) 0 (0%) 1 (8.3%)
L4 IZQ 1 (7.1%) 0 (0%) 1 (8.3%)
L4 Y L5 DERECHO, S1 IZQUIERDO 1 (7.1%) 0 (0%) 1 (8.3%)
L4 Y S1 IZQUIERDO, L5 DERECHO 1 (7.1%) 0 (0%) 1 (8.3%)
L4, L5 DERECHO 1 (7.1%) 0 (0%) 1 (8.3%)
L4, S1 IZQ 1 (7.1%) 0 (0%) 1 (8.3%)
L5 PARAVERTEBRAL IZQ 1 (7.1%) 0 (0%) 1 (8.3%)
S1 IZQ, L4DCHO 1 (7.1%) 1 (50%) 0 (0%)
S1, L5 DCHO, L5, S1 IZQ 1 (7.1%) 0 (0%) 1 (8.3%)
Unknown 37 33 4
ONDA AGUDA POSITIVA >0.9
L2, L3, L5, S1 DERECHO Y T12 Y L1 IZQ 1 (4.3%) 0 (0%) 1 (6.2%)
L3 PARAVERTEBRAL 1 (4.3%) 0 (0%) 1 (6.2%)
L3, L4, S1 IZQ 1 (4.3%) 0 (0%) 1 (6.2%)
L4 2 (8.7%) 1 (14%) 1 (6.2%)
L4 IZQ, L5 BILATERAL 1 (4.3%) 0 (0%) 1 (6.2%)
L4 IZQUIERDO 1 (4.3%) 0 (0%) 1 (6.2%)
L4, L5 DCHO 1 (4.3%) 0 (0%) 1 (6.2%)
L4, L5 DCHOS 1 (4.3%) 1 (14%) 0 (0%)
L4, L5 IZQUIERDO 1 (4.3%) 0 (0%) 1 (6.2%)
L4, S1 1 (4.3%) 0 (0%) 1 (6.2%)
L4, S1 IZQ 1 (4.3%) 0 (0%) 1 (6.2%)
L5 DERECHO, L4 Y S1 IZQUIERDO 1 (4.3%) 0 (0%) 1 (6.2%)
L5 IZQ 1 (4.3%) 0 (0%) 1 (6.2%)
L5 PARAVERTEBRAL DERECHO 1 (4.3%) 1 (14%) 0 (0%)
L5, S1 BILATERAL, L4 IZQ, PARAVERTEBRAL L5 BILATERAL, PARA VERTEBRAL L4 IZQ 1 (4.3%) 0 (0%) 1 (6.2%)
L5, S1 DERECHO 1 (4.3%) 0 (0%) 1 (6.2%)
PARAVERTEBRAL L5 CHO 1 (4.3%) 1 (14%) 0 (0%)
S1 DCHO 1 (4.3%) 1 (14%) 0 (0%)
S1 DCHO, L4, L5 IZQ 1 (4.3%) 0 (0%) 1 (6.2%)
S1 DERECHO/L4, L5 IZQUIERDO 1 (4.3%) 1 (14%) 0 (0%)
S1 IZQ 2 (8.7%) 1 (14%) 1 (6.2%)
Unknown 28 28 0
DESCARGA MIOTONICA 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
DESCARGA REPETITIVA COMPLEJA 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
POTENCIAL DE FASCICULACIÓN
L5 PARAVERTEBRAL IZQ 1 (100%) 0 (NA%) 1 (100%)
Unknown 50 35 15
DESCARGA MIOQUIMICA
L4 IZQ PARAVERTEBRAL 1 (100%) 0 (NA%) 1 (100%)
Unknown 50 35 15
POTENCIAL DE CALAMBRE 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
DESCARGA NEUROMIOTONICA 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
TEMBLOR DE REPOSO 0 (NA%) 0 (NA%) 0 (NA%)
Unknown 51 35 16
MIOTOMO AFECTADO 0.2
L3, L4 1 (4.8%) 0 (0%) 1 (6.7%)
L3, L4, S1 1 (4.8%) 0 (0%) 1 (6.7%)
L4 2 (9.5%) 1 (17%) 1 (6.7%)
L4, L5 2 (9.5%) 0 (0%) 2 (13%)
L4, L5, S1 5 (24%) 1 (17%) 4 (27%)
L4, S1 3 (14%) 0 (0%) 3 (20%)
L5 1 (4.8%) 1 (17%) 0 (0%)
L5 PARAVERTEBRAL 1 (4.8%) 1 (17%) 0 (0%)
L5, S1 1 (4.8%) 0 (0%) 1 (6.7%)
PARAVERTEBRAL L4, L5 1 (4.8%) 0 (0%) 1 (6.7%)
S1 2 (9.5%) 2 (33%) 0 (0%)
T12, L1, L2, L3, L5, S1 1 (4.8%) 0 (0%) 1 (6.7%)
Unknown 30 29 1
MIOTOMO DERECHO 0.8
DCHO 3 (18%) 1 (20%) 2 (17%)
DCHO PARAVERTEBRAL 1 (5.9%) 1 (20%) 0 (0%)
DERECHO 3 (18%) 2 (40%) 1 (8.3%)
L1, L2, L3, L5, S1 1 (5.9%) 0 (0%) 1 (8.3%)
L4, L5 1 (5.9%) 0 (0%) 1 (8.3%)
L4, S1 DERECHO 1 (5.9%) 0 (0%) 1 (8.3%)
L5 1 (5.9%) 0 (0%) 1 (8.3%)
L5 DCHO 1 (5.9%) 0 (0%) 1 (8.3%)
L5, S1 1 (5.9%) 0 (0%) 1 (8.3%)
L5, S1 DCHO 2 (12%) 0 (0%) 2 (17%)
S1 1 (5.9%) 1 (20%) 0 (0%)
S1 DCHO 1 (5.9%) 0 (0%) 1 (8.3%)
Unknown 34 30 4
MIOTOMO IZQUIERDO 0.9
IZQ 3 (27%) 1 (50%) 2 (22%)
L3, L4, S1 IZQ 1 (9.1%) 0 (0%) 1 (11%)
L4, L4 IZQ 1 (9.1%) 0 (0%) 1 (11%)
L4, L5 1 (9.1%) 1 (50%) 0 (0%)
L4, L5, S1 IZQ 2 (18%) 0 (0%) 2 (22%)
L4, S1 1 (9.1%) 0 (0%) 1 (11%)
S1, L4 1 (9.1%) 0 (0%) 1 (11%)
T12, L1 1 (9.1%) 0 (0%) 1 (11%)
Unknown 40 33 7
REPORTE ANORMAL
ANORMAL 16 (100%) 0 (NA%) 16 (100%)
Unknown 35 35 0
REPORTE NORMAL
NORMAL 35 (100%) 35 (100%) 0 (NA%)
Unknown 16 0 16
RADICULOPATIA REPORTE <0.001
ANORMAL 16 (31%) 0 (0%) 16 (100%)
NORMAL 35 (69%) 35 (100%) 0 (0%)
RADICULOPATIA...52 <0.001
NO 35 (69%) 35 (100%) 0 (0%)
SI 16 (31%) 0 (0%) 16 (100%)
MIOTOMO >0.9
L1, L2, L3 BILATERL, L4, L5 DERECHO, T12 IZQ 1 (5.9%) 0 (0%) 1 (6.2%)
L4, L5, BILATERAL 1 (5.9%) 0 (0%) 1 (6.2%)
L4, L5, S1 IIZQUIERDO 1 (5.9%) 0 (0%) 1 (6.2%)
L4, L5, S1 IZQ 1 (5.9%) 0 (0%) 1 (6.2%)
L5 DERECHO 1 (5.9%) 0 (0%) 1 (6.2%)
L5 Y S1 IZQ 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULO L4, L5 IZQUIERDO 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L3, L4 DCHO 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L3, L4, S1 IZQ Y L5 DCHO 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L4 BILATERAL 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L4, IZQ, L5, S1 BILATERAL 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L4, L5 BILATERAL 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L5 BILATERAL 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L5 BILATERAL Y L4 IZQ 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L5 DERECHO 1 (5.9%) 0 (0%) 1 (6.2%)
RADICULOPATIA L5, S1 DCHO 1 (5.9%) 1 (100%) 0 (0%)
RADICULOPATIA S1 DERECHO 1 (5.9%) 0 (0%) 1 (6.2%)
Unknown 34 34 0
1 Median (IQR); n (%)
2 Wilcoxon rank sum test; Fisher's exact test; Pearson's Chi-squared test

ANALISIS KAPPA DE FLEISS

AMPLITUD MOTORA Y SENSITIVA

#BASADO EN ESTA PAGINA: https://www.datanovia.com/en/lessons/fleiss-kappa-in-r-for-multiple-categorical-variables/

concordamplitud<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `AMPLITUD MOTORA DE NERVIO PERONEO`)

concordamplitud
## # A tibble: 51 × 2
##    `RADICULOPATIA REPORTE` `AMPLITUD MOTORA DE NERVIO PERONEO`
##    <chr>                   <chr>                              
##  1 ANORMAL                 NORMAL                             
##  2 ANORMAL                 NORMAL                             
##  3 NORMAL                  NORMAL                             
##  4 NORMAL                  NORMAL                             
##  5 ANORMAL                 ANORMAL                            
##  6 NORMAL                  ANORMAL                            
##  7 NORMAL                  NORMAL                             
##  8 ANORMAL                 ANORMAL                            
##  9 NORMAL                  NORMAL                             
## 10 NORMAL                  ANORMAL                            
## # … with 41 more rows
#install.packages("irr")
library("lpSolve")
library("irr")

# Select the irst three raters
mydata <- concordamplitud[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.244 
## 
##         z = 1.75 
##   p-value = 0.0809
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.244 
## 
##         z = 1.75 
##   p-value = 0.0809 
## 
##         Kappa     z p.value
## ANORMAL 0.244 1.746   0.081
## NORMAL  0.244 1.746   0.081
#`AMPLITUD MOTORA DE NERVIO TIBIAL`

concordamplitud<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, 
                                      `AMPLITUD MOTORA DE NERVIO TIBIAL`)

# Select the irst three raters
mydata <- concordamplitud[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.0298 
## 
##         z = 0.213 
##   p-value = 0.831
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.0298 
## 
##         z = 0.213 
##   p-value = 0.831 
## 
##         Kappa     z p.value
## ANORMAL 0.030 0.213   0.831
## NORMAL  0.030 0.213   0.831
concordamplitud<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `AMPLITUD SENSITIVA DE NERVIO SURAL ALTERADA`)

# Select the irst three raters
mydata <- concordamplitud[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.381 
## 
##         z = 2.72 
##   p-value = 0.00657
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.381 
## 
##         z = 2.72 
##   p-value = 0.00657 
## 
##         Kappa     z p.value
## ANORMAL 0.381 2.718   0.007
## NORMAL  0.381 2.718   0.007

##LATENCIA #LATENCIA NERVIO PERONEO

conclatenciaperoneo<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `LATENCIA INICIAL DE NERVIO PERONEO ALTERADA`)

# Select the irst three raters
mydata <- conclatenciaperoneo[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.0556 
## 
##         z = 0.397 
##   p-value = 0.692
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.0556 
## 
##         z = 0.397 
##   p-value = 0.692 
## 
##         Kappa     z p.value
## ANORMAL 0.056 0.397   0.692
## NORMAL  0.056 0.397   0.692

#LATENCIA NERVIO TIBIAL

conclatenciatibial<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `LATENCIA INICIAL DE NERVIO TIBIAL ALATERADA`)

# Select the irst three raters
mydata <- 
conclatenciatibial[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = -0.0588 
## 
##         z = -0.42 
##   p-value = 0.674
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = -0.0588 
## 
##         z = -0.42 
##   p-value = 0.674 
## 
##          Kappa      z p.value
## ANORMAL -0.059 -0.420   0.674
## NORMAL  -0.059 -0.420   0.674

#LATENCIA NERVIO SURAL

onclatenciasural<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `LATENCIA PICO DE NERVIO SURAL`)

# Select the irst three raters
mydata <- onclatenciasural[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.446 
## 
##         z = 3.18 
##   p-value = 0.00145
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.446 
## 
##         z = 3.18 
##   p-value = 0.00145 
## 
##         Kappa     z p.value
## ANORMAL 0.446 3.185   0.001
## NORMAL  0.446 3.185   0.001

##VELOCIDAD #VELOCIDAD DE NEUROCONDUCCION DE NERVIO PERONEO

velperone<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `VELOCIDAD DE NEUROCONDUCCION DE NERVIO PERONEO`)

# Select the irst three raters
mydata <- velperone[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.128 
## 
##         z = 0.916 
##   p-value = 0.36
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.128 
## 
##         z = 0.916 
##   p-value = 0.36 
## 
##         Kappa     z p.value
## ANORMAL 0.128 0.916   0.360
## NORMAL  0.128 0.916   0.360

#VELOCIDAD DE NEUROCONDUCCION DE NERVIO TIBIAL ALTERADA

veltibial<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `VELOCIDAD DE NEUROCONDUCCION DE NERVIO TIBIAL ALTERADA`)

# Select the irst three raters
mydata <- 
veltibial[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.0727 
## 
##         z = 0.519 
##   p-value = 0.603
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.0727 
## 
##         z = 0.519 
##   p-value = 0.603 
## 
##         Kappa     z p.value
## ANORMAL 0.073 0.519   0.603
## NORMAL  0.073 0.519   0.603

##RESPUESTA F

RESF<-dbdrailse %>% select(`RADICULOPATIA REPORTE`, `RESPUESTA F`)

# Select the irst three raters
mydata <- 
RESF[, 1:2]
# Compute kapa
kappam.fleiss(mydata)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.307 
## 
##         z = 2.19 
##   p-value = 0.0285
kappam.fleiss(mydata, detail = TRUE)
##  Fleiss' Kappa for m Raters
## 
##  Subjects = 51 
##    Raters = 2 
##     Kappa = 0.307 
## 
##         z = 2.19 
##   p-value = 0.0285 
## 
##         Kappa     z p.value
## ANORMAL 0.307 2.190   0.029
## NORMAL  0.307 2.190   0.029