Reliability of a new scale for essential tremor
Identifieur interne : 000160 ( Main/Exploration ); précédent : 000159; suivant : 000161Reliability of a new scale for essential tremor
Auteurs : Rodger Elble ; Cynthia Comella ; Stanley Fahn ; Mark Hallett ; Joseph Jankovic [États-Unis] ; Jorge Juncos ; Peter Lewitt ; Kelly Lyons ; William Ondo ; Rajesh Pahwa ; Kapil Sethi ; Natividad Stover ; Daniel Tarsy ; Claudia Testa ; Ron Tintner ; Ray Watts ; Theresa ZesiewiczSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2012.
Abstract
To determine the reliability of a new scale for the clinical assessment of essential tremor.
The Essential Tremor Rating Assessment Scale contains nine performance items that rate action tremor in the head, face, voice, limbs and trunk 0–4 in half-point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters.
Videos of 44 patients and 6 controls were rated by 10 specialists on two occasions, 1–2 months apart. Inter- and intra-rater reliabilities were assessed with a two-way random effects intraclass correlation, using an absolute agreement definition.
The inter- and intra-rater intraclass correlations for head and upper limb tremor ranged from 0.86 to 0.96, and the intraclass correlations for the total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk and leg were less robust.
This scale is an exceptionally reliable tool for the clinical assessment of essential tremor.
Url:
DOI: 10.1002/mds.25162
PubMed: 23032792
PubMed Central: 4157921
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Reliability of a new scale for essential tremor</title>
<author><name sortKey="Elble, Rodger" sort="Elble, Rodger" uniqKey="Elble R" first="Rodger" last="Elble">Rodger Elble</name>
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<author><name sortKey="Comella, Cynthia" sort="Comella, Cynthia" uniqKey="Comella C" first="Cynthia" last="Comella">Cynthia Comella</name>
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<author><name sortKey="Fahn, Stanley" sort="Fahn, Stanley" uniqKey="Fahn S" first="Stanley" last="Fahn">Stanley Fahn</name>
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<author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
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<author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
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<placeName><settlement type="city">Houston</settlement>
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<author><name sortKey="Juncos, Jorge L" sort="Juncos, Jorge L" uniqKey="Juncos J" first="Jorge" last="Juncos">Jorge Juncos</name>
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<author><name sortKey="Lyons, Kelly" sort="Lyons, Kelly" uniqKey="Lyons K" first="Kelly" last="Lyons">Kelly Lyons</name>
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<author><name sortKey="Ondo, William" sort="Ondo, William" uniqKey="Ondo W" first="William" last="Ondo">William Ondo</name>
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<author><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name>
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<idno type="ISSN">0885-3185</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To determine the reliability of a new scale for the clinical assessment of essential tremor.</p>
</sec>
<sec id="S2"><title>Background</title>
<p id="P2">The Essential Tremor Rating Assessment Scale contains nine performance items that rate action tremor in the head, face, voice, limbs and trunk 0–4 in half-point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters.</p>
</sec>
<sec id="S3"><title>Design/Methods</title>
<p id="P3">Videos of 44 patients and 6 controls were rated by 10 specialists on two occasions, 1–2 months apart. Inter- and intra-rater reliabilities were assessed with a two-way random effects intraclass correlation, using an absolute agreement definition.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">The inter- and intra-rater intraclass correlations for head and upper limb tremor ranged from 0.86 to 0.96, and the intraclass correlations for the total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk and leg were less robust.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">This scale is an exceptionally reliable tool for the clinical assessment of essential tremor.</p>
</sec>
</div>
</front>
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<region><li>Texas</li>
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<orgName><li>Baylor College of Medicine</li>
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<name sortKey="Fahn, Stanley" sort="Fahn, Stanley" uniqKey="Fahn S" first="Stanley" last="Fahn">Stanley Fahn</name>
<name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
<name sortKey="Juncos, Jorge L" sort="Juncos, Jorge L" uniqKey="Juncos J" first="Jorge" last="Juncos">Jorge Juncos</name>
<name sortKey="Lewitt, Peter" sort="Lewitt, Peter" uniqKey="Lewitt P" first="Peter" last="Lewitt">Peter Lewitt</name>
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