A new rating instrument to assess festination and freezing gait in Parkinsonian patients
Identifieur interne : 000860 ( Istex/Corpus ); précédent : 000859; suivant : 000861A new rating instrument to assess festination and freezing gait in Parkinsonian patients
Auteurs : Kerstin Ziegler ; Frauke Schroeteler ; Andres O. Ceballos-Baumann ; Urban M. FietzekSource :
- Movement Disorders [ 0885-3185 ] ; 2010-06-15.
English descriptors
Abstract
Festination and freezing of gait (FOG) are sudden episodic inabilities to initiate or sustain locomotion mostly experienced during the later stages of Parkinson's disease (PD) or other higher‐level gait disorders. The aim of this study was to develop a clinical rating instrument for short‐interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four‐level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual‐tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter‐rater and re‐test reliability of the FOG score is high (Kendall κ = 0.85–0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: “situation”: P < 0.0001, “task”: P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (ρ = 0.58; P = 0.001) and with the self‐evaluation of FOG (ρ = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG. © 2010 Movement Disorder Society
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DOI: 10.1002/mds.22993
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ISTEX:163F9EE4C1612B8BB52AAA3D214B01D2AEC71368Le document en format XML
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The aim of this study was to develop a clinical rating instrument for short‐interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four‐level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual‐tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter‐rater and re‐test reliability of the FOG score is high (Kendall κ = 0.85–0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: “situation”: P < 0.0001, “task”: P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (ρ = 0.58; P = 0.001) and with the self‐evaluation of FOG (ρ = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG. © 2010 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Kerstin Ziegler PT</name><affiliations><json:string>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany</json:string></affiliations></json:item><json:item><name>Frauke Schroeteler PT</name><affiliations><json:string>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany</json:string></affiliations></json:item><json:item><name>Andres O. 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Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P > 0.05). The FOG score correlates with the 10 m number of steps (ρ = 0.58; P = 0.001) and with the self‐evaluation of FOG (ρ = 0.51; P > 0.01). 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The aim of this study was to develop a clinical rating instrument for short‐interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four‐level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual‐tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter‐rater and re‐test reliability of the FOG score is high (Kendall κ = 0.85–0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: “situation”: P < 0.0001, “task”: P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (ρ = 0.58; P = 0.001) and with the self‐evaluation of FOG (ρ = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG. © 2010 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>rating instrument</term></item><item><term>freezing</term></item><item><term>gait disorder</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2009-06-09">Received</change><change when="2009-12-13">Registration</change><change when="2010-06-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/163F9EE4C1612B8BB52AAA3D214B01D2AEC71368/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. 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The aim of this study was to develop a clinical rating instrument for short‐interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four‐level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual‐tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter‐rater and re‐test reliability of the FOG score is high (Kendall κ = 0.85–0.92, <i>P</i> < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: “situation”: <i>P</i> < 0.0001, “task”: <i>P</i> < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (<i>P</i> < 0.05). The FOG score correlates with the 10 m number of steps (ρ = 0.58; <i>P</i> = 0.001) and with the self‐evaluation of FOG (ρ = 0.51; <i>P</i> < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG. © 2010 Movement Disorder Society</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Potential conflict of interest: This work was supported by a grant from the Deutsche Parkinson Vereinigung e.V. and the Deutsche Stiftung Neurologie e.V. to Prof. Ceballos‐Baumann.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>A new rating instrument to assess festination and freezing gait in Parkinsonian patients</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Rating Freezing of Gait</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>A new rating instrument to assess festination and freezing gait in Parkinsonian patients</title></titleInfo><name type="personal"><namePart type="given">Kerstin</namePart><namePart type="family">Ziegler</namePart><namePart type="termsOfAddress">PT</namePart><affiliation>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Frauke</namePart><namePart type="family">Schroeteler</namePart><namePart type="termsOfAddress">PT</namePart><affiliation>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andres O.</namePart><namePart type="family">Ceballos‐Baumann</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Urban M.</namePart><namePart type="family">Fietzek</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany</affiliation><description>Correspondence: Neurologisches Krankenhaus München, Center for Parkinson's Disease and Movement Disorders, Schön Kliniken, Parzivalplatz 4, Munich D‐80804, Germany</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2010-06-15</dateIssued><dateCaptured encoding="w3cdtf">2009-06-09</dateCaptured><dateValid encoding="w3cdtf">2009-12-13</dateValid><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">3</extent><extent unit="tables">3</extent><extent unit="references">24</extent><extent unit="words">5454</extent></physicalDescription><abstract lang="en">Festination and freezing of gait (FOG) are sudden episodic inabilities to initiate or sustain locomotion mostly experienced during the later stages of Parkinson's disease (PD) or other higher‐level gait disorders. The aim of this study was to develop a clinical rating instrument for short‐interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four‐level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual‐tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter‐rater and re‐test reliability of the FOG score is high (Kendall κ = 0.85–0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's α 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: “situation”: P < 0.0001, “task”: P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 ± 3.9) and immobile (practical OFF; 15.8 ± 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (ρ = 0.58; P = 0.001) and with the self‐evaluation of FOG (ρ = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG. © 2010 Movement Disorder Society</abstract><note type="content">*Potential conflict of interest: This work was supported by a grant from the Deutsche Parkinson Vereinigung e.V. and the Deutsche Stiftung Neurologie e.V. to Prof. Ceballos‐Baumann.</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>rating instrument</topic><topic>freezing</topic><topic>gait disorder</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><note type="content"> Additional Supporting Information may be found in the online version of this article.Supporting Info Item: Supporting Information - </note><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>1012</start><end>1018</end><total>7</total></extent></part></relatedItem><identifier type="istex">163F9EE4C1612B8BB52AAA3D214B01D2AEC71368</identifier><identifier type="DOI">10.1002/mds.22993</identifier><identifier type="ArticleID">MDS22993</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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