Movement Disorders (revue)

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The international cooperative ataxia rating scale in Machado‐Joseph disease. Comparison with the unified multiple system atrophy rating scale

Identifieur interne : 003115 ( Istex/Corpus ); précédent : 003114; suivant : 003116

The international cooperative ataxia rating scale in Machado‐Joseph disease. Comparison with the unified multiple system atrophy rating scale

Auteurs : Anelyssa D'Abreu ; Marcondes Franca Jr. ; Iscia Lopes-Cendes ; Fernando Cendes

Source :

RBID : ISTEX:65406B93E5E20B3B78F3BF3C9E11A70A0CF7E3F3

English descriptors

Abstract

Our purpose was to evaluate and compare the international cooperative ataxia rating scale (ICARS) and the unified multiple system atrophy rating scale (UMSARS) in patients with Machado‐Joseph disease (MJD). We assessed 52 consecutive subjects with MJD using each scale. Both scales had adequate internal consistency (α > 0.90), except for the oculomotor (OD) subscore (α = 0.08). Patients with dystonia had the highest scores in both scales, and symptoms other than ataxia clearly confounded the total ICARS score. There was a very strong correlation between the ICARS and UMSARS‐II (motor function), and the correlations between the ICARS and UMSARS‐I (r = 0.79) (history) and UMSARS‐IV (r = 0.69) (disability) were also statistically significant. We found no significant changes in scores after a mean interval of 7.7 months, although there was after a mean interval of 13.3 months. We conclude that the total ICARS score is a reliable method for longitudinal evaluation of ataxia in MJD, but a disease specific scale should be developed. © 2007 Movement Disorder Society

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DOI: 10.1002/mds.21735

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ISTEX:65406B93E5E20B3B78F3BF3C9E11A70A0CF7E3F3

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= 0.79) (history) and UMSARS‐IV (
<i>r</i>
= 0.69) (disability) were also statistically significant. We found no significant changes in scores after a mean interval of 7.7 months, although there was after a mean interval of 13.3 months. We conclude that the total ICARS score is a reliable method for longitudinal evaluation of ataxia in MJD, but a disease specific scale should be developed. © 2007 Movement Disorder Society</p>
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<title>The international cooperative ataxia rating scale in Machado‐Joseph disease. Comparison with the unified multiple system atrophy rating scale</title>
</titleInfo>
<titleInfo type="abbreviated" lang="en">
<title>ICARS in MJD</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>The international cooperative ataxia rating scale in Machado‐Joseph disease. Comparison with the unified multiple system atrophy rating scale</title>
</titleInfo>
<name type="personal">
<namePart type="given">Anelyssa</namePart>
<namePart type="family">D'Abreu</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Neurology Department, Cidade Universitária Zeferino Vaz, Campinas‐SP, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Marcondes</namePart>
<namePart type="family">Franca Jr.</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Neurology Department, Cidade Universitária Zeferino Vaz, Campinas‐SP, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Iscia</namePart>
<namePart type="family">Lopes‐Cendes</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Medical Genetics, Cidade Universitária Zeferino Vaz, Campinas‐SP, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Fernando</namePart>
<namePart type="family">Cendes</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Neurology Department, Cidade Universitária Zeferino Vaz, Campinas‐SP, Brazil</affiliation>
<description>Correspondence: Rua Tessália Vieira de Camargo, 126; FCM 11, Cidade Universitária Zeferino Vaz; Campinas‐SP, 13083‐970 Brazil</description>
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<roleTerm type="text">author</roleTerm>
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<dateIssued encoding="w3cdtf">2007-10-15</dateIssued>
<dateCaptured encoding="w3cdtf">2006-09-28</dateCaptured>
<dateValid encoding="w3cdtf">2007-08-15</dateValid>
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<abstract lang="en">Our purpose was to evaluate and compare the international cooperative ataxia rating scale (ICARS) and the unified multiple system atrophy rating scale (UMSARS) in patients with Machado‐Joseph disease (MJD). We assessed 52 consecutive subjects with MJD using each scale. Both scales had adequate internal consistency (α > 0.90), except for the oculomotor (OD) subscore (α = 0.08). Patients with dystonia had the highest scores in both scales, and symptoms other than ataxia clearly confounded the total ICARS score. There was a very strong correlation between the ICARS and UMSARS‐II (motor function), and the correlations between the ICARS and UMSARS‐I (r = 0.79) (history) and UMSARS‐IV (r = 0.69) (disability) were also statistically significant. We found no significant changes in scores after a mean interval of 7.7 months, although there was after a mean interval of 13.3 months. We conclude that the total ICARS score is a reliable method for longitudinal evaluation of ataxia in MJD, but a disease specific scale should be developed. © 2007 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>ICARS</topic>
<topic>UMARS</topic>
<topic>Machado‐Joseph disease</topic>
<topic>ataxia</topic>
<topic>scale</topic>
</subject>
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<titleInfo>
<title>Movement Disorders</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<subject>
<genre>article category</genre>
<topic>Brief Report</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>2007</date>
<detail type="volume">
<caption>vol.</caption>
<number>22</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>13</number>
</detail>
<extent unit="pages">
<start>1976</start>
<end>1979</end>
<total>4</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">65406B93E5E20B3B78F3BF3C9E11A70A0CF7E3F3</identifier>
<identifier type="DOI">10.1002/mds.21735</identifier>
<identifier type="ArticleID">MDS21735</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2007 Movement Disorder Society</accessCondition>
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