Clinical rating of dyskinesias in Parkinson's disease: Use and reliability of a new rating scale
Identifieur interne : 000D98 ( Istex/Curation ); précédent : 000D97; suivant : 000D99Clinical rating of dyskinesias in Parkinson's disease: Use and reliability of a new rating scale
Auteurs : Peter Hagell [Suède] ; H Kan Widner [Suède]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-05.
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Abstract
Drug‐induced dyskinesias (DID) manifested as hyperkinetic and/or dystonic movements or postures are common problems in Parkinson's disease (PD). Novel therapeutic interventions may offer possibilities to counteract these common adverse effects of an otherwise necessary treatment. To be able to evaluate the effects of such interventions on DID, reliable and relevant clinical assessment tools are needed. We tested the inter‐ and intrarater reliability of a new clinical dyskinesia rating scale consisting of separate ratings of different body parts, including lateralization and separate ratings of dystonia and hyperkinesias. Interrater reliability was tested both with and without a defined scoring code and clarification of the dystonia section. The nondefined version was also tested for intrarater reliability. Thirteen raters independently reviewed 23 videotape sequences showing PD patients performing standardized motor tests. Inter‐ and intrarater agreement was significant in all evaluations, and no differences were detected when comparing ratings performed with the defined and nondefined version of the scale. The rationale for, and the role and use of, the present scale are addressed.
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DOI: 10.1002/1531-8257(199905)14:3<448::AID-MDS1010>3.0.CO;2-0
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical rating of dyskinesias in Parkinson's disease: Use and reliability of a new rating scale</title><author><name sortKey="Hagell, Peter" sort="Hagell, Peter" uniqKey="Hagell P" first="Peter" last="Hagell">Peter Hagell</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund, Sweden</mods:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund</wicri:regionArea></affiliation></author><author><name sortKey="Widner, H Kan" sort="Widner, H Kan" uniqKey="Widner H" first="H Kan" last="Widner">H Kan Widner</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund, Sweden</mods:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B6994EC0148041955B24EE07AECEFD1A4E122C97</idno><date when="1999" year="1999">1999</date><idno type="doi">10.1002/1531-8257(199905)14:3<448::AID-MDS1010>3.0.CO;2-0</idno><idno type="url">https://api.istex.fr/document/B6994EC0148041955B24EE07AECEFD1A4E122C97/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000D98</idno><idno type="wicri:Area/Istex/Curation">000D98</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Clinical rating of dyskinesias in Parkinson's disease: Use and reliability of a new rating scale</title><author><name sortKey="Hagell, Peter" sort="Hagell, Peter" uniqKey="Hagell P" first="Peter" last="Hagell">Peter Hagell</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund, Sweden</mods:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund</wicri:regionArea></affiliation></author><author><name sortKey="Widner, H Kan" sort="Widner, H Kan" uniqKey="Widner H" first="H Kan" last="Widner">H Kan Widner</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund, Sweden</mods:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Neuroscience, Division of Neurology, University Hospital, Lund</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-05">1999-05</date><biblScope unit="vol">14</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="448">448</biblScope><biblScope unit="page" to="455">455</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">B6994EC0148041955B24EE07AECEFD1A4E122C97</idno><idno type="DOI">10.1002/1531-8257(199905)14:3<448::AID-MDS1010>3.0.CO;2-0</idno><idno type="ArticleID">MDS1010</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dyskinesias</term><term>Dystonia</term><term>Hyperkinesias</term><term>Parkinson's disease</term><term>Rating</term><term>Reliability</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Drug‐induced dyskinesias (DID) manifested as hyperkinetic and/or dystonic movements or postures are common problems in Parkinson's disease (PD). Novel therapeutic interventions may offer possibilities to counteract these common adverse effects of an otherwise necessary treatment. To be able to evaluate the effects of such interventions on DID, reliable and relevant clinical assessment tools are needed. We tested the inter‐ and intrarater reliability of a new clinical dyskinesia rating scale consisting of separate ratings of different body parts, including lateralization and separate ratings of dystonia and hyperkinesias. Interrater reliability was tested both with and without a defined scoring code and clarification of the dystonia section. The nondefined version was also tested for intrarater reliability. Thirteen raters independently reviewed 23 videotape sequences showing PD patients performing standardized motor tests. Inter‐ and intrarater agreement was significant in all evaluations, and no differences were detected when comparing ratings performed with the defined and nondefined version of the scale. The rationale for, and the role and use of, the present scale are addressed.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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