Teaching tape for the motor section of the toronto western spasmodic torticollis scale
Identifieur interne : 001C54 ( Istex/Curation ); précédent : 001C53; suivant : 001C55Teaching tape for the motor section of the toronto western spasmodic torticollis scale
Auteurs : Cynthia L. Comella [États-Unis] ; Glenn T. Stebbins [États-Unis] ; Christopher G. Goetz [États-Unis] ; Teresa A. Chmura [États-Unis] ; Susan B. Bressman [États-Unis] ; Anthony E. Lang [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1997-07.
English descriptors
Abstract
The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) assesses the character and severity of cervical dystonia (CD). We developed a teaching tape of the TWSTRS scoring for the motor symptoms of CD. The tape provides investigators with visual representations of each component of the motor section of the TWSTRS as agreed upon by three independently scoring raters. The rate of agreement for the nondichotomous components was always significant, with a Kendall's coefficient of concordance W ranging between 0.98 and 0.76 (p < 0.01 for all measures). For the two dichotomous components, a weighted k coefficient was also significant at 0.86 for lateral shift and 0.89 for sagittal shift (p < 0.01 for both measures). Scale deficiencies identified by the raters were an explicit definition of midline for assessment of range of motion, the absence of a separate scoring category assessing dystonic tremor, and the specification of duration for the effect of sensory tricks. These observations should be taken into account in future revisions of the TWSTRS and in refinements of other rating scales for CD.
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DOI: 10.1002/mds.870120414
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Cynthia L. Comella<affiliation><mods:affiliation>Current Address: Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation><mods:affiliation>Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation><affiliation><mods:affiliation>Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation><affiliation><mods:affiliation>Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation><affiliation><mods:affiliation>Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation><affiliation><mods:affiliation>Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation>Le document en format XML
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Comella</name><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation><affiliation><mods:affiliation>Current Address: Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation></author><author><name sortKey="Stebbins, Glenn T" sort="Stebbins, Glenn T" uniqKey="Stebbins G" first="Glenn T." last="Stebbins">Glenn T. 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Comella</name><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation><affiliation><mods:affiliation>Current Address: Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation></author><author><name sortKey="Stebbins, Glenn T" sort="Stebbins, Glenn T" uniqKey="Stebbins G" first="Glenn T." last="Stebbins">Glenn T. 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Chmura</name><affiliation><mods:affiliation>Presented in part at the Parkinson Study Group Symposium, Washington DC, 1995</mods:affiliation><wicri:noCountry code="subField">1995</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612, U.S.A.</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>At Rush‐Presbyterian‐St. Luke's Medical Center, 1725 West Harrison, Chicago, IL 60612</wicri:regionArea></affiliation></author><author><name sortKey="Bressman, Susan B" sort="Bressman, Susan B" uniqKey="Bressman S" first="Susan B." last="Bressman">Susan B. 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We developed a teaching tape of the TWSTRS scoring for the motor symptoms of CD. The tape provides investigators with visual representations of each component of the motor section of the TWSTRS as agreed upon by three independently scoring raters. The rate of agreement for the nondichotomous components was always significant, with a Kendall's coefficient of concordance W ranging between 0.98 and 0.76 (p < 0.01 for all measures). For the two dichotomous components, a weighted k coefficient was also significant at 0.86 for lateral shift and 0.89 for sagittal shift (p < 0.01 for both measures). Scale deficiencies identified by the raters were an explicit definition of midline for assessment of range of motion, the absence of a separate scoring category assessing dystonic tremor, and the specification of duration for the effect of sensory tricks. These observations should be taken into account in future revisions of the TWSTRS and in refinements of other rating scales for CD.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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