Validation of digital spiral analysis as outcome parameter for clinical trials in essential tremor
Identifieur interne : 001286 ( Main/Exploration ); précédent : 001285; suivant : 001287Validation of digital spiral analysis as outcome parameter for clinical trials in essential tremor
Auteurs : Dietrich Haubenberger [États-Unis, Autriche] ; Daniel Kalowitz [États-Unis] ; Fatta B. Nahab [États-Unis] ; Camilo Toro [États-Unis] ; Dominic Ippolito [États-Unis] ; David A. Luckenbaugh [États-Unis] ; Loretta Wittevrongel [États-Unis] ; Mark Hallett [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Numérisation.
English descriptors
- KwdEn :
- Activities of Daily Living, Aged, Central Nervous System Depressants (therapeutic use), Clinical trial, Controlled Clinical Trials as Topic (methods), Diagnosis, Computer-Assisted, Digitizing, Essential Tremor (diagnosis), Essential Tremor (drug therapy), Ethanol, Ethanol (therapeutic use), Female, Humans, Male, Middle Aged, Motor Skills (physiology), Movement, Nervous system diseases, Outcome Assessment (Health Care), Prognosis, Regression Analysis, Reproducibility of Results, Sensitivity and Specificity, Spiral, Spirography, Tablet, Tremor, Validation, digitizing tablet, essential tremor, ethanol, spiral analysis, spirography.
- MESH :
- chemical , therapeutic use : Central Nervous System Depressants, Ethanol.
- diagnosis : Essential Tremor.
- drug therapy : Essential Tremor.
- methods : Controlled Clinical Trials as Topic.
- physiology : Motor Skills.
- Activities of Daily Living, Aged, Diagnosis, Computer-Assisted, Female, Humans, Male, Middle Aged, Movement, Outcome Assessment (Health Care), Regression Analysis, Reproducibility of Results, Sensitivity and Specificity.
Abstract
Essential tremor, one of the most prevalent movement disorders, is characterized by kinetic and postural tremor affecting activities of daily living. Spiral drawing is commonly used to visually rate tremor intensity, as part of the routine clinical assessment of tremor and as a tool in clinical trials. We present a strategy to quantify tremor severity from spirals drawn on a digitizing tablet. We validate our method against a well‐established visual spiral rating method and compare both methods on their capacity to capture a therapeutic effect, as defined by the change in clinical essential tremor rating scale after an ethanol challenge. Fifty‐four Archimedes spirals were drawn using a digitizing tablet by nine ethanol‐responsive patients with essential tremor before and at five consecutive time points after the administration of ethanol in a standardized treatment intervention. Quantitative spiral tremor severity was estimated from the velocity tremor peak amplitude after numerical derivation and Fourier transformation of pen‐tip positions. In randomly ordered sets, spirals were scored by seven trained raters, using Bain and Findley's 0 to 10 rating scale. Computerized scores correlated with visual ratings (P < 0.0001). The correlation was significant at each time point before and after ethanol (P < 0.005). Quantitative ratings provided better sensitivity than visual rating to capture the effects of an ethanol challenge (P < 0.05). Using a standardized treatment approach, we were able to demonstrate that spirography time‐series analysis is a valid, reliable method to document tremor intensity and a more sensitive measure for small effects than currently available visual spiral rating methods. © 2011 Movement Disorder Society
Url:
- https://api.istex.fr/document/ED4404D3499E0C53BCC6EE50D36D42E652968DE9/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117681
DOI: 10.1002/mds.23808
Affiliations:
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Spiral drawing is commonly used to visually rate tremor intensity, as part of the routine clinical assessment of tremor and as a tool in clinical trials. We present a strategy to quantify tremor severity from spirals drawn on a digitizing tablet. We validate our method against a well‐established visual spiral rating method and compare both methods on their capacity to capture a therapeutic effect, as defined by the change in clinical essential tremor rating scale after an ethanol challenge. Fifty‐four Archimedes spirals were drawn using a digitizing tablet by nine ethanol‐responsive patients with essential tremor before and at five consecutive time points after the administration of ethanol in a standardized treatment intervention. Quantitative spiral tremor severity was estimated from the velocity tremor peak amplitude after numerical derivation and Fourier transformation of pen‐tip positions. In randomly ordered sets, spirals were scored by seven trained raters, using Bain and Findley's 0 to 10 rating scale. Computerized scores correlated with visual ratings (P < 0.0001). The correlation was significant at each time point before and after ethanol (P < 0.005). Quantitative ratings provided better sensitivity than visual rating to capture the effects of an ethanol challenge (P < 0.05). Using a standardized treatment approach, we were able to demonstrate that spirography time‐series analysis is a valid, reliable method to document tremor intensity and a more sensitive measure for small effects than currently available visual spiral rating methods. © 2011 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Autriche</li><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Floride</li><li>Maryland</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Haubenberger, Dietrich" sort="Haubenberger, Dietrich" uniqKey="Haubenberger D" first="Dietrich" last="Haubenberger">Dietrich Haubenberger</name></region><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><name sortKey="Ippolito, Dominic" sort="Ippolito, Dominic" uniqKey="Ippolito D" first="Dominic" last="Ippolito">Dominic Ippolito</name><name sortKey="Kalowitz, Daniel" sort="Kalowitz, Daniel" uniqKey="Kalowitz D" first="Daniel" last="Kalowitz">Daniel Kalowitz</name><name sortKey="Luckenbaugh, David A" sort="Luckenbaugh, David A" uniqKey="Luckenbaugh D" first="David A." last="Luckenbaugh">David A. Luckenbaugh</name><name sortKey="Nahab, Fatta B" sort="Nahab, Fatta B" uniqKey="Nahab F" first="Fatta B." last="Nahab">Fatta B. Nahab</name><name sortKey="Toro, Camilo" sort="Toro, Camilo" uniqKey="Toro C" first="Camilo" last="Toro">Camilo Toro</name><name sortKey="Wittevrongel, Loretta" sort="Wittevrongel, Loretta" uniqKey="Wittevrongel L" first="Loretta" last="Wittevrongel">Loretta Wittevrongel</name></country><country name="Autriche"><noRegion><name sortKey="Haubenberger, Dietrich" sort="Haubenberger, Dietrich" uniqKey="Haubenberger D" first="Dietrich" last="Haubenberger">Dietrich Haubenberger</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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