Cervical dystonia severity scale reliability study
Identifieur interne : 004847 ( Main/Exploration ); précédent : 004846; suivant : 004848Cervical dystonia severity scale reliability study
Auteurs : Christopher O'Brien [États-Unis] ; Allison Brashear [États-Unis] ; Paul Cullis [États-Unis] ; Daniel Truong [États-Unis] ; Eric Molho [États-Unis] ; Stephen Jenkins [États-Unis] ; Joanne Wojcieszek [États-Unis] ; Thomas O'Neil [États-Unis] ; Stewart Factor [États-Unis] ; Lauren Seeberger [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2001-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Exploration, Female, Head Movements, Human, Humans, Male, Measurement scale, Middle Aged, Neurologic Examination (standards), Observer Variation, Performance evaluation, Range of Motion, Articular, Reference Standards, Reproducibility of Results, Severity of Illness Index, Spasmodic torticollis, Torticollis (diagnosis), assessment scale, head position, movement disorder, outcome measure, spasmodic torticollis.
- MESH :
- diagnosis : Torticollis.
- standards : Neurologic Examination.
- Adult, Aged, Female, Head Movements, Humans, Male, Middle Aged, Observer Variation, Range of Motion, Articular, Reference Standards, Reproducibility of Results, Severity of Illness Index.
Abstract
Cervical dystonia (CD) is characterized by sustained contractions of the neck musculature, resulting in abnormal head postures. The Cervical Dystonia Severity Scale (CDSS) was developed to provide a reliable measure of treatment response in patients with CD. The CDSS uses a protractor and wall chart to rate the severity of the head's deviation from neutral in each of three planes of motion (rotation, laterocollis, anterocollis/retrocollis), which is then scored in 5 degree intervals (1 degree to 5 degrees deviation = 1; 86 degree to 90 degrees deviation = 18). To test the reliability of the CDSS, four centers, each with two independent examiners, evaluated 42 patients with CD. At each site, each of the two examiners used the CDSS to evaluate the head position of each patient twice, on the same day, for a total of four evaluations. The kappa value for intra‐examiner agreement was 0.94 (95% confidence limit of 0.900–0.972), indicating excellent intra‐examiner reliability. The kappa value for interexaminer reliability was 0.79 for the first evaluation and 0.86 for the second evaluation (95% confidence limits of 0.668–0.920 and 0.790–0.920) indicating excellent interexaminer reliability. Thus, the CDSS was highly reliable in both intra‐examiner and interexaminer scoring comparisons. © 2001 Movement Disorder Society.
Url:
DOI: 10.1002/mds.1226
Affiliations:
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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="2001-11">2001-11</date><biblScope unit="vol">16</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1086">1086</biblScope><biblScope unit="page" to="1090">1090</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">7DBD0105E2B307A521EFD59673360AFDCED8FAC3</idno><idno type="DOI">10.1002/mds.1226</idno><idno type="ArticleID">MDS1226</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Exploration</term><term>Female</term><term>Head Movements</term><term>Human</term><term>Humans</term><term>Male</term><term>Measurement scale</term><term>Middle Aged</term><term>Neurologic Examination (standards)</term><term>Observer Variation</term><term>Performance evaluation</term><term>Range of Motion, Articular</term><term>Reference Standards</term><term>Reproducibility of Results</term><term>Severity of Illness Index</term><term>Spasmodic torticollis</term><term>Torticollis (diagnosis)</term><term>assessment scale</term><term>head position</term><term>movement disorder</term><term>outcome measure</term><term>spasmodic torticollis</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Neurologic Examination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Head Movements</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Observer Variation</term><term>Range of Motion, Articular</term><term>Reference Standards</term><term>Reproducibility of Results</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cervical Dystonia Severity Scale</term><term>Echelle mesure</term><term>Evaluation performance</term><term>Exploration</term><term>Homme</term><term>Torticolis spasmodique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cervical dystonia (CD) is characterized by sustained contractions of the neck musculature, resulting in abnormal head postures. The Cervical Dystonia Severity Scale (CDSS) was developed to provide a reliable measure of treatment response in patients with CD. The CDSS uses a protractor and wall chart to rate the severity of the head's deviation from neutral in each of three planes of motion (rotation, laterocollis, anterocollis/retrocollis), which is then scored in 5 degree intervals (1 degree to 5 degrees deviation = 1; 86 degree to 90 degrees deviation = 18). To test the reliability of the CDSS, four centers, each with two independent examiners, evaluated 42 patients with CD. At each site, each of the two examiners used the CDSS to evaluate the head position of each patient twice, on the same day, for a total of four evaluations. The kappa value for intra‐examiner agreement was 0.94 (95% confidence limit of 0.900–0.972), indicating excellent intra‐examiner reliability. The kappa value for interexaminer reliability was 0.79 for the first evaluation and 0.86 for the second evaluation (95% confidence limits of 0.668–0.920 and 0.790–0.920) indicating excellent interexaminer reliability. Thus, the CDSS was highly reliable in both intra‐examiner and interexaminer scoring comparisons. © 2001 Movement Disorder Society.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Colorado</li><li>Indiana</li><li>Michigan</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Colorado"><name sortKey="O Brien, Christopher" sort="O Brien, Christopher" uniqKey="O Brien C" first="Christopher" last="O'Brien">Christopher O'Brien</name></region><name sortKey="Brashear, Allison" sort="Brashear, Allison" uniqKey="Brashear A" first="Allison" last="Brashear">Allison Brashear</name><name sortKey="Cullis, Paul" sort="Cullis, Paul" uniqKey="Cullis P" first="Paul" last="Cullis">Paul Cullis</name><name sortKey="Factor, Stewart" sort="Factor, Stewart" uniqKey="Factor S" first="Stewart" last="Factor">Stewart Factor</name><name sortKey="Jenkins, Stephen" sort="Jenkins, Stephen" uniqKey="Jenkins S" first="Stephen" last="Jenkins">Stephen Jenkins</name><name sortKey="Molho, Eric" sort="Molho, Eric" uniqKey="Molho E" first="Eric" last="Molho">Eric Molho</name><name sortKey="O Neil, Thomas" sort="O Neil, Thomas" uniqKey="O Neil T" first="Thomas" last="O'Neil">Thomas O'Neil</name><name sortKey="Seeberger, Lauren" sort="Seeberger, Lauren" uniqKey="Seeberger L" first="Lauren" last="Seeberger">Lauren Seeberger</name><name sortKey="Truong, Daniel" sort="Truong, Daniel" uniqKey="Truong D" first="Daniel" last="Truong">Daniel Truong</name><name sortKey="Wojcieszek, Joanne" sort="Wojcieszek, Joanne" uniqKey="Wojcieszek J" first="Joanne" last="Wojcieszek">Joanne Wojcieszek</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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