A new rating instrument to assess festination and freezing gait in Parkinsonian patients.
Identifieur interne : 002B22 ( Ncbi/Checkpoint ); précédent : 002B21; suivant : 002B23A new rating instrument to assess festination and freezing gait in Parkinsonian patients.
Auteurs : Kerstin Ziegler [Allemagne] ; Frauke Schroeteler ; Andres O. Ceballos-Baumann ; Urban M. FietzekSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2010.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Disability Evaluation, Female, Freezing Reaction, Cataleptic (physiology), Gait Disorders, Neurologic (diagnosis), Gait Disorders, Neurologic (etiology), Humans, Logistic Models, Male, Middle Aged, Parkinsonian Disorders (complications), Reproducibility of Results, Retrospective Studies, Sensitivity and Specificity, Severity of Illness Index.
- MESH :
- complications : Parkinsonian Disorders.
- diagnosis : Gait Disorders, Neurologic.
- etiology : Gait Disorders, Neurologic.
- physiology : Freezing Reaction, Cataleptic.
- Adult, Aged, Aged, 80 and over, Disability Evaluation, Female, Humans, Logistic Models, Male, Middle Aged, Reproducibility of Results, Retrospective Studies, Sensitivity and Specificity, Severity of Illness Index.
Abstract
Festination and freezing of gait (FOG) are sudden episodic inabilities to initiate or sustain locomotion mostly experienced during the later stages of Parkinson's disease (PD) or other higher-level gait disorders. The aim of this study was to develop a clinical rating instrument for short-interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four-level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual-tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter-rater and re-test reliability of the FOG score is high (Kendall kappa = 0.85-0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's alpha 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: "situation": P < 0.0001, "task": P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 +/- 3.9) and immobile (practical OFF; 15.8 +/- 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (rho = 0.58; P = 0.001) and with the self-evaluation of FOG (rho = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.
DOI: 10.1002/mds.22993
PubMed: 20310009
Affiliations:
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Ceballos-Baumann</name></author><author><name sortKey="Fietzek, Urban M" sort="Fietzek, Urban M" uniqKey="Fietzek U" first="Urban M" last="Fietzek">Urban M. Fietzek</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="doi">10.1002/mds.22993</idno><idno type="RBID">pubmed:20310009</idno><idno type="pmid">20310009</idno><idno type="wicri:Area/PubMed/Corpus">001880</idno><idno type="wicri:Area/PubMed/Curation">001880</idno><idno type="wicri:Area/PubMed/Checkpoint">001A75</idno><idno type="wicri:Area/Ncbi/Merge">002B22</idno><idno type="wicri:Area/Ncbi/Curation">002B22</idno><idno type="wicri:Area/Ncbi/Checkpoint">002B22</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A new rating instrument to assess festination and freezing gait in Parkinsonian patients.</title><author><name sortKey="Ziegler, Kerstin" sort="Ziegler, Kerstin" uniqKey="Ziegler K" first="Kerstin" last="Ziegler">Kerstin Ziegler</name><affiliation wicri:level="3"><nlm:affiliation>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Schroeteler, Frauke" sort="Schroeteler, Frauke" uniqKey="Schroeteler F" first="Frauke" last="Schroeteler">Frauke Schroeteler</name></author><author><name sortKey="Ceballos Baumann, Andres O" sort="Ceballos Baumann, Andres O" uniqKey="Ceballos Baumann A" first="Andres O" last="Ceballos-Baumann">Andres O. Ceballos-Baumann</name></author><author><name sortKey="Fietzek, Urban M" sort="Fietzek, Urban M" uniqKey="Fietzek U" first="Urban M" last="Fietzek">Urban M. Fietzek</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Disability Evaluation</term><term>Female</term><term>Freezing Reaction, Cataleptic (physiology)</term><term>Gait Disorders, Neurologic (diagnosis)</term><term>Gait Disorders, Neurologic (etiology)</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Parkinsonian Disorders (complications)</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Freezing Reaction, Cataleptic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Festination and freezing of gait (FOG) are sudden episodic inabilities to initiate or sustain locomotion mostly experienced during the later stages of Parkinson's disease (PD) or other higher-level gait disorders. The aim of this study was to develop a clinical rating instrument for short-interval rating of festination and FOG. Foot movements of 33 patients were video taped and rated during 12 episodes in a standardized course on a four-level interval scale according to severity. Motor blocks were provoked in four situations and by three levels of dual-tasking (tasks). Addition of the item scores produced a FOG score. The assessment requires less than 15 min. The inter-rater and re-test reliability of the FOG score is high (Kendall kappa = 0.85-0.92, P < 0.0001). Variability of the item scale due to situations and tasks can be attributed to unidimensional group factors (Cronbach's alpha 0.84 and 0.94). Group comparisons and a logistic regression model show significant effects for both situations and tasks on the item scale (Friedman test: "situation": P < 0.0001, "task": P < 0.0001). Six patients with PD have significantly different scores during mobile (practical ON; 6.2 +/- 3.9) and immobile (practical OFF; 15.8 +/- 4.6) medication states (P < 0.05). The FOG score correlates with the 10 m number of steps (rho = 0.58; P = 0.001) and with the self-evaluation of FOG (rho = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement></list><tree><noCountry><name sortKey="Ceballos Baumann, Andres O" sort="Ceballos Baumann, Andres O" uniqKey="Ceballos Baumann A" first="Andres O" last="Ceballos-Baumann">Andres O. Ceballos-Baumann</name><name sortKey="Fietzek, Urban M" sort="Fietzek, Urban M" uniqKey="Fietzek U" first="Urban M" last="Fietzek">Urban M. Fietzek</name><name sortKey="Schroeteler, Frauke" sort="Schroeteler, Frauke" uniqKey="Schroeteler F" first="Frauke" last="Schroeteler">Frauke Schroeteler</name></noCountry><country name="Allemagne"><region name="Bavière"><name sortKey="Ziegler, Kerstin" sort="Ziegler, Kerstin" uniqKey="Ziegler K" first="Kerstin" last="Ziegler">Kerstin Ziegler</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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