Teaching tape for the motor section of the unified Parkinson's disease rating scale.
Identifieur interne : 004690 ( Ncbi/Curation ); précédent : 004689; suivant : 004691Teaching tape for the motor section of the unified Parkinson's disease rating scale.
Auteurs : C G Goetz [États-Unis] ; G T Stebbins ; T A Chmura ; S. Fahn ; H L Klawans ; C D MarsdenSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1995.
English descriptors
- KwdEn :
- MESH :
- classification : Parkinson Disease.
- diagnosis : Parkinson Disease.
- statistics & numerical data : Neurologic Examination.
- Audiovisual Aids, Disability Evaluation, Humans, Observer Variation, Reproducibility of Results, Software.
Abstract
We developed a teaching tape of the motor section of the Unified Parkinson's Disease Rating Scale (UPDRS) to provide investigators with a visual document of three raters' interpretations of the scoring system for each item except rigidity. The rate of agreement for the selected samples was always significant, with Kendall's coefficient of concordance W ranging between 0.97 and 0.62. We also provided full UPDRS ratings on sample patients that may be used for training and for multicenter studies to assure uniformity of rating. The study identified several items of the UPDRS motor examination for which written instructions were vague, including speech, action tremor, finger taps, rapid alternating movements, and postural stability. Future versions of the scale should address these problems and correct ambiguities. This project offers the first attempt to provide a visual analog for the UPDRS.
DOI: 10.1002/mds.870100305
PubMed: 7544438
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pubmed:7544438Le document en format XML
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<author><name sortKey="Goetz, C G" sort="Goetz, C G" uniqKey="Goetz C" first="C G" last="Goetz">C G Goetz</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurological Sciences, Rush University/Rush Presbyterian St. Luke's Medical Center, Chicago, Illinois, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Sciences, Rush University/Rush Presbyterian St. Luke's Medical Center, Chicago, Illinois</wicri:regionArea>
<placeName><region type="state">Illinois</region>
</placeName>
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</author>
<author><name sortKey="Stebbins, G T" sort="Stebbins, G T" uniqKey="Stebbins G" first="G T" last="Stebbins">G T Stebbins</name>
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<author><name sortKey="Chmura, T A" sort="Chmura, T A" uniqKey="Chmura T" first="T A" last="Chmura">T A Chmura</name>
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<author><name sortKey="Fahn, S" sort="Fahn, S" uniqKey="Fahn S" first="S" last="Fahn">S. Fahn</name>
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<author><name sortKey="Klawans, H L" sort="Klawans, H L" uniqKey="Klawans H" first="H L" last="Klawans">H L Klawans</name>
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<author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C D" last="Marsden">C D Marsden</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Teaching tape for the motor section of the unified Parkinson's disease rating scale.</title>
<author><name sortKey="Goetz, C G" sort="Goetz, C G" uniqKey="Goetz C" first="C G" last="Goetz">C G Goetz</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurological Sciences, Rush University/Rush Presbyterian St. Luke's Medical Center, Chicago, Illinois, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<placeName><region type="state">Illinois</region>
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<author><name sortKey="Stebbins, G T" sort="Stebbins, G T" uniqKey="Stebbins G" first="G T" last="Stebbins">G T Stebbins</name>
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<author><name sortKey="Chmura, T A" sort="Chmura, T A" uniqKey="Chmura T" first="T A" last="Chmura">T A Chmura</name>
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<author><name sortKey="Fahn, S" sort="Fahn, S" uniqKey="Fahn S" first="S" last="Fahn">S. Fahn</name>
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<author><name sortKey="Klawans, H L" sort="Klawans, H L" uniqKey="Klawans H" first="H L" last="Klawans">H L Klawans</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Audiovisual Aids</term>
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<term>Humans</term>
<term>Neurologic Examination (statistics & numerical data)</term>
<term>Observer Variation</term>
<term>Parkinson Disease (classification)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Reproducibility of Results</term>
<term>Software</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Neurologic Examination</term>
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<keywords scheme="MESH" xml:lang="en"><term>Audiovisual Aids</term>
<term>Disability Evaluation</term>
<term>Humans</term>
<term>Observer Variation</term>
<term>Reproducibility of Results</term>
<term>Software</term>
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<front><div type="abstract" xml:lang="en">We developed a teaching tape of the motor section of the Unified Parkinson's Disease Rating Scale (UPDRS) to provide investigators with a visual document of three raters' interpretations of the scoring system for each item except rigidity. The rate of agreement for the selected samples was always significant, with Kendall's coefficient of concordance W ranging between 0.97 and 0.62. We also provided full UPDRS ratings on sample patients that may be used for training and for multicenter studies to assure uniformity of rating. The study identified several items of the UPDRS motor examination for which written instructions were vague, including speech, action tremor, finger taps, rapid alternating movements, and postural stability. Future versions of the scale should address these problems and correct ambiguities. This project offers the first attempt to provide a visual analog for the UPDRS.</div>
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