Movement Disorders (revue)

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A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients

Identifieur interne : 000A62 ( PascalFrancis/Corpus ); précédent : 000A61; suivant : 000A63

A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients

Auteurs : Kerstin Ziegler ; Frauke Schroeteler ; Andres O. Ceballos-Baumann ; Urban M. Fietzek

Source :

RBID : Pascal:10-0315062

Descripteurs français

English descriptors

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 κ = 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 α 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 (p = 0.58; P = 0.001) and with the self-evaluation of FOG (p = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 25
A06       @2 8
A08 01  1  ENG  @1 A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients
A11 01  1    @1 ZIEGLER (Kerstin)
A11 02  1    @1 SCHROETELER (Frauke)
A11 03  1    @1 CEBALLOS-BAUMANN (Andres O.)
A11 04  1    @1 FIETZEK (Urban M.)
A14 01      @1 Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders @2 Munich @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
A20       @1 1012-1018
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000170524820070
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 24 ref.
A47 01  1    @0 10-0315062
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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 κ = 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 α 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 (p = 0.58; P = 0.001) and with the self-evaluation of FOG (p = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.
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C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Trouble de la marche @5 02
C03 02  X  ENG  @0 Gait disorder @5 02
C03 02  X  SPA  @0 Trastorno marcha @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
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C03 04  X  ENG  @0 Instrument @5 09
C03 04  X  SPA  @0 Instrumento @5 09
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C03 05  X  ENG  @0 Freezing @5 10
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C03 06  X  SPA  @0 Hombre @5 11
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C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 200
N44 01      @1 OTO
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Format Inist (serveur)

NO : PASCAL 10-0315062 INIST
ET : A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients
AU : ZIEGLER (Kerstin); SCHROETELER (Frauke); CEBALLOS-BAUMANN (Andres O.); FIETZEK (Urban M.)
AF : Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders/Munich/Allemagne (1 aut., 2 aut., 3 aut., 4 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 8; Pp. 1012-1018; Bibl. 24 ref.
LA : Anglais
EA : 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 κ = 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 α 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 (p = 0.58; P = 0.001) and with the self-evaluation of FOG (p = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.
CC : 002B17; 002B17F
FD : Maladie de Parkinson; Trouble de la marche; Pathologie du système nerveux; Instrument; Congélation; Homme
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central
ED : Parkinson disease; Gait disorder; Nervous system diseases; Instrument; Freezing; Human
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Parkinson enfermedad; Trastorno marcha; Sistema nervioso patología; Instrumento; Congelación; Hombre
LO : INIST-20953.354000170524820070
ID : 10-0315062

Links to Exploration step

Pascal:10-0315062

Le document en format XML

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<NO>PASCAL 10-0315062 INIST</NO>
<ET>A New Rating Instrument to Assess Festination and Freezing Gait in Parkinsonian Patients</ET>
<AU>ZIEGLER (Kerstin); SCHROETELER (Frauke); CEBALLOS-BAUMANN (Andres O.); FIETZEK (Urban M.)</AU>
<AF>Neurologisches Krankenhaus München, Schön Kliniken, Center for Parkinson's Disease and Movement Disorders/Munich/Allemagne (1 aut., 2 aut., 3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 8; Pp. 1012-1018; Bibl. 24 ref.</SO>
<LA>Anglais</LA>
<EA>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 κ = 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 α 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 (p = 0.58; P = 0.001) and with the self-evaluation of FOG (p = 0.51; P < 0.01). Our results encourage the further use of the FOG score to evaluate festination and FOG.</EA>
<CC>002B17; 002B17F</CC>
<FD>Maladie de Parkinson; Trouble de la marche; Pathologie du système nerveux; Instrument; Congélation; Homme</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Parkinson disease; Gait disorder; Nervous system diseases; Instrument; Freezing; Human</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Parkinson enfermedad; Trastorno marcha; Sistema nervioso patología; Instrumento; Congelación; Hombre</SD>
<LO>INIST-20953.354000170524820070</LO>
<ID>10-0315062</ID>
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