Reliability of a new scale for essential tremor
Identifieur interne : 000289 ( Pmc/Curation ); précédent : 000288; suivant : 000290Reliability of a new scale for essential tremor
Auteurs : Rodger Elble ; Cynthia Comella ; Stanley Fahn ; Mark Hallett ; Joseph Jankovic ; Jorge L. Juncos ; Peter Lewitt ; Kelly Lyons ; William Ondo ; Rajesh Pahwa ; Kapil Sethi ; Natividad Stover ; Daniel Tarsy ; Claudia Testa ; Ron Tintner ; Ray Watts ; Theresa ZesiewiczSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2012.
Abstract
To determine the reliability of a new scale for the clinical assessment of essential tremor.
The Essential Tremor Rating Assessment Scale contains nine performance items that rate action tremor in the head, face, voice, limbs and trunk 0–4 in half-point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters.
Videos of 44 patients and 6 controls were rated by 10 specialists on two occasions, 1–2 months apart. Inter- and intra-rater reliabilities were assessed with a two-way random effects intraclass correlation, using an absolute agreement definition.
The inter- and intra-rater intraclass correlations for head and upper limb tremor ranged from 0.86 to 0.96, and the intraclass correlations for the total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk and leg were less robust.
This scale is an exceptionally reliable tool for the clinical assessment of essential tremor.
Url:
DOI: 10.1002/mds.25162
PubMed: 23032792
PubMed Central: 4157921
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<author><name sortKey="Comella, Cynthia" sort="Comella, Cynthia" uniqKey="Comella C" first="Cynthia" last="Comella">Cynthia Comella</name>
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<author><name sortKey="Fahn, Stanley" sort="Fahn, Stanley" uniqKey="Fahn S" first="Stanley" last="Fahn">Stanley Fahn</name>
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<author><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name>
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<idno type="ISSN">0885-3185</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To determine the reliability of a new scale for the clinical assessment of essential tremor.</p>
</sec>
<sec id="S2"><title>Background</title>
<p id="P2">The Essential Tremor Rating Assessment Scale contains nine performance items that rate action tremor in the head, face, voice, limbs and trunk 0–4 in half-point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters.</p>
</sec>
<sec id="S3"><title>Design/Methods</title>
<p id="P3">Videos of 44 patients and 6 controls were rated by 10 specialists on two occasions, 1–2 months apart. Inter- and intra-rater reliabilities were assessed with a two-way random effects intraclass correlation, using an absolute agreement definition.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">The inter- and intra-rater intraclass correlations for head and upper limb tremor ranged from 0.86 to 0.96, and the intraclass correlations for the total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk and leg were less robust.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">This scale is an exceptionally reliable tool for the clinical assessment of essential tremor.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8610688</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5937</journal-id>
<journal-id journal-id-type="nlm-ta">Mov Disord</journal-id>
<journal-id journal-id-type="iso-abbrev">Mov. Disord.</journal-id>
<journal-title-group><journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title>
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<issn pub-type="ppub">0885-3185</issn>
<issn pub-type="epub">1531-8257</issn>
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<article-meta><article-id pub-id-type="pmid">23032792</article-id>
<article-id pub-id-type="pmc">4157921</article-id>
<article-id pub-id-type="doi">10.1002/mds.25162</article-id>
<article-id pub-id-type="manuscript">NIHMS623967</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Reliability of a new scale for essential tremor</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Elble</surname>
<given-names>Rodger</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A1">Southern Illinois University School of Medicine, Springfield IL</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Comella</surname>
<given-names>Cynthia</given-names>
</name>
<degrees>MD</degrees>
<aff id="A2">Rush University Medical Center, Chicago IL</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Fahn</surname>
<given-names>Stanley</given-names>
</name>
<degrees>MD</degrees>
<aff id="A3">Columbia University Medical Center, New York NY</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Hallett</surname>
<given-names>Mark</given-names>
</name>
<degrees>MD</degrees>
<aff id="A4">National Institute of Neurological Disorders and Stroke, Bethesda MD</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Jankovic</surname>
<given-names>Joseph</given-names>
</name>
<degrees>MD</degrees>
<aff id="A5">Baylor College of Medicine, Houston TX</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Juncos</surname>
<given-names>Jorge L.</given-names>
</name>
<degrees>MD</degrees>
<aff id="A6">Emory University, Atlanta GA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>LeWitt</surname>
<given-names>Peter</given-names>
</name>
<degrees>MD</degrees>
<aff id="A7">Henry Ford Health Systems, Bloomfield MI</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Lyons</surname>
<given-names>Kelly</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A8">University of Kansas Medical Center, Kansas City KS</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Ondo</surname>
<given-names>William</given-names>
</name>
<degrees>MD</degrees>
<aff id="A9">University of Texas Health Science Center, Houston TX</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Pahwa</surname>
<given-names>Rajesh</given-names>
</name>
<degrees>MD</degrees>
<aff id="A10">University of Kansas Medical Center, Kansas City KS</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sethi</surname>
<given-names>Kapil</given-names>
</name>
<degrees>MD</degrees>
<aff id="A11">Georgia Health Sciences University, Augusta GA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Stover</surname>
<given-names>Natividad</given-names>
</name>
<degrees>MD</degrees>
<aff id="A12">University of Alabama at Birmingham, Birmingham, AL</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Tarsy</surname>
<given-names>Daniel</given-names>
</name>
<degrees>MD</degrees>
<aff id="A13">Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Testa</surname>
<given-names>Claudia</given-names>
</name>
<degrees>MD, PhD</degrees>
<aff id="A14">Virginia Commonwealth University, Richmond, VA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Tintner</surname>
<given-names>Ron</given-names>
</name>
<degrees>MD</degrees>
<aff id="A15">The Methodist Hospital, Houston TX</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Watts</surname>
<given-names>Ray</given-names>
</name>
<degrees>MD</degrees>
<aff id="A16">University of Alabama at Birmingham, Birmingham, AL</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Zesiewicz</surname>
<given-names>Theresa</given-names>
</name>
<degrees>MD</degrees>
<aff id="A17">University of South Florida, Tampa FL</aff>
</contrib>
</contrib-group>
<author-notes><corresp id="cor1">Corresponding author: Rodger J. Elble, MD, PhD, Department of Neurology, Southern Illinois University School of Medicine, 751 North Rutledge, PO Box 19643, Springfield, IL 62794-9643, USA, Phone: 217-545-7182, <email>relble@siumed.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>29</day>
<month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>02</day>
<month>10</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>10</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>08</day>
<month>9</month>
<year>2014</year>
</pub-date>
<volume>27</volume>
<issue>12</issue>
<fpage>1567</fpage>
<lpage>1569</lpage>
<pmc-comment>elocation-id from pubmed: 10.1002/mds.25162</pmc-comment>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">To determine the reliability of a new scale for the clinical assessment of essential tremor.</p>
</sec>
<sec id="S2"><title>Background</title>
<p id="P2">The Essential Tremor Rating Assessment Scale contains nine performance items that rate action tremor in the head, face, voice, limbs and trunk 0–4 in half-point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters.</p>
</sec>
<sec id="S3"><title>Design/Methods</title>
<p id="P3">Videos of 44 patients and 6 controls were rated by 10 specialists on two occasions, 1–2 months apart. Inter- and intra-rater reliabilities were assessed with a two-way random effects intraclass correlation, using an absolute agreement definition.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">The inter- and intra-rater intraclass correlations for head and upper limb tremor ranged from 0.86 to 0.96, and the intraclass correlations for the total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk and leg were less robust.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">This scale is an exceptionally reliable tool for the clinical assessment of essential tremor.</p>
</sec>
</abstract>
<kwd-group><kwd>essential tremor</kwd>
<kwd>rating scale</kwd>
<kwd>reliability</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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