Movement Disorders (revue)

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Reliability of a new scale for essential tremor

Identifieur interne : 000289 ( Pmc/Curation ); précédent : 000288; suivant : 000290

Reliability 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 Zesiewicz

Source :

RBID : PMC:4157921

Abstract

Objective

To determine the reliability of a new scale for the clinical assessment of essential tremor.

Background

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.

Design/Methods

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.

Results

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.

Conclusions

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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PMC:4157921

Le document en format XML

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<name sortKey="Elble, Rodger" sort="Elble, Rodger" uniqKey="Elble R" first="Rodger" last="Elble">Rodger Elble</name>
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<name sortKey="Fahn, Stanley" sort="Fahn, Stanley" uniqKey="Fahn S" first="Stanley" last="Fahn">Stanley Fahn</name>
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<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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<article-title>Reliability of a new scale for essential tremor</article-title>
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<name>
<surname>Elble</surname>
<given-names>Rodger</given-names>
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<degrees>MD, PhD</degrees>
<aff id="A1">Southern Illinois University School of Medicine, Springfield IL</aff>
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<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>
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<name>
<surname>Fahn</surname>
<given-names>Stanley</given-names>
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<degrees>MD</degrees>
<aff id="A3">Columbia University Medical Center, New York NY</aff>
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<name>
<surname>Hallett</surname>
<given-names>Mark</given-names>
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<degrees>MD</degrees>
<aff id="A4">National Institute of Neurological Disorders and Stroke, Bethesda MD</aff>
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<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>
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<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>
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<name>
<surname>LeWitt</surname>
<given-names>Peter</given-names>
</name>
<degrees>MD</degrees>
<aff id="A7">Henry Ford Health Systems, Bloomfield MI</aff>
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<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>
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<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>
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<pub-date pub-type="nihms-submitted">
<day>29</day>
<month>8</month>
<year>2014</year>
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<month>10</month>
<year>2012</year>
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<month>9</month>
<year>2014</year>
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<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>
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