Movement Disorders (revue)

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Reliability of the Burke-Fahn-Marsden scale in a multicenter trial for dystonia.

Identifieur interne : 002589 ( PubMed/Checkpoint ); précédent : 002588; suivant : 002590

Reliability of the Burke-Fahn-Marsden scale in a multicenter trial for dystonia.

Auteurs : Pierre Krystkowiak [France] ; Sophie Tezenas Du Montcel ; Laurent Vercueil ; Jean-Luc Houeto ; Christelle Lagrange ; Philippe Cornu ; Serge Blond ; Alim-Louis Benabid ; Pierre Pollak ; Marie Vidailhet

Source :

RBID : pubmed:17274034

English descriptors

Abstract

The multicenter SPIDY trial (pallidal stimulation for generalized, idiopathic dystonia) recently reported a marked improvement in dystonia which was assessed by the Burke-Fahn-Marsden (BFM) scale. However, the reliability of this tool has rarely been evaluated and its use in a multicenter study has never been assessed prospectively.

DOI: 10.1002/mds.21392
PubMed: 17274034


Affiliations:


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pubmed:17274034

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<name sortKey="Krystkowiak, Pierre" sort="Krystkowiak, Pierre" uniqKey="Krystkowiak P" first="Pierre" last="Krystkowiak">Pierre Krystkowiak</name>
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<nlm:affiliation>Department of Neurology and Movement Disorders, Lille University Medical Center, Lille, France. p-krystkowiak@chru-lille.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Du Montcel, Sophie Tezenas" sort="Du Montcel, Sophie Tezenas" uniqKey="Du Montcel S" first="Sophie Tezenas" last="Du Montcel">Sophie Tezenas Du Montcel</name>
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<name sortKey="Vercueil, Laurent" sort="Vercueil, Laurent" uniqKey="Vercueil L" first="Laurent" last="Vercueil">Laurent Vercueil</name>
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<name sortKey="Houeto, Jean Luc" sort="Houeto, Jean Luc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name>
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<name sortKey="Lagrange, Christelle" sort="Lagrange, Christelle" uniqKey="Lagrange C" first="Christelle" last="Lagrange">Christelle Lagrange</name>
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<name sortKey="Cornu, Philippe" sort="Cornu, Philippe" uniqKey="Cornu P" first="Philippe" last="Cornu">Philippe Cornu</name>
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<name sortKey="Blond, Serge" sort="Blond, Serge" uniqKey="Blond S" first="Serge" last="Blond">Serge Blond</name>
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<name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name>
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<nlm:affiliation>Department of Neurology and Movement Disorders, Lille University Medical Center, Lille, France. p-krystkowiak@chru-lille.fr</nlm:affiliation>
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<name sortKey="Du Montcel, Sophie Tezenas" sort="Du Montcel, Sophie Tezenas" uniqKey="Du Montcel S" first="Sophie Tezenas" last="Du Montcel">Sophie Tezenas Du Montcel</name>
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<name sortKey="Vercueil, Laurent" sort="Vercueil, Laurent" uniqKey="Vercueil L" first="Laurent" last="Vercueil">Laurent Vercueil</name>
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<name sortKey="Houeto, Jean Luc" sort="Houeto, Jean Luc" uniqKey="Houeto J" first="Jean-Luc" last="Houeto">Jean-Luc Houeto</name>
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<name sortKey="Lagrange, Christelle" sort="Lagrange, Christelle" uniqKey="Lagrange C" first="Christelle" last="Lagrange">Christelle Lagrange</name>
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<name sortKey="Cornu, Philippe" sort="Cornu, Philippe" uniqKey="Cornu P" first="Philippe" last="Cornu">Philippe Cornu</name>
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<name sortKey="Blond, Serge" sort="Blond, Serge" uniqKey="Blond S" first="Serge" last="Blond">Serge Blond</name>
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<name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
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<term>Adolescent</term>
<term>Adult</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (physiopathology)</term>
<term>Dystonia (therapy)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Globus Pallidus (physiopathology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination (statistics & numerical data)</term>
<term>Observer Variation</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Statistics as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Dystonia</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Deep Brain Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Dystonia</term>
<term>Globus Pallidus</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Neurologic Examination</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Dystonia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Observer Variation</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Statistics as Topic</term>
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<front>
<div type="abstract" xml:lang="en">The multicenter SPIDY trial (pallidal stimulation for generalized, idiopathic dystonia) recently reported a marked improvement in dystonia which was assessed by the Burke-Fahn-Marsden (BFM) scale. However, the reliability of this tool has rarely been evaluated and its use in a multicenter study has never been assessed prospectively.</div>
</front>
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<PMID Version="1">17274034</PMID>
<DateCreated>
<Year>2007</Year>
<Month>05</Month>
<Day>01</Day>
</DateCreated>
<DateCompleted>
<Year>2007</Year>
<Month>07</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0885-3185</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>22</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2007</Year>
<Month>Apr</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>Reliability of the Burke-Fahn-Marsden scale in a multicenter trial for dystonia.</ArticleTitle>
<Pagination>
<MedlinePgn>685-9</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The multicenter SPIDY trial (pallidal stimulation for generalized, idiopathic dystonia) recently reported a marked improvement in dystonia which was assessed by the Burke-Fahn-Marsden (BFM) scale. However, the reliability of this tool has rarely been evaluated and its use in a multicenter study has never been assessed prospectively.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the concordance between three unblinded clinical raters and one single-blinded rater for 10 prospective series of ratings on the BFM scale in 22 dystonic patients of the SPIDY study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten assessments on the BFM scale were performed under various stimulation conditions at different time points (before surgery and 1, 3, 6, and 12 months afterwards). Patients were first evaluated by three unblinded clinical raters (one per center). All assessments were videotaped and sent to a blinded rater. Intra- and inter-rater reliability was assessed using intraclass correlation coefficients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The intra-rater reliability at inclusion was better for the blinded rater than for the clinical raters. The inter-rater reliability (comparing the blinded rater with each clinical rater) was "very good" at inclusion, "fair" at month 1 and was "good" at month 3, month 6, and month 12.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Blinding (rather than video) is probably the key factor in better intra-rater reliability and can produce more accurate rating than clinical rating. Consequently, a blind procedure should be performed systematically in multicenter studies. As inter-rater reliability is good in trained unblinded raters, the BFM scale may also be used in the follow up of dystonic patients in movement disorders centers, in clinical practice.</AbstractText>
</Abstract>
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<LastName>Krystkowiak</LastName>
<ForeName>Pierre</ForeName>
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<Affiliation>Department of Neurology and Movement Disorders, Lille University Medical Center, Lille, France. p-krystkowiak@chru-lille.fr</Affiliation>
</AffiliationInfo>
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<LastName>du Montcel</LastName>
<ForeName>Sophie Tezenas</ForeName>
<Initials>ST</Initials>
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<LastName>Vercueil</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
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<LastName>Houeto</LastName>
<ForeName>Jean-Luc</ForeName>
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<LastName>Lagrange</LastName>
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<ForeName>Marie</ForeName>
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<CollectiveName>SPIDY Group</CollectiveName>
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<Language>eng</Language>
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<DescriptorName MajorTopicYN="N" UI="D000293">Adolescent</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D046690">Deep Brain Stimulation</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D004421">Dystonia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D005917">Globus Pallidus</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
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<DescriptorName MajorTopicYN="N" UI="D009460">Neurologic Examination</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000706">statistics & numerical data</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D015588">Observer Variation</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D015203">Reproducibility of Results</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D013223">Statistics as Topic</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<Month>2</Month>
<Day>3</Day>
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<PubMedPubDate PubStatus="medline">
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