Physiological movement disorder-like features during typical motor development

To compare physiological age-relatedness between dyskinesia (dystonia/choreoathetosis), dystonia and ataxia rating scale scores in healthy children. Three movement disorders specialists quantified dyskinetic-like features in healthy children (n = 52; 4–16 years) using the Dyskinesia Impairment Scale...

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Veröffentlicht in:European journal of paediatric neurology 2018-07, Vol.22 (4), p.595-601
Hauptverfasser: Kuiper, M.J., Brandsma, R., Vrijenhoek, L., Tijssen, M.A.J., Burger, H., Dan, B., Sival, D.A.
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container_end_page 601
container_issue 4
container_start_page 595
container_title European journal of paediatric neurology
container_volume 22
creator Kuiper, M.J.
Brandsma, R.
Vrijenhoek, L.
Tijssen, M.A.J.
Burger, H.
Dan, B.
Sival, D.A.
description To compare physiological age-relatedness between dyskinesia (dystonia/choreoathetosis), dystonia and ataxia rating scale scores in healthy children. Three movement disorders specialists quantified dyskinetic-like features in healthy children (n = 52; 4–16 years) using the Dyskinesia Impairment Scale (DIS = DIS-choreoathetosis (DIS-C) + DIS-dystonia (DIS-D)). We compared the age-related regression coefficients of the DIS with data processed from previous studies on dystonia and ataxia rating scales (Burke-Fahn-Marsden Movement and Disability Scales (BFMMS and BFMDS) and Scale for Assessment and Rating of Ataxia (SARA), International Cooperative Ataxia Rating Scale (ICARS) and Brief Ataxia Rating Scale (BARS)). Dyskinetic scores were obtained in 79% (DIS); 65% (DIS-D) and 17% (DIS-C) versus dystonic and ataxic scores in 98% (BFMMS) and 89% (SARA/ICARS/BARS) of the children. Age-related DIS and DIS-D scores (B = −0.90 and 0.77; p 
doi_str_mv 10.1016/j.ejpn.2018.03.010
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Three movement disorders specialists quantified dyskinetic-like features in healthy children (n = 52; 4–16 years) using the Dyskinesia Impairment Scale (DIS = DIS-choreoathetosis (DIS-C) + DIS-dystonia (DIS-D)). We compared the age-related regression coefficients of the DIS with data processed from previous studies on dystonia and ataxia rating scales (Burke-Fahn-Marsden Movement and Disability Scales (BFMMS and BFMDS) and Scale for Assessment and Rating of Ataxia (SARA), International Cooperative Ataxia Rating Scale (ICARS) and Brief Ataxia Rating Scale (BARS)). Dyskinetic scores were obtained in 79% (DIS); 65% (DIS-D) and 17% (DIS-C) versus dystonic and ataxic scores in 98% (BFMMS) and 89% (SARA/ICARS/BARS) of the children. Age-related DIS and DIS-D scores (B = −0.90 and 0.77; p &lt; 0.001) were correlated with age-related BFMMS scores (B = −0.49; p &lt; 0.001; r = 0.87; p &lt; 0.001), whereas DIS-C scores were age-independent. Ataxic scores revealed stronger age-related regression coefficients than dyskinetic and dystonic scores (4–8 years; p &lt; 0.05). In healthy children, comparison between physiological dyskinesia, dystonia and ataxia rating scale scores revealed: 1. inverse age-relatedness for dystonic and ataxic scores, but not for choreoathetotic scores, 2. interrelated dystonic DIS-D and BFMMS scores, 3. the strongest age-related expression by ataxic scores. In healthy children, these physiological movement disorder-like features are interpreted as an expression of the developing underlying motor centres. In healthy children (4–16 years of age):•The Dyskinesia Impairment Scale (DIS) total and dystonia (DIS-D) (sub)scales are age-related.•DIS-D and BFMMS reveal similar age-related dystonia score profiles.•Choreoathetosis subscale scores are sparse and age-independent.•The youngest age subgroup (4–8 years) reveals stronger age-relatedness of ataxia than of dystonia rating scale scores.•The unique dystonic, ataxic and choreoathetotic score profiles are attributed to the underlying development of the associated motor centres.</description><identifier>ISSN: 1090-3798</identifier><identifier>EISSN: 1532-2130</identifier><identifier>DOI: 10.1016/j.ejpn.2018.03.010</identifier><identifier>PMID: 29680266</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Age ; Age Factors ; Ataxia ; Child ; Child Development - physiology ; Child, Preschool ; Children ; Dyskinesia ; Dyskinesias ; Dystonia ; Female ; Humans ; Male ; Motor Activity - physiology ; Movement disorder-like features ; Rating scales ; Severity of Illness Index</subject><ispartof>European journal of paediatric neurology, 2018-07, Vol.22 (4), p.595-601</ispartof><rights>2018 European Paediatric Neurology Society</rights><rights>Copyright © 2018 European Paediatric Neurology Society. 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Three movement disorders specialists quantified dyskinetic-like features in healthy children (n = 52; 4–16 years) using the Dyskinesia Impairment Scale (DIS = DIS-choreoathetosis (DIS-C) + DIS-dystonia (DIS-D)). We compared the age-related regression coefficients of the DIS with data processed from previous studies on dystonia and ataxia rating scales (Burke-Fahn-Marsden Movement and Disability Scales (BFMMS and BFMDS) and Scale for Assessment and Rating of Ataxia (SARA), International Cooperative Ataxia Rating Scale (ICARS) and Brief Ataxia Rating Scale (BARS)). Dyskinetic scores were obtained in 79% (DIS); 65% (DIS-D) and 17% (DIS-C) versus dystonic and ataxic scores in 98% (BFMMS) and 89% (SARA/ICARS/BARS) of the children. Age-related DIS and DIS-D scores (B = −0.90 and 0.77; p &lt; 0.001) were correlated with age-related BFMMS scores (B = −0.49; p &lt; 0.001; r = 0.87; p &lt; 0.001), whereas DIS-C scores were age-independent. Ataxic scores revealed stronger age-related regression coefficients than dyskinetic and dystonic scores (4–8 years; p &lt; 0.05). In healthy children, comparison between physiological dyskinesia, dystonia and ataxia rating scale scores revealed: 1. inverse age-relatedness for dystonic and ataxic scores, but not for choreoathetotic scores, 2. interrelated dystonic DIS-D and BFMMS scores, 3. the strongest age-related expression by ataxic scores. In healthy children, these physiological movement disorder-like features are interpreted as an expression of the developing underlying motor centres. 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Three movement disorders specialists quantified dyskinetic-like features in healthy children (n = 52; 4–16 years) using the Dyskinesia Impairment Scale (DIS = DIS-choreoathetosis (DIS-C) + DIS-dystonia (DIS-D)). We compared the age-related regression coefficients of the DIS with data processed from previous studies on dystonia and ataxia rating scales (Burke-Fahn-Marsden Movement and Disability Scales (BFMMS and BFMDS) and Scale for Assessment and Rating of Ataxia (SARA), International Cooperative Ataxia Rating Scale (ICARS) and Brief Ataxia Rating Scale (BARS)). Dyskinetic scores were obtained in 79% (DIS); 65% (DIS-D) and 17% (DIS-C) versus dystonic and ataxic scores in 98% (BFMMS) and 89% (SARA/ICARS/BARS) of the children. Age-related DIS and DIS-D scores (B = −0.90 and 0.77; p &lt; 0.001) were correlated with age-related BFMMS scores (B = −0.49; p &lt; 0.001; r = 0.87; p &lt; 0.001), whereas DIS-C scores were age-independent. Ataxic scores revealed stronger age-related regression coefficients than dyskinetic and dystonic scores (4–8 years; p &lt; 0.05). In healthy children, comparison between physiological dyskinesia, dystonia and ataxia rating scale scores revealed: 1. inverse age-relatedness for dystonic and ataxic scores, but not for choreoathetotic scores, 2. interrelated dystonic DIS-D and BFMMS scores, 3. the strongest age-related expression by ataxic scores. In healthy children, these physiological movement disorder-like features are interpreted as an expression of the developing underlying motor centres. In healthy children (4–16 years of age):•The Dyskinesia Impairment Scale (DIS) total and dystonia (DIS-D) (sub)scales are age-related.•DIS-D and BFMMS reveal similar age-related dystonia score profiles.•Choreoathetosis subscale scores are sparse and age-independent.•The youngest age subgroup (4–8 years) reveals stronger age-relatedness of ataxia than of dystonia rating scale scores.•The unique dystonic, ataxic and choreoathetotic score profiles are attributed to the underlying development of the associated motor centres.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>29680266</pmid><doi>10.1016/j.ejpn.2018.03.010</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2051-9876</orcidid></addata></record>
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subjects Adolescent
Age
Age Factors
Ataxia
Child
Child Development - physiology
Child, Preschool
Children
Dyskinesia
Dyskinesias
Dystonia
Female
Humans
Male
Motor Activity - physiology
Movement disorder-like features
Rating scales
Severity of Illness Index
title Physiological movement disorder-like features during typical motor development
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