The modified bradykinesia rating scale for Parkinson's disease: Reliability and comparison with kinematic measures

Bradykinesia encompasses slowness, decreased movement amplitude, and dysrhythmia. Unified Parkinson's Disease Rating Scale–based bradykinesia‐related items require that clinicians condense abnormalities in speed, amplitude, fatiguing, hesitations, and arrests into a single score. The objective...

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Veröffentlicht in:Movement disorders 2011-08, Vol.26 (10), p.1859-1863
Hauptverfasser: Heldman, Dustin A., Giuffrida, Joseph P., Chen, Robert, Payne, Megan, Mazzella, Filomena, Duker, Andrew P., Sahay, Alok, Kim, Sang Jin, Revilla, Fredy J., Espay, Alberto J.
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container_end_page 1863
container_issue 10
container_start_page 1859
container_title Movement disorders
container_volume 26
creator Heldman, Dustin A.
Giuffrida, Joseph P.
Chen, Robert
Payne, Megan
Mazzella, Filomena
Duker, Andrew P.
Sahay, Alok
Kim, Sang Jin
Revilla, Fredy J.
Espay, Alberto J.
description Bradykinesia encompasses slowness, decreased movement amplitude, and dysrhythmia. Unified Parkinson's Disease Rating Scale–based bradykinesia‐related items require that clinicians condense abnormalities in speed, amplitude, fatiguing, hesitations, and arrests into a single score. The objective of this study was to evaluate the reliability of a modified bradykinesia rating scale, which separately assesses speed, amplitude, and rhythm and its correlation with kinematic measures from motion sensors. Fifty patients with Parkinson's disease performed Unified Parkinson's Disease Rating Scale–directed finger tapping, hand grasping, and pronation–supination while wearing motion sensors. Videos were rated blindly and independently by 4 clinicians. The modified bradykinesia rating scale and Unified Parkinson's Disease Rating Scale demonstrated similar inter‐ and intrarater reliability. Raters placed greater weight on amplitude than on speed or rhythm when assigning a Unified Parkinson's Disease Rating Scale score. Modified bradykinesia rating scale scores for speed, amplitude, and rhythm correlated highly with quantitative kinematic variables. The modified bradykinesia rating scale separately captures bradykinesia components with interrater and intrarater reliability similar to that of the Unified Parkinson's Disease Rating Scale. Kinematic sensors can accurately quantify speed, amplitude, and rhythm to aid in the development and evaluation of novel therapies in Parkinson's disease. © 2011 Movement Disorder Society
doi_str_mv 10.1002/mds.23740
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Disord</addtitle><description>Bradykinesia encompasses slowness, decreased movement amplitude, and dysrhythmia. Unified Parkinson's Disease Rating Scale–based bradykinesia‐related items require that clinicians condense abnormalities in speed, amplitude, fatiguing, hesitations, and arrests into a single score. The objective of this study was to evaluate the reliability of a modified bradykinesia rating scale, which separately assesses speed, amplitude, and rhythm and its correlation with kinematic measures from motion sensors. Fifty patients with Parkinson's disease performed Unified Parkinson's Disease Rating Scale–directed finger tapping, hand grasping, and pronation–supination while wearing motion sensors. Videos were rated blindly and independently by 4 clinicians. The modified bradykinesia rating scale and Unified Parkinson's Disease Rating Scale demonstrated similar inter‐ and intrarater reliability. 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source MEDLINE; Wiley Journals
subjects Aged
Aged, 80 and over
Biological and medical sciences
Biomechanical Phenomena
bradykinesia
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Disability Evaluation
Hand Strength
Humans
Hypokinesia - diagnosis
Hypokinesia - etiology
KinetiSense
Medical sciences
Middle Aged
modified bradykinesia rating scale
Motion Perception
Neurologic Examination
Neurology
Parkinson Disease - complications
Parkinson's disease
Psychomotor Performance
Reproducibility of Results
Severity of Illness Index
Statistics as Topic
Unified Parkinson's Disease Rating Scale
Videotape Recording
title The modified bradykinesia rating scale for Parkinson's disease: Reliability and comparison with kinematic measures
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