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Clinical rating of dyskinesias in Parkinson's disease: use and reliability of a new rating scale

Hagell, Peter LU and Widner, Håkan LU (1999) In Movement Disorders 14(3). p.448-455
Abstract
Drug-induced dyskinesias (DID) manifested as hyperkinetic and/or dystonic movements or postures are common problems in Parkinson's disease (PD). Novel therapeutic interventions may offer possibilities to counteract these common adverse effects of an otherwise necessary treatment. To be able to evaluate the effects of such interventions on DID, reliable and relevant clinical assessment tools are needed. We tested the inter- and intrarater reliability of a new clinical dyskinesia rating scale consisting of separate ratings of different body parts, including lateralization and separate ratings of dystonia and hyperkinesias. Interrater reliability was tested both with and without a defined scoring code and clarification of the dystonia... (More)
Drug-induced dyskinesias (DID) manifested as hyperkinetic and/or dystonic movements or postures are common problems in Parkinson's disease (PD). Novel therapeutic interventions may offer possibilities to counteract these common adverse effects of an otherwise necessary treatment. To be able to evaluate the effects of such interventions on DID, reliable and relevant clinical assessment tools are needed. We tested the inter- and intrarater reliability of a new clinical dyskinesia rating scale consisting of separate ratings of different body parts, including lateralization and separate ratings of dystonia and hyperkinesias. Interrater reliability was tested both with and without a defined scoring code and clarification of the dystonia section. The nondefined version was also tested for intrarater reliability. Thirteen raters independently reviewed 23 videotape sequences showing PD patients performing standardized motor tests. Inter- and intrarater agreement was significant in all evaluations, and no differences were detected when comparing ratings performed with the defined and nondefined version of the scale. The rationale for, and the role and use of, the present scale are addressed. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Hyperkinesias, Dyskinesias, Parkinson's disease, Dystonia, Rating, Reliability
in
Movement Disorders
volume
14
issue
3
pages
448 - 455
publisher
John Wiley & Sons
external identifiers
  • pmid:10348468
  • scopus:0033408427
ISSN
0885-3185
DOI
10.1002/1531-8257(199905)14:3<448::AID-MDS1010>3.0.CO;2-0
language
English
LU publication?
yes
id
3c304900-f9d2-421f-8c16-67bcaa5c8ccd (old id 1114631)
date added to LUP
2008-07-04 14:29:17
date last changed
2017-09-24 03:33:32
@article{3c304900-f9d2-421f-8c16-67bcaa5c8ccd,
  abstract     = {Drug-induced dyskinesias (DID) manifested as hyperkinetic and/or dystonic movements or postures are common problems in Parkinson's disease (PD). Novel therapeutic interventions may offer possibilities to counteract these common adverse effects of an otherwise necessary treatment. To be able to evaluate the effects of such interventions on DID, reliable and relevant clinical assessment tools are needed. We tested the inter- and intrarater reliability of a new clinical dyskinesia rating scale consisting of separate ratings of different body parts, including lateralization and separate ratings of dystonia and hyperkinesias. Interrater reliability was tested both with and without a defined scoring code and clarification of the dystonia section. The nondefined version was also tested for intrarater reliability. Thirteen raters independently reviewed 23 videotape sequences showing PD patients performing standardized motor tests. Inter- and intrarater agreement was significant in all evaluations, and no differences were detected when comparing ratings performed with the defined and nondefined version of the scale. The rationale for, and the role and use of, the present scale are addressed.},
  author       = {Hagell, Peter and Widner, Håkan},
  issn         = {0885-3185},
  keyword      = {Hyperkinesias,Dyskinesias,Parkinson's disease,Dystonia,Rating,Reliability},
  language     = {eng},
  number       = {3},
  pages        = {448--455},
  publisher    = {John Wiley & Sons},
  series       = {Movement Disorders},
  title        = {Clinical rating of dyskinesias in Parkinson's disease: use and reliability of a new rating scale},
  url          = {http://dx.doi.org/10.1002/1531-8257(199905)14:3<448::AID-MDS1010>3.0.CO;2-0},
  volume       = {14},
  year         = {1999},
}