Reliability of a new scale for essential tremor.

Reliability of a new scale for essential tremor.
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DOI:
10.1002/mds.25162
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发表时间:
2012-10
期刊:
影响因子:
8.6
通讯作者:
Zesiewicz, Theresa
Zesiewicz, Theresa
中科院分区:
医学1区
文献类型:
--
作者:
Elble, Rodger;Comella, Cynthia;Fahn, Stanley;Hallett, Mark;Jankovic, Joseph;Juncos, Jorge L.;LeWitt, Peter;Lyons, Kelly;Ondo, William;Pahwa, Rajesh;Sethi, Kapil;Stover, Natividad;Tarsy, Daniel;Testa, Claudia;Tintner, Ron;Watts, Ray;Zesiewicz, Theresa

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确定一种新的特发性震颤临床评估量表的可靠性。特发性震颤等级评定量表包含九个表现项目,以0.5分的间隔对头部、面部、声音、四肢和躯干的行动性震颤进行0-4分的评分。头部和四肢震颤的等级是由特定的幅度范围来定义的,以厘米为单位。44名患者和6名对照组的视频由10名专家分两次评估,间隔1-2个月。使用绝对一致定义,用双向随机效应类内相关性评估了评级间和评级内的信度。头肢和上肢震颤的分级内相关性为0.86 ~ 0.96,总分的分级内相关性为0.94和0.96。声音、面部、躯干和腿在班级内的相关性就不那么强了。这个量表是临床评估特发性震颤的一个非常可靠的工具。
To determine the reliability of a new scale for the clinical assessment of essential tremor. 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. 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. 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. This scale is an exceptionally reliable tool for the clinical assessment of essential tremor.
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