Fahn Tolosa Marin Tremor Rating Scale Pdf Plans

Reliability of a new scale for essential tremor Reliability of a new scale for essential tremor 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 2012-10-01 00:00:00 Background: The objective of this study was to determine the reliability of a new scale for the clinical assessment of essential tremor. The Essential Tremor Rating Assessment Scale contains 9 performance items that rate action tremor in the head, face, voice, limbs, and trunk from 0 to 4 in half‐point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters. Methods: Videos of 44 patients and 6 controls were rated by 10 specialists on 2 occasions 1–2 months apart. Inter‐ and intrarater reliability was assessed with a 2‐way random‐effects intraclass correlation, using an absolute agreement definition. Results: Inter‐ and intrarater intraclass correlations for head and upper‐limb tremor ranged from 0.86 to 0.96, and intraclass correlations for total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk, and leg were less robust.

Tremor was assessed by the Fahn-Tolosa-Marin Tremor Rating Scale at baseline 1 (before first implant), baseline 2 (before second implant), and at 6-month and 1-year follow-up. Blinded evaluations. Game 7 sins untuk android.

Conclusions: This scale is an exceptionally reliable tool for the clinical assessment of essential tremor. © 2012 Movement Disorder Society Movement Disorders Wiley http://www.deepdyve.com/lp/wiley/reliability-of-a-new-scale-for-essential-tremor-e14Fj0OHiV. Abstract Background: The objective of this study was to determine the reliability of a new scale for the clinical assessment of essential tremor. The Essential Tremor Rating Assessment Scale contains 9 performance items that rate action tremor in the head, face, voice, limbs, and trunk from 0 to 4 in half‐point intervals. Head and limb tremor ratings are defined by specific amplitude ranges in centimeters. Methods: Videos of 44 patients and 6 controls were rated by 10 specialists on 2 occasions 1–2 months apart. Inter‐ and intrarater reliability was assessed with a 2‐way random‐effects intraclass correlation, using an absolute agreement definition.

Results: Inter‐ and intrarater intraclass correlations for head and upper‐limb tremor ranged from 0.86 to 0.96, and intraclass correlations for total score were 0.94 and 0.96. The intraclass correlations for voice, face, trunk, and leg were less robust. Conclusions: This scale is an exceptionally reliable tool for the clinical assessment of essential tremor. © 2012 Movement Disorder Society Journal Movement Disorders – Wiley Published: Oct 1, 2012.

Introduction Tremor is among the most common movement disorders and is characterized by rhythmic oscillations of a part of the body around one or more joints. Methods of tremor assessment include simple clinical observation, standardized rating scales, objective clinical assessment of drawn figures, and computerized tremor analysis. A broad overview of tremor, and the relative advantages and disadvantages of tremor assessment methods are discussed below. As there are different kinds of tremor with numerous underlying causes, the process of tremor classification and evaluation is of critical importance to establish a correct diagnosis and initiate the most appropriate treatment. Classification of tremor Tremor can be most effectively classified based on the circumstances under which it occurs. Rest tremor can be distinguished from other forms of tremor based on its occurrence when the tremoring body part is completely supported against gravity without voluntary muscle contraction, in contrast to action tremor, which occurs with voluntary muscle contraction.

Action tremor can be further divided into postural or sustention tremor (occurring while maintaining a posture against gravity) and kinetic tremor (occurring during active movement). Kinetic tremor includes task-specific tremor and tremor that is specific to goal-directed movements ( intention tremor). It can also be associated with situations where there is active muscle contraction against a fixed object ( isometric tremor). While the tremors encountered in clinical practice are usually involuntary, patients can present with psychogenic tremor in isolation or in combination with other neurologic complaints of psychogenic origin, as in psychogenic parkinsonism. In addition to provoking circumstances, other tremor characteristics have been used to try to classify tremor (such as frequency, amplitude, or distribution).