Walters Arthur S, Frauscher Birgit, Allen Richard, Benes Heike, Chaudhuri K Ray, Garcia-Borreguero Diego, Lee Hochang B, Picchietti Daniel L, Trenkwalder Claudia, Martinez-Martin Pablo, Schrag Anette, Stebbins Glenn
Department of Neurology Vanderbilt University School of Medicine Nashville Tennessee USA.
Department of Neurology Medical University of Innsbruck Innsbruck Austria.
Mov Disord Clin Pract. 2014 Sep 30;1(4):317-324. doi: 10.1002/mdc3.12088. eCollection 2014 Dec.
Over the last decade, research in restless legs syndrome (RLS; also known as Willis-Ekbom disease) has increased dramatically. The International Parkinson and Movement Disorder Society commissioned a task force to formally evaluate the available evidence on severity rating scales in RLS. A literature search retrieved instruments specific to RLS. Each scale was evaluated by three criteria: (1) use in RLS; (2) use by research or clinical groups other than the group that developed the scale; and (3) formal validation and adequate clinimetric properties. Scales were then qualified as "recommended" when all three criteria were met, "suggested" when used for RLS but only one of the other criteria was met, and "listed" when only used in RLS. Details regarding the development, use, and psychometric properties of each instrument and the recommendations of the committee are summarized. The scale of the International Restless Legs Syndrome Study Group for rating the severity of RLS (International Restless Legs Scale or IRLS) and the Augmentation Severity Rating Scale fulfilled criteria for "recommended" instruments to assess severity. Future endeavors should include a validation of the Pediatric RLS Severity Scale, the only available instrument for evaluation of the severity of pediatric RLS, and a validation of a patient version of the IRLS that will not require the interface of a live interviewer.
在过去十年中，不宁腿综合征（RLS；也称为Willis-Ekbom病）的研究急剧增加。国际帕金森病和运动障碍协会委托一个特别工作组正式评估关于RLS严重程度评定量表的现有证据。文献检索找到了RLS特有的工具。每个量表通过三个标准进行评估：（1）在RLS中的使用情况；（2）量表开发者以外的研究或临床团体的使用情况；（3）正式验证和足够的临床测量学特性。当所有三个标准都满足时，量表被评为“推荐”；当用于RLS但仅满足其他标准之一时，被评为“建议”；当仅用于RLS时，被列为“列出”。总结了每个工具的开发、使用和心理测量学特性的详细信息以及委员会的建议。国际不宁腿综合征研究组用于评定RLS严重程度的量表（国际不宁腿量表或IRLS）和增剧严重程度评定量表符合“推荐”工具评定严重程度的标准。未来的工作应包括对儿科RLS严重程度量表（唯一可用于评估儿科RLS严重程度的工具）进行验证，以及对不需要现场访谈者介入的IRLS患者版进行验证。
