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原发性扭转性肌张力障碍评定量表的效度和信度

Validity and reliability of a rating scale for the primary torsion dystonias.

作者信息

Burke R E, Fahn S, Marsden C D, Bressman S B, Moskowitz C, Friedman J

出版信息

Neurology. 1985 Jan;35(1):73-7. doi: 10.1212/wnl.35.1.73.

DOI:10.1212/wnl.35.1.73
PMID:3966004
Abstract

For quantitative assessment of the primary torsion dystonias, a rating scale is proposed that has two sections--a Movement Scale, based on examination, and a Disability Scale, based on the patient's statements about seven activities of daily living. We assessed the validity of the Movement Scale by comparing scores with a ranking of patients according to dystonia severity and with ratings of the patients on the Disability Scale. In addition, we assessed the inter-and intra-rater reliability of the scale by comparing independent scorings of patients by four examiners and by comparing scorings by the same examiners performed at different times. We found that the Movement Scale was a valid and reliable indicator of the severity of primary torsion dystonia.

摘要

为了对原发性扭转性肌张力障碍进行定量评估,我们提出了一种评分量表,该量表有两个部分——一个基于检查的运动量表,以及一个基于患者对七项日常生活活动陈述的残疾量表。我们通过将分数与根据肌张力障碍严重程度对患者进行的排名以及患者在残疾量表上的评分进行比较,评估了运动量表的有效性。此外,我们通过比较四位检查者对患者的独立评分以及比较同一检查者在不同时间进行的评分,评估了该量表评分者间和评分者内的可靠性。我们发现运动量表是原发性扭转性肌张力障碍严重程度的一个有效且可靠的指标。

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1
Validity and reliability of a rating scale for the primary torsion dystonias.原发性扭转性肌张力障碍评定量表的效度和信度
Neurology. 1985 Jan;35(1):73-7. doi: 10.1212/wnl.35.1.73.
2
[Movement disorders: dystonias which are apparently psychosomatic. Torsion dystonias].[运动障碍:明显心身性的肌张力障碍。扭转性肌张力障碍]
Rev Neurol. 1999 Feb;28 Suppl 2:S192-4.
3
[Evaluation and diagnosis of torsion dystonia].[扭转肌张力障碍的评估与诊断]
Rev Med Univ Navarra. 1991 Jul-Sep;36(3):29-34.
4
The movement-related cortical potential is abnormal in patients with idiopathic torsion dystonia.特发性扭转性肌张力障碍患者的运动相关皮层电位异常。
Mov Disord. 1995 Sep;10(5):630-3. doi: 10.1002/mds.870100516.
5
[The physiopathological mechanisms of dystonias and dyskinesias (torsion dystonias, ballism, chorea, athetosis). Critical analysis on the basis of experimental and stereotactic experiences].[肌张力障碍和运动障碍(扭转性肌张力障碍、颤搐、舞蹈症、手足徐动症)的生理病理机制。基于实验和立体定向经验的批判性分析]
Schweiz Arch Neurol Neurochir Psychiatr. 1960;85:100-39.
6
[Idiopathic torsion dystonia].[特发性扭转性肌张力障碍]
Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(6):81-6.
7
[Dystonia (author's transl)].[肌张力障碍(作者译)]
No To Shinkei. 1976 Jul;28(7):622-9.
8
The idiopathic dystonias. A note on their orthopaedic presentation.特发性肌张力障碍。关于其骨科表现的一则笔记。
J Bone Joint Surg Br. 1983 Jan;65(1):51-4. doi: 10.1302/0301-620X.65B1.6822602.
9
The dystonias.肌张力障碍
Curr Opin Neurol Neurosurg. 1992 Jun;5(3):301-7.
10
Motor inhibition from the brainstem is normal in torsion dystonia during REM sleep.快速眼动睡眠期间,扭转性肌张力障碍患者脑干的运动抑制功能正常。
J Neurol Neurosurg Psychiatry. 1991 Feb;54(2):140-4. doi: 10.1136/jnnp.54.2.140.

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