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评估震颤严重程度。

Assessing tremor severity.

作者信息

Bain P G, Findley L J, Atchison P, Behari M, Vidailhet M, Gresty M, Rothwell J C, Thompson P D, Marsden C D

机构信息

MRC Human Movement and Balance Unit, Institute of Neurology, London, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1993 Aug;56(8):868-73. doi: 10.1136/jnnp.56.8.868.

Abstract

A clinical rating scale which measured the severity of tremor in 20 patients (12 with essential tremor and 8 with "dystonic" tremor) was assessed at specific anatomical sites for both inter and intra-rater reliability using four raters. The scores obtained with the scale were compared with the results of upper limb accelerometry, an activity of daily living self-questionnaire and estimates of the tremor induced impairment in writing and drawing specimens. The results show that, for the purposes of routine assessment and therapeutic trials, a clinical rating scale can produce reliable results which are a more valid index of tremor induced disability than standard postural accelerometry.

摘要

一种临床评定量表对20名患者(12名特发性震颤患者和8名“肌张力障碍性”震颤患者)的震颤严重程度进行了测量,使用4名评定者在特定解剖部位评估了评定者间和评定者内的可靠性。将该量表获得的分数与上肢加速度测量结果、日常生活自我调查问卷结果以及书写和绘画样本中震颤引起的损伤估计值进行了比较。结果表明,就常规评估和治疗试验而言,临床评定量表能够产生可靠的结果,与标准姿势加速度测量相比,它是震颤引起的残疾的更有效指标。

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