Hooper J, Taylor R, Pentland B, Whittle I R
Department of Clinical Neurosciences, Western General Hospital, Edinburgh, United Kingdom.
Arch Phys Med Rehabil. 1998 Sep;79(9):1076-9. doi: 10.1016/s0003-9993(98)90174-5.
Assessment of movement disorders in patients with multiple sclerosis (MS) is difficult because of the complex nature of the movement disorders. The aim of this study was to determine the reliability of Fahn's Tremor Rating Scale (FTRS) in assessing movement disorders in patients with MS.
Videos were made of 10 patients with MS showing their rest, postural, action/intention, and goal-related movement disorders as well as their performance of spirometry, a volumetric task, and timed functional tasks. Ratings of tremor were carried out by one rater on two occasions 3 months apart and by 8 raters on one occasion using FTRS.
Intrarater reliability was generally very good, with no significant "drift" in ratings over time. Interrater reliability was generally good, with some variation in interpretation of scoring criteria that may reflect raters' backgrounds.
The FTRS is a reliable and potentially useful tool with which to assess movement disorders in patients with MS.
由于运动障碍的复杂性，对多发性硬化症（MS）患者的运动障碍进行评估较为困难。本研究的目的是确定法恩震颤评定量表（FTRS）在评估MS患者运动障碍方面的可靠性。
对10例MS患者进行录像，展示其静止、姿势、动作/意图和目标相关的运动障碍，以及他们的肺活量测定、容积任务和定时功能任务的表现。一名评估者在相隔3个月的两个时间点进行震颤评分，8名评估者在一个时间点使用FTRS进行评分。
评估者内信度总体上非常好，评分随时间没有显著“漂移”。评估者间信度总体良好，但在评分标准的解释上存在一些差异，这可能反映了评估者的背景。
FTRS是评估MS患者运动障碍的一种可靠且可能有用的工具。
