Assessing the Severity of Cervical Dystonia: Ask the Doctor or Ask the Patient?

被引：4

作者：

Cotton, Adam C. ^{[1
]}

Scorr, Laura ^{[1
]}

McDonald, William ^{[2
]}

Comella, Cynthia ^{[3
]}

Perlmutter, Joel S. ^{[4
]}

Goetz, Christopher G. ^{[3
]}

Jankovic, Joseph ^{[5
,6
]}

Marsh, Laura ^{[7
]}

Factor, Stewart ^{[1
]}

Jinnah, H. A. ^{[1
,8
,9
]}

机构：

[1] Emory Univ, Sch Med, Dept Neurol, Atlanta, GA USA

[2] Emory Univ, Sch Med, Psychiat & Behav Sci, Atlanta, GA USA

[3] Rush Univ, Med Ctr, Dept Neurol Sci, Chicago, IL USA

[4] Washington Univ, Neurol Radiol Neurosci Phys Therapy & Occupat Ther, St Louis, MO USA

[5] Parkinsons Dis Ctr, Houston, TX USA

[6] Baylor Coll Med, Dept Neurol, Movement Disorders Clin, Houston, TX USA

[7] Baylor Coll Med, Dept Psychiat & Neurol, Houston, TX USA

[8] Emory Univ, Sch Med, Dept Human Genet, Atlanta, GA USA

[9] Emory Univ, Dept Neurol Human Genet & Pediat, Suite 6300 Woodruff Mem Bldg, 101 Woodruff Circle, Atlanta, GA 30322 USA

来源：

MOVEMENT DISORDERS CLINICAL PRACTICE | 2023年 / 10卷 / 09期

基金：

美国国家卫生研究院;

关键词：

dystonia; cervical dystonia; torticollis; depression; anxiety; patient-reported outcome measure; rating scale; OUTCOMES; HEALTH;

D O I：

10.1002/mdc3.13827

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BackgroundAssessing disease severity can be performed using either clinician-rated scales (CRS) or patient-rated outcome (PRO) tools. These two measures frequently demonstrate poor correlations. ObjectivesTo determine if the correlation between a CRS and PRO for motor features of cervical dystonia (CD) improves by accounting for non-motor features. MethodsSubjects with CD (N = 209) were evaluated using a CRS (Toronto Western Spasmodic Torticollis Rating Scale, TWSTRS) and a PRO (Cervical Dystonia Impact Profile, CDIP-58). ResultsLinear regression revealed a weak correlation between the two measures, even when considering only the motor subscales of each. The strength of this relationship improved with a regression model that included non-motor symptoms of pain, depression, and disability. ConclusionsThese results argue that the results of motor assessments in a PRO for CD cannot be fully appreciated without simultaneous assessment of non-motor co-morbidities. This conclusion might apply to other disorders, especially those with frequent non-motor co-morbidities.

引用

页码：1399 / 1403

页数：5

共 22 条

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