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NEUROLOGY 1985;35:73
© 1985 American Academy of Neurology

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

Robert E. Burke, Stanley Fahn, C. David Marsden, Susan B. Bressman, Carol Moskowitz and Joseph Friedman

Department of Neurology, The College of Physicians and Surgeons, Columbia University, New York; and the University Department of Neurology, Institute of Psychiatry and King's College Hospital Medical School (Dr. Marsden), London, UK.

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.

Address correspondence and reprint requests to Dr. Burke, Neurological Institute, 710 West 168th Street, New York, NY 10032.

This work was conducted at the Dystonia Clinical Research Center of Columbia University and was supported by The Dystonia Medical Research Foundation.

Accepted for publication April 4, 1984.




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