Eur J Paediatr Neurol. Sep;16(5) doi: / Epub Jan Beyond the Burke-Fahn-Marsden Dystonia Rating Scale. Burke RE, Fahn S, Marsden CD, Bressman SB, Moskowitz C, Friedman J. Validity and reliability of a rating scale for the primary torsion dystonias. Download Table | Burke-Fahn-Marsden Dystonia Rating Scale from publication: Early Globus Pallidus Internus Stimulation in Pediatric Patients With.

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Fahn-Marsden Dystonia Rating Scale (FMDRS)

This review is part of a process to assess scales currently in use for evaluating clinical aspects of movement disorders. Relationship between various clinical outcome assessments in patients bburke blepharospasm. The following criteria were specifically distilled from the available evidence.

Return to participation – significant improvement after bilateral pallidal stimulation in rapidly progressive DYT-1 dystonia.

FMDRS – Fahn-Marsden Dystonia Rating Scale

Scale application in dystonia The FMDRS was originally established for the clinical assessment of primary torsion dystonia in adults Botulinum toxin treatment of adductor spasmodic dysphonia: Efficacy and safety of repeated doses of botulinum toxin type B in type A resistant and responsive cervical dystonia. Botulinum toxin versus trihexyphenidyl in cervical dystonia: The severity scale, clinician-rated, is composed of 11 items that assess head movements, duration of symptoms, effects of sensory tricks, shoulder elevation and anterior displacement, range of motion, and time in neutral position; the maximal score is The validity of the French translation has been confirmed, although the quality of translation needs further improvements Pablo Martinez-Martin Research project conception and execution, organization, manuscript review.

It was developed rsting use in clinical research, audit, and treatment trials. Efficacy burme safety of botulinum type A toxin Dysport in cervical dystonia: The scale focuses on daily activities and is ease of use; the scoring system is also rather simple. It was developed for use in clinical research Concern has been raised regarding poor sensitivity of the scale to mild disability or small changes We did not consider scales and questionnaires specifically designed for secondary dystonias or requiring measurement devices.


It was developed to determine the level of disability experienced by patients with different voice disorders The CDQ has been used by multiple groups to measure the impact on quality of life of focal, segmental and even generalized dystonia 16 and also as a HRQoL karsden to assess responsiveness to treatment-induced changes 60 A systematic literature review was conducted to identify rating scales that have either been validated marsdden used in dystonia.

Rush University Medical Center. Medline on PubMed was systematically searched for relevant papers published up to June using the following query: It is available only in English, although the scale has been used extensively in Europe and Israel.

In the development and validation study performed on a heterogeneous set of disorders 63the VHI proved to have good internal consistency and good test-retest reliability for subscales and total scores.

Hemidystonia secondary to thalamic hemorrhage treated with GPi stimulation. The VHI is a simple and efficient scale, but as a disability scale, it has no discriminant value and is not specific for dystonia. Therapy with botulinum toxin. Rimabotulinum toxin B effects on pain associated with cervical dystonia: Use of acupuncture for the treatment of adductor spasmodic dysphonia: Eight scales were excluded, because evaluating secondary dystonia, requiring measurement devices, or having no potential use in dystonia.

Hussain Ratinb, Shakeel M. Arch Otolaryngol Head Neck Surg. Efficacy and safety of incobotulinum toxin A NTXeomin in the treatment of blepharospasm-a randomized trial. Bilateral deep brain stimulation for cervical dystonia: Future directions will encompass the refinement of ratung rating scales to include various specific motor as well as non-motor features of dystonia 3and fuller clinimetric assessment for oromandibular, arm, and task-specific dystonias.

In generalised dystonia the trunk and at least two other sites are involved 3whereas hemidystonia affects the body and limbs on one side. Please review our privacy policy.

VHI has been used to measure outcomes after interventions for a broad range of laryngeal disorders, including cancer and mass lesions, vocal fold polyps and cysts, and laryngeal dystonia 65 — The VPQ is a questionnaire designed to allow patients to consider aspects of their own vocal performance and rate their severity.


Bilateral deep brain stimulation for cervical dystonia in patients with previous peripheral surgery. However, growing evidence indicates the importance of non-motor component to dystonia, including abnormalities in sensory and perceptual functions, as well as neuropsychiatric, cognitive and sleep domains 4.

Safety and efficacy of NeuroBloc botulinum toxin type B in type A- resistant cervical dystonia.

Scale Selection Process and Literature Search Strategy We considered fajn scales and questionnaires that have either been designed or used to rate dystonia, and in addition scales and questionnaires that, based on literature review and expert evaluation, have rystonia utility in dystonia based on their content, their widespread use, and clinimetric evidence from studies in patients without dystonia.

Initial discussions among these task force members were on the construct to be reviewed, in the case its concept was not universally accepted.

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The quality and accuracy of the pre-treatment assessment and the choice of assessment tools are crucial as they will affect all subsequent post-treatment comparisons. Leentjens The author has received research grants from the Michael J Fox Foundation and the Stichting Internationaal Parkinson Fonds, and received compensation for a hurke from Benecke Consultants.

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Use by multiple groups outside the original developers The CDIP has been used to measure the health impact of cervical dystonia and the impact of treatment in cervical dystonia 15 — Determinants and status of quality of life after long-term botulinum toxin therapy for cervical dystonia.

National Center for Biotechnology InformationU. Abstract Background Many rating scales have been applied to the evaluation of dystonia, but only few have been assessed for clinimetric properties. Epidural premotor cortical stimulation in primary focal dystonia:

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