Comparison of Live and Remote Video Ratings of the Scale for Assessment and Rating of Ataxia

Author:

Taheri Amin Arian12ORCID,Faber Jennifer12,Önder Demet12,Kimmich Okka12,Synofzik Matthis34ORCID,Ashizawa Tetsuo5ORCID,Klockgether Thomas12,Grobe‐Einsler Marcus12ORCID

Affiliation:

1. German Center for Neurodegenerative Diseases (DZNE) Bonn Germany

2. Department of Neurology University Hospital Bonn Bonn Germany

3. Division Translational Genomics of Neurodegenerative Diseases Hertie‐Institute for Clinical Brain Research and Center of Neurology, University of Tübingen Tübingen Germany

4. German Center for Neurodegenerative Diseases (DZNE) Tübingen Germany

5. Houston Methodist Research Institute and Department of Neurology, Houston Methodist Neurological Institute Houston Texas USA

Abstract

AbstractBackgroundVideo recordings of neurological examinations are often used in clinical trials. The Scale for Assessment and Rating of Ataxia (SARA) is a widely used clinical scale for ataxic patients. Despite several advantages of video ratings, correlation between live ratings and remote video‐ratings has not been systematically investigated.ObjectiveTo compare live and remote video assessment of SARA.MethodsFull SARA examinations of 69 patients with cerebellar ataxia were recorded on video. Live rating from site investigators were compared with remote video rating of three experienced ataxia clinicians using Bland–Altman analysis.ResultsLive and remote video ratings showed a high level of agreement for the complete score (bias = 0.09, with standard deviation = 2.00) and all single SARA items (bias <0.20 for all items).ConclusionRemote video ratings of SARA are a reliable means to assess severity of ataxia.

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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