Assessing the Severity of Cervical Dystonia: Ask the Doctor or Ask the Patient?-Reference-Cited by-同舟云学术

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

Published:2023-08-03 Issue:9 Volume:10 Page:1399-1403
ISSN:2330-1619
Container-title:Movement Disorders Clinical Practice
language:en
Short-container-title:Movement Disord Clin Pract

Author:

Cotton Adam C.¹,Scorr Laura¹,McDonald William²,Comella Cynthia³,Perlmutter Joel S.⁴,Goetz Christopher G.³,Jankovic Joseph⁵,Marsh Laura⁶,Factor Stewart¹,Jinnah H.A.¹⁷

Affiliation:

1. Department of Neurology Emory University School of Medicine Atlanta Georgia USA

2. Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia USA

3. Department of Neurological Sciences Rush University Medical Center Chicago Illinois USA

4. Neurology, Radiology, Neuroscience, Physical Therapy and Occupational Therapy Washington University in St. Louis St. Louis Missouri USA

5. Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology Baylor College of Medicine Houston Texas USA

6. Department of Psychiatry and Neurology Baylor College of Medicine Houston Texas USA

7. Department of Human Genetics Emory University School of Medicine Atlanta Georgia USA

Abstract

ABSTRACTBackgroundAssessing 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.

Funder

National Center for Advancing Translational Sciences

National Institute of Neurological Disorders and Stroke

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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