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Scales for hyperkinetic disorders: A systematic review.

Sara Pietracupa1, Elisa Bruno2, Andrea E Cavanna3

  • 1Department of Neurology and Psychiatry, Sapienza University of Rome, Italy.

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|October 3, 2015
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Summary
This summary is machine-generated.

This review systematically evaluated clinical rating scales for hyperkinetic movement disorders. While several recommended scales exist for tics and dystonia, a significant gap remains for myoclonus assessment.

Keywords:
DyskinesiaDystoniaMyoclonusScalesTicsTremor

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Area of Science:

  • Neurology
  • Movement Disorders
  • Clinical Assessment

Background:

  • Hyperkinetic movement disorders are characterized by involuntary movements.
  • Accurate assessment of disorder severity is crucial for natural history studies and therapeutic intervention evaluation.
  • Existing clinical evaluation methods are challenged by the variable nature of involuntary movements.

Purpose of the Study:

  • To systematically identify and classify clinical rating scales for hyperkinetic movement disorders.
  • To evaluate these scales based on Movement Disorder Society (MDS) criteria.
  • To determine the availability of 'Recommended' scales for various hyperkinetic conditions.

Main Methods:

  • Systematic literature review of published clinical scales for hyperkinetic disorders.
  • Classification of scales using Movement Disorder Society (MDS) task force criteria for rating scales.
  • Evaluation of clinimetric properties, availability, and administration effort.

Main Results:

  • Numerous scales for hyperkinetic disorders exist, but exhibit high variability in clinimetric properties, availability, and effort.
  • The study identified 'Recommended' scales for assessing various hyperkinetic disorders.
  • Availability of 'Recommended' scales varies significantly, with tics and dystonia having multiple options, while myoclonus has only one.

Conclusions:

  • There is a need for improved and new clinical rating tools for hyperkinetic movement disorders.
  • The scientific community must address the identified gaps in scale availability, particularly for myoclonus.
  • Refinement of existing scales and development of novel instruments are essential for advancing the field.