(11) Caveats Many items of the FahnTolosaMarín Clinical Rating Scale 18 and the Essential Tremor Rating Assessment Scale 17 have metric anchors for ratings 0 to 4, and the defined range of amplitudes for each rating increases nonlinearly ( Figure 2 ). Interrater reliability was generally good, with some variation in interpretation of scoring criteria that may reflect raters' backgrounds.Ĭonclusion: The FTRS is a reliable and potentially useful tool with which to assess movement disorders in patients with MS. The fractional change in tremor estimated with this 12point subscale is given in equation 11. Results: Intrarater reliability was generally very good, with no significant “drift” in ratings over time. The value of ranged from 0.414 to 0.441 for writing, 0.3550.574 for spiral drawing, 0.441 to 0.488 for rest tremor, 0.2660.577 for postural tremor and 0.306 for fingernose testing. Ratings of tremor were carried out by one rater on two occasions 3 months apart and by 8 raters on one occasion using FTRS. Method: Videos were made of 10 patients with MS showing their rest, postural, action/intention, and goal-related movement disorders as well as their performance of spirometry, a volumetric task, and timed functional tasks. The aim of this study was to determine the reliability of Fahn's Tremor Rating Scale (FTRS) in assessing movement disorders in patients with MS. Objective: Assessment of movement disorders in patients with multiple sclerosis (MS) is difficult because of the complex nature of the movement disorders.
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