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Neurological Sciences

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Open Access 01-11-2023 | Torticollis Spasticus | Original Article

Content overlap of 91 dystonia symptoms among the seven most commonly used cervical dystonia scales

Authors: Adrian Andrzej Chrobak, Jakub Rusinek, Małgorzata Dec-Ćwiek, Karolina Porębska, Marcin Siwek

Published in: Neurological Sciences | Issue 4/2024

Abstract

Introduction

Dystonia is a movement disorder characterized by sustained or intermittent muscle contractions. Cervical dystonia (CD) is the most common focal dystonia. There are several instruments assessing the symptoms of CD. However, different scales assess different features which may lead to poor patient evaluation.

Aim

The aim of the study was to evaluate the degree of overlap of most often used CD rating scales identified by the literature review.

Methods

A thorough search of the Medline database was conducted in September 2021. Then the frequency of each scale was calculated, and 7 most common scales were included in the content overlap analysis using Jaccard index (0 – no overlap, 1 – full overlap).

Results

Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), Tsui score, Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS), Cervical Dystonia Impact Profile 58 (CDIP-58), Craniocervical Dystonia Questionnaire 24 (CDQ-24), Cervical Dystonia Severity Rating Scale (CDSS), Cervical Dystonia Severity Rating Scale (DDS) and The Dystonia Non-Motor Symptoms Questionnaire (DNMSQuest) were the most common scales. 91 CD symptoms were distinguished from 134 items used in the scales. The mean overlap among all scales was 0.17. 52 (62%) symptoms were examined by more than one scale. The CIDP-58 captured the highest number of symptoms (63.0%), while the CDSS captured the lowest number (8.0%). None of the symptoms were examined by seven instruments.

Conclusions

There was a very weak overlap among scales. High inconsistency between the scales may lead to highly different dystonia severity assessment in clinical practice. Thus, the instruments should be combined.

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Title: Content overlap of 91 dystonia symptoms among the seven most commonly used cervical dystonia scales
Authors: Adrian Andrzej Chrobak
Jakub Rusinek
Małgorzata Dec-Ćwiek
Karolina Porębska
Marcin Siwek
Publication date: 01-11-2023
Publisher: Springer International Publishing
Keywords: Torticollis Spasticus
Dystonia
Movement Disorder
Published in: Neurological Sciences / Issue 4/2024
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-023-07157-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Content overlap of 91 dystonia symptoms among the seven most commonly used cervical dystonia scales

Abstract

Introduction

Aim

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Aim

Methods

Results

Conclusions

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