Feasibility of Sequential Online Motor Assessment of Patients With Parkinson Disease by Multiple Raters in Different Locations

UID: 10681

* Corresponding Author
Description
This study recruited 20 remote raters who were certified in the administration of the Movement Disorders Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS). The objective was to determine the feasibility of a procedure for conducting sequential online motor assessments for one patient with Parkinson's disease. Each session followed the same protocol led by the principal investigator. To start, the patient was asked for permission to record the session and for information about current medications and weight. Then the investigator announced each motor assessment with the number and name of the task before conducting the task for all of the remote raters. The investigator provided specific instructions for each task and a demonstration before the participant was asked to begin the task. For the repetitive tasks, the participant was asked to perform the activities as fully and quickly as possible. Raters were asked to independently score each item immediately after it was performed without consultation with others. The raters were given one minute to determine their scores. This process was repeated for all of the tasks and scoring areas: observation of rest tremor amplitude upper limbs, observation of rest tremor amplitude upper limbs counting, observation of postural tremor of the hands, finger tapping, hand movements, pronation-supination movements of hands, and arising from the chair with the upper limbs. At the conclusion of each session, raters shared their scores with the investigator by email. After all sessions were completed, the investigator conducted a conference to attain agreement by consensus on a score for each task. An examiner certified in the MDS-UPDRS also calculated the percentage agreement for each of the tasks.
Subject of Study
Subject Domain
Population Age
Senior (65 years - 79 years)
Keywords