Comparison of ten sequential online motor assessment of patients with Parkinson disease by multiple raters in different locations
Description
Detection of movements in the extremities of people with Parkinson disease was developed to enhance clinical assessments. This data represents the administration of online motor assessments to detect the movements in the extremities of people with Parkinson's disease by examiners certified in the Movement Disorders Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) (Goetz, et al., 2008). Ten trained raters who were certified in the administration of the Movement Disorders Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) (Goetz, et al., 2008) conducted 10 online motor assessments for one patient with Parkinson disease. Each rater utilized a separate computer at different location in three continents. At the beginning of each session the patient was asked for his permission to record the session. Second, the investigator asked the patient about the current medications and weight. Third, the investigator announced each motor assessment by saying the number and the name of each task before conducting the task for all of the raters. Fourth, the investigator gave the patient the specific instructions for each task, demonstrated each task, and asked the participant to begin the task. The investigator didn't continue to demonstrate the task after the participant began the task. For the repetitive items the investigator asked the participant to perform the activities as fully and as fast as possible. After performing each task the raters were given one minute to write their scores. This process was repeated for all of the tasks. At the conclusion of the session the participant was excused after setting the next session date, and then all of the raters shared their scores with the investigator by email. Finally the investigator conducted a consensus conference to attain agreement on each score for each task. One expert certified in the MDS-UPDRS (Goetz, et al., 2008) edited the original videotapes to extract only the administration of each task.The videotape segments correspond to the tasks of the protocol (3.17RTU: 3.17 Rest tremor amplitude upper limbs, 3.17RTUC: 3.17 Rest tremor amplitude upper limbs counting, 3.15PT: 3.15 Postural tremor of the hands, 3.4FT: 3.4 Finger tapping, 3.5HM: 3.5 Hand movements, 3.6PS: 3.6 Pronation-supination movements of the hands, 3.9ACU: 3.9 Arising from chair upper limbs).
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Ten trained raters who were certified in the administration of the Movement Disorders Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) (Goetz, et al., 2008) conducted 10 online motor assessments for one patient with Parkinson disease. Each rater utilized a separate computer at different location in three continents. At the beginning of each session the patient was asked for his permission to record the session. Second, the investigator asked the patient about the current medications and weight. Third, the investigator announced each motor assessment by saying the number and the name of each task before conducting the task for all of the raters. Fourth, the investigator gave the patient the specific instructions for each task, demonstrated each task, and asked the participant to begin the task. The investigator didn't continue to demonstrate the task after the participant began the task. For the repetitive items the investigator asked the participant to perform the activities as fully and as fast as possible. After performing each task the raters were given one minute to write their scores. This process was repeated for all of the tasks. At the conclusion of the session the participant was excused after setting the next session date, and then all of the raters shared their scores with the investigator by email. Finally the investigator conducted a consensus conference to attain agreement on each score for each task. An examiner certified in the MDS-UPDRS (Goetz, et al., 2008) calculated percentage agreement for each of the tasks (3.17RTU: 3.17 Rest tremor amplitude upper limbs, 3.17RTUC: 3.17 Rest tremor amplitude upper limbs counting, 3.15PT: 3.15 Postural tremor of the hands, 3.4FT: 3.4 Finger tapping, 3.5HM: 3.5 Hand movements, 3.6PS: 3.6 Pronation-supination movements of the hands, 3.9ACU: Arising from the chair for the upper limbs). The change in percentage agreement (second five sessions minus first five sessions) was calculated as follows: ( 3.17RTUC = + 2%, 3.15 PT = + 32%, 3.4FT = +29%, 3.5HM = -2%, 3.6PS = -1% )