A sensitive and semi-quantitative pediatric myoclonus evaluation scale
| Autor: | M. R. Prantelli, H. Ho, A. Kim, Elizabeth Tate |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Myoclonus congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Adolescent Nursing Diagnosis Nursing assessment Validity Epilepsies Myoclonic Progressive myoclonus epilepsy Audiology Ocular Motility Disorders mental disorders Medicine Humans Young adult Child Nursing Assessment Neurologic Examination Observer Variation Endocrine and Autonomic Systems business.industry Reproducibility of Results Scale (music) medicine.disease nervous system diseases Medical–Surgical Nursing Etiology Surgery Female Neurology (clinical) medicine.symptom business Semi quantitative Follow-Up Studies |
| Zdroj: | The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses. 27(5) |
| ISSN: | 0888-0395 |
| Popis: | One of the difficulties in evaluating myoclonus in childhood is the lack of a standardized scale which addresses the constraints of pediatric scoring. The scale needs to be simple and rapid as well as sensitive and semi-quantitative and applicable across different ages. We videotaped children and young adults with myoclonus of various etiologies, such as progressive myoclonus epilepsy, opsoclonus-myoclonus and other acquired etiologies, and scored the videotapes using a new scale. Each clinical type of myoclonus (spontaneous, action and sensory-evoked myoclonus) was graded separately on a five-point scale for severity, intensity and distribution. Data were evaluated as separate scores and also combined for a total score. Validity and reliability were tested using a judge panel of three blinded, trained observers. Action myoclonus was the predominant form of myoclonus in our patients, and was significantly greater than spontaneous and sensory-evoked myoclonus in frequency, intensity and distribution. Separate statistical analysis performed for progressive myoclonus epilepsy and for opsoclonus-myoclonus showed the same pattern. Total scores between etiologies of myoclonus for frequency and distribution categories were significantly different. Subscores and total scores were highly correlated. We found the new scale to be flexible and adaptable for children and there were few missing values due to non-applicability of a scale item. It was useful for all pediatric age groups. The scale and videotape instructions provide a reliable tool for use in pediatric myoclonic disorders. |
| Databáze: | OpenAIRE |
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