![]() Post B, Merkus MP, de Bie RM, de Haan RJ, Speelman JD (2005) Unified Parkinson’s disease rating scale motor examination: are ratings of nurses, residents in neurology, and movement disorders specialists interchangeable? Mov Disord 20(12):1577–1584 Ramaker C, Marinus J, Stiggelbout AM, Van Hilten BJ (2002) Systematic evaluation of rating scales for impairment and disability in Parkinson’s disease. LeMoyne R, Coroian C, Cozza M, Opalinski P, Mastroianni T, Grundfest W (2009) The merits of artificial proprioception, with applications in biofeedback gait rehabilitation concepts and movement disorder characterization. Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS).Unified Parkinson’s Disease Rating Scale (UPDRS).These findings enable the pathways for developing Network Centric Therapy, which is in essence the emergence of the Internet of Things for healthcare regarding the domains of robustly diagnosing severity of neurodegenerative movement disorders, such as Parkinson’s disease and Essential tremor. Successful testing and evaluation have even demonstrated the efficacy of deep brain stimulation systems for Parkinson’s disease and Essential tremor using a smartphone as a wearable and wireless inertial sensor system. The inertial signal (accelerometer and/or gyroscope) can readily record the intrinsic characteristics of tremor for both Parkinson’s disease and Essential tremor. A novel resolution is the introduction of wearable and wireless inertial sensor systems to objectively quantify movement disorder tremor. The reliability of ordinal scale systems has not been conclusively established, and interpretive disparity is apparent respective of experience. There are issues of concern regarding the application of ordinal scale approaches for determining the state of progressive neurodegenerative movement disorders, such as Parkinson’s disease and Essential tremor. The Fahn-Tolosa-Marin Tremor Rating Scale is prevalently applied for Essential tremor. The Unified Parkinson’s Disease Rating Scale (UPDRS) and upgraded Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) are commonly utilized for evaluating Parkinson’s disease severity. However, the issue is the uncertainty of translating the findings of one scale to another. Multiple ordinal scale systems exist for evaluating movement disorder symptoms. A clinician is tasked with the challenge of assigning an ordinal parameter based on a series of criteria to quantify a subjectively observed interpretation. Ordinal scale strategies are standardly applied to diagnose the severity of neurodegenerative movement disorders, such as Parkinson’s disease and Essential tremor. ![]()
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