Through the Looking Glass: Remote Versus In-Person Videotaped Neurologic Assessment of Essential Tremor.
Mov Disord Clin Pract
; 9(1): 87-90, 2022 Jan.
Article
in English
| MEDLINE | ID: covidwho-1536166
ABSTRACT
BACKGROUND:
Remote assessment of essential tremor (ET) is unverified.OBJECTIVES:
To compare assigned tremor scores from a remote videotaped research protocol with those from an in-person videotaped research protocol and assess the validity of remote and in-person videotape-based diagnoses when compared against the intake diagnosis (ET vs. control).METHODS:
Participants with intake diagnoses of ET (11) or controls (15) completed a tremor examination that was filmed both remotely and in person.RESULTS:
Agreement between the tremor ratings assigned during remote and in-person videos was substantial (composite κw, 0.67; mean Gwet's AC2 score, 0.92; mean percent agreement, 63.7%). In ET cases with less severe tremor, agreement was lower (p = 0.008). Diagnostic validity was high for both remote and in-person videos compared to the intake diagnosis.CONCLUSIONS:
Remote video is a reasonable alternative to in-person video for the assessment of tremor severity and assignment of ET diagnoses. However, at low tremor amplitudes, agreement declines.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Mov Disord Clin Pract
Year:
2022
Document Type:
Article
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