ReviewJournal of neural transmission (Vienna, Austria : 1996)2013
Rating scales for cervical dystonia: a critical evaluation of tools for outcome assessment of botulinum toxin therapy.
Review in Journal of neural transmission (Vienna, Austria : 1996), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
48 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Physiotherapy for Cervical Dystonia: A Systematic Review of Randomised Controlled Trials.Toxins · 2022Pooled it
- Use of AbobotulinumtoxinA in Adults with Cervical Dystonia: A Systematic Literature Review.Toxins · 2020Pooled it
- Deep Brain Stimulation Versus Peripheral Denervation for Cervical Dystonia: A Systematic Review and Meta-Analysis.World neurosurgery · 2019Pooled it
- A mixed treatment comparison to compare the efficacy and safety of botulinum toxin treatments for cervical dystonia.Journal of neurology · 2016Pooled it
- Trial
- Trial
- Evaluation of the Edrophonium Challenge Test for Cervical Dystonia.Internal medicine (Tokyo, Japan) · 2017Trial
- Pridinol treatment in cervical dystonia: improvement of non-motor symptoms.Annals of medicine · 2026Article
- Investigating Sleep Concerns in Cervical Dystonia.Movement disorders clinical practice · 2026Article
- Article
- A 10-year service evaluation of a Cervical Dystonia Botulinum Toxin A Clinic: factors associated with patient-reported outcomes.Irish journal of medical science · 2025Article
- Article
- The Application of Goal Attainment Scaling in Cervical Dystonia - An Exploratory Observational Pilot Study.Movement disorders clinical practice · 2024Observational
- Association analyses between the variants ofHeliyon · 2024Article
- Content overlap of 91 dystonia symptoms among the seven most commonly used cervical dystonia scales.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Article
- Impact of Physiotherapy in the Treatment of Pain in Cervical Dystonia.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024Article
- An Empirical Comparison of Commonly Used Universal Rating Scales for Dystonia.Movement disorders clinical practice · 2023Article
- A Bespoke Electronic Health Journal for Monitoring Response to Botulinum Toxin in Treatment of Cervical Dystonia: Open-Label Observational Study of User Experience.JMIR formative research · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Botulinum neurotoxin is the therapy of choice for all forms of cervical dystonia (CD), but treatment regimens still vary considerably. The interpretation of treatment outcome is mainly based on the clinical experience and on the scientific value of the rating scales applied. The aim of this review is to describe the historical development of rating scales for the assessment of CD and to provide an appraisal of their advantages and drawbacks. The Tsui score and the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) have been widely employed in numerous clinical studies as specific instruments for CD. The obvious advantage of the Tsui score is its simplicity so that it can be easily implemented in clinical routine. The TWSTRS allows a more sophisticated assessment of functional features of CD, but only the Tsui score includes a rating for tremor. Other benefits of the TWSTRS are the disability and pain subscales, but despite its value in clinical trials, it might be too complex for routine clinical practice. None of the rating scales used at present has been rigorously tested for responsiveness to detect significant changes in clinical status after therapeutic interventions. Moreover, clinical data support a new classification of CD leading to a differentiation between head and neck subtypes. As the current rating scales are not able to cover all these aspects of the disorder, further research is needed to develop a valid and reliable instrument which considers the most current classification of CD.
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