Evidence map›Paper›PMID 26971359›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2016

Clinimetric testing of the comprehensive cervical dystonia rating scale.

Cynthia L Comella, Joel S Perlmutter, Hyder A Jinnah, Tracy A Waliczek, Ami R Rosen, Wendy R Galpern, Charles A Adler, Richard L Barbano, Stewart A Factor, Christopher G Goetz and 7 more

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Deep brain stimulation for dystonia.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Article
  4. Observational
  5. Investigating Sleep Concerns in Cervical Dystonia.Movement disorders clinical practice · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Cervical Dystonia with Tremor: One Movement Disorder or Two?Movement disorders clinical practice · 2022
    Article
  17. Hold that pose: capturing cervical dystonia's head deviation severity from video.Annals of clinical and translational neurology · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Cynthia L ComellaRush University Medical Center, Chicago, Illinois, USA.
Joel S PerlmutterWashington University School of Medicine, St. Louis, Missouri, USA.
Hyder A JinnahEmory University, Atlanta, Georgia, USA.
Tracy A WaliczekRush University Medical Center, Chicago, Illinois, USA.
Ami R RosenEmory University, Atlanta, Georgia, USA.
Wendy R GalpernNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Charles A AdlerMayo Clinic, Scottsdale, Arizona, USA.
Richard L BarbanoUniversity of Rochester, Rochester, New York, USA.
Stewart A FactorEmory University, Atlanta, Georgia, USA.
Christopher G GoetzRush University Medical Center, Chicago, Illinois, USA.
Joseph JankovicBaylor College of Medicine, Houston Texas, USA.
Stephen G ReichUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Ramon L RodriguezUniversity of Florida Movement Disorders Center, Gainesville, Florida, USA.
William L SevertBeth Israel Medical Center, New York, New York, USA.
Mateusz ZurowskiUniversity of Toronto, University Health Network, Toronto, Ontario, Canada.
Susan H FoxUniversity of Toronto, University Health Network, Toronto, Ontario, Canada.
Glenn T StebbinsRush University Medical Center, Chicago, Illinois, USA.

Funding

Dystonia CoalitionU54NS065701 · NINDS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2009 to 2014
$7.0M
Exploratory study of different doses of endurance exercise in people with ParkinsR01NS074343 · NINDS · UNIVERSITY OF COLORADO DENVER · PI CORCOS, DANIEL M., SCHENKMAN, MARGARET L · 2011 to 2014
$3.0M
Dystonia CoalitionU54TR001456 · NCATS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2015 to 2016
$2.5M
NCATS NIH HHS U54 TR001456NINDS NIH HHS NS 065701NINDS NIH HHS R01 NS074343NINDS NIH HHS U54 NS065701
6 · The paper itself

Abstract

introductionThe aim of this study was to test the clinimetric properties of the Comprehensive Cervical Dystonia Rating Scale. This is a modular scale with modifications of the Toronto Western Spasmodic Torticollis Rating Scale (composed of three subscales assessing motor severity, disability, and pain) now referred to as the revised Toronto Western Spasmodic Torticollis Scale-2; a newly developed psychiatric screening instrument; and the Cervical Dystonia Impact Profile-58 as a quality of life measure.

methodsTen dystonia experts rated subjects with cervical dystonia using the comprehensive scale. Clinimetric techniques assessed each module of the scale for reliability, item correlation, and factor structure.

resultsThere were 208 cervical dystonia patients (73% women; age, 59 ± 10 years; duration, 15 ± 12 years). Internal consistency of the motor severity subscale was acceptable (Cronbach's alpha = 0.57). Item to total correlations showed that elimination of items with low correlations (<0.20) increased alpha to 0.71. Internal consistency estimates for the subscales for disability and pain were 0.88 and 0.95, respectively. The psychiatric screening scale had a Cronbach's alpha of 0.84 and satisfactory item to total correlations. When the subscales of the Toronto Western Spasmodic Torticollis Scale-2 were combined with the psychiatric screening scale, Cronbach's alpha was 0.88, and construct validity assessment demonstrated four rational factors: motor; disability; pain; and psychiatric disorders. The Cervical Dystonia Impact Profile-58 had an alpha of 0.98 and its construction was validated through a confirmatory factor analysis.

conclusionsThe modules of the Comprehensive Cervical Dystonia Rating Scale are internally consistent with a logical factor structure.

Indexed as

Severity of Illness IndexAgedFemaleHumansMaleMiddle AgedNeurologic ExaminationReproducibility of ResultsTorticolliscervical dystoniaCervical Dystonia Impact Profile-58focal dystoniarating scaleToronto Western Spasmodic Torticollis Rating Scale

Identifiers

PMID26971359
PMCPMC4833533

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.