Evidence map›Paper›PMID 30838251›Full record

ArticleMovement disorders clinical practice

The Burke-Fahn-Marsden Dystonia Rating Scale is Age-Dependent in Healthy Children.

Marieke Johanna Kuiper, Loïs Vrijenhoek, Rick Brandsma, Roelineke J Lunsing, Huibert Burger, Hendriekje Eggink, Kathryn J Peall, Maria Fiorella Contarino, Johannes D Speelman, Marina A J Tijssen and 1 more

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Article in Movement disorders clinical practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Pooled it
  3. The Brain-Age Gap in Pediatric Dystonia: Neuroanatomical Deviations Inform Deep Brain Stimulation Outcomes.Movement disorders : official journal of the Movement Disorder Society · 2026
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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

11 authors.

Marieke Johanna KuiperDepartment of Neurology University Medical Center Groningen, University of Groningen The Netherlands.
Loïs VrijenhoekDepartment of Neurology University Medical Center Groningen, University of Groningen The Netherlands.
Rick BrandsmaDepartment of Neurology University Medical Center Groningen, University of Groningen The Netherlands.
Roelineke J LunsingDepartment of Neurology University Medical Center Groningen, University of Groningen The Netherlands.
Huibert BurgerDepartment of General Practice University Medical Center Groningen, University of Groningen The Netherlands.
Hendriekje EgginkDepartment of Neurology University Medical Center Groningen, University of Groningen The Netherlands.
Kathryn J PeallMRC Centre for Neuropsychiatric Genetics and Genomics Institute of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University United Kingdom.
Maria Fiorella ContarinoDepartment of Neurology Academic Medical Center, University of Amsterdam Amsterdam The Netherlands.
Johannes D SpeelmanDepartment of Neurology Academic Medical Center, University of Amsterdam Amsterdam The Netherlands.
Marina A J TijssenDepartment of Neurology University Medical Center Groningen, University of Groningen The Netherlands.
Deborah A SivalDepartment of Pediatrics Beatrix Children's Hospital University Medical Center Groningen, University of Groningen Groningen The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Burke-Fahn-Marsden Dystonia Rating Scale is a universally applied instrument for the quantitative assessment of dystonia in both children and adults. However, immature movements by healthy young children may also show "dystonic characteristics" as a consequence of physiologically incomplete brain maturation. This could implicate that Burke-Fahn-Marsden scale scores are confounded by pediatric age.

objectiveIn healthy young children, we aimed to determine whether physiologically immature movements and postures can induce an age-related effect on Burke-Fahn-Marsden movement and disability scale scores.

methodsNine assessors specializied in movement disorders (3 adult neurologists, 3 pediatric neurologists, and 3 MD/PhD students) independently scored the Burke-Fahn-Marsden movement scale in 52 healthy children (4-16 years of age; 2 boys and 2 girls per year of age). Independent of that, parents scored their children's functional motor development according to the Burke-Fahn-Marsden disability scale in another 52 healthy children (4-16 years of age; 2 boys and 2 girls per year of age). By regression analysis, we determined the association between Burke-Fahn-Marsden movement and disability scales outcomes and pediatric age.

resultsIn healthy children, assessment of physiologically immature motor performances by the Burke-Fahn-Marsden movement and disability scales showed an association between the outcomes of both scales and age (until 16 years and 12 years of age, β = -0.72 and β = -0.60, for Burke-Fahn-Marsden movement and disability scale, respectively [both

conclusionsThe Burke-Fahn-Marsden movement and disability scales are influenced by the age of the child. For accurate interpretation of longitudinal Burke-Fahn-Marsden Dystonia Rating Scale scores in young dystonic children, consideration of pediatric age-relatedness appears advisory.

Indexed as

ageBurke‐Fahn‐Marsden Dystonia Rating Scalechilddystoniavalidation

Identifiers

PMID30838251
PMCPMC6353340

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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.