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Tremor Research Group Essential Tremor Rating Scale (TETRAS): Assessing Impact of Different Item Instructions and Procedures Cover

Tremor Research Group Essential Tremor Rating Scale (TETRAS): Assessing Impact of Different Item Instructions and Procedures

Open Access
|Oct 2020

Figures & Tables

Table 1

Comparison of different methods for six components of the TETRAS.

TETRAS
components
Mean (S.D.)
Method 1
Mean (S.D.)
Method 2
Paired measures t test
(p value)
Paired Samples
Correlation
Size
Effect d
Postural tremor
Unilateral vs. bilateral
Unilat
1.655 (0.594)
Bilat
1.519 (0.724)
t (21) = 2.022
p = 0.056
r = 0.903
p < 0.001
0.43
Wing-beating
Unilateral vs. bilateral
Unilat
1.996 (0.862)
Bilat
1.766 (0.912)
t (23) = 3.521
p = 0.002
r = 0.936
p < 0.001
0.72
Tremor Postural Wing
Unilateral vs. bilateral
Unilat
1.833 (0.757)
Bilat
1.648 (0.828)
t (45) = 3.948
p < 0.001
r = 0.923
p < 0.001
0.58
Heel to shin
Supine vs. sitting
Supine
0.310 (0.267)
Sitting
0.461 (0.290)
t (23) = 2.651
p = 0.014
r = 0.502
p = 0.013
0.54
Handwriting
(photo vs. video)
Photo
1.938 (1.113)
Live video
1.827 (1.169)
t (11) = 1.452
p = 0.174
r = 0.974
p < 0.001
0.42
Spirals
(photo vs. video)
Photo
2.482 (1.008)
Live Video
2.402 (0.955)
t (23) = 1.784
p = 0.088
r = 0.976
p < 0.001
0.36
Spirals & handwriting
(photo vs. video)
Photo
2.301 (1.065)
Live Video
2.210 (1.051)
t (35) = 2.333
p = 0.026
r = 0.976
p < 0.001
0.39
Cursive vs. ScriptCursive
1.768 (0.976)
Script
1.536 (0.824)
t (23) = 1.819
p = 0.082
r = 0.772
p < 0.001
0.37
tohm-10-1-64-g1.png
Figure 1

Mean scores (N = 15 raters in A-D and N = 16 raters in E) comparison of individual tremor subjects. Blue shows lower score in second measure, red denotes higher score in second measure. A. Postural tremor done individually vs. done concurrently, B. Wing-Beating tremor done individually vs. done concurrently, C. Heal to shin done while supine vs. while done sitting, D. Combined handwriting and spiral scores when rated only by a photograph vs. when video was also viewed of the subject performing the task, E. Comparison of cursive writing vs. script writing.

Table 2

Intraclass Correlation Coefficient (ICC) of different methods for six components of the TETRAS.

TETRAS componentsICCLower BoundUpper Bound
Postural tremor Unilateral0.9830.9710.992
Postural tremor Bilateral0.9820.9700.991
Wing-beating Unilateral0.9920.9860.996
Wing-beating Bilateral0.9890.9800.995
Heel to shin Supine0.8010.6660.899
Heel to shin Sitting0.7970.6610.897
Cursive0.9630.9350.982
Script0.9560.9210.979
Spiral0.9660.9080.994
Handwriting0.9630.8480.999

[i] 95% Confidence Interval.

DOI: https://doi.org/10.5334/tohm.64 | Journal eISSN: 2160-8288
Language: English
Submitted on: Apr 14, 2020
Accepted on: Jun 4, 2020
Published on: Oct 5, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 William G. Ondo, Belen Pascual, On behalf of the Tremor Research Group, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.