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-   -   UPDRS - Objectivity (https://www.neurotalk.org/parkinson-s-disease/142805-updrs-objectivity.html)

rd42 01-10-2011 11:27 AM

UPDRS - Objectivity
 
"They" aka. what ever google returns on my searches mentions objectivity in the UPDRS, what parts of it are objective?

Robert

pegleg 01-10-2011 04:51 PM

You may have been asking this question facetiously, but I am going to assume you are serious.
Here is a copy of the UPDRS (United Parkinson's Disease Rating Scale)
http://www.mdvu.org/library/ratingscales/pd/updrs.pdf

The Motor Skills might be the only "objective" portion of the test because you tap your fingers a certain number of times before assigning a numerical value. But even within that area of testing are questions such as:
"Facial expression"
0= Normal
1= Minimal hypomimia, could be normal "Poker Face"
3= Slight but definitelly abnormal diminutioon of facial aaexpressioon
3=Moderate hymimia; lips parted some of the time
4= Masked or fixed facies with severe or complete loss of facial expression; lips parted 1/4 inch or more.

So in reality, most of the testing that screens a person into a study, or measures their digression or improvement is . . . at best . . . subjective. And what is worse - this is how we are diagnosed!

Soo I think until we have a REAL test (blood test, x-ray, MRI, etc), then our PD diagnosis is highly subjective.
Peggy

rd42 01-10-2011 06:33 PM

My question was both facetious and serious. :) That's what I was looking for. Thanks Peggy!



Quote:

Originally Posted by pegleg (Post 733533)
You may have been asking this question facetiously, but I am going to assume you are serious.
Here is a copy of the UPDRS (United Parkinson's Disease Rating Scale)
http://www.mdvu.org/library/ratingscales/pd/updrs.pdf

The Motor Skills might be the only "objective" portion of the test because you tap your fingers a certain number of times before assigning a numerical value. But even within that area of testing are questions such as:
"Facial expression"
0= Normal
1= Minimal hypomimia, could be normal "Poker Face"
3= Slight but definitelly abnormal diminutioon of facial aaexpressioon
3=Moderate hymimia; lips parted some of the time
4= Masked or fixed facies with severe or complete loss of facial expression; lips parted 1/4 inch or more.

So in reality, most of the testing that screens a person into a study, or measures their digression or improvement is . . . at best . . . subjective. And what is worse - this is how we are diagnosed!

Soo I think until we have a REAL test (blood test, x-ray, MRI, etc), then our PD diagnosis is highly subjective.
Peggy



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