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Original Article
Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
Jinse Park, Seong-Beom Koh, Hee Jin Kim, Eungseok Oh, Joong-Seok Kim, Ji Young Yun, Do-Young Kwon, Younsoo Kim, Ji Seon Kim, Kyum-Yil Kwon, Jeong-Ho Park, Jinyoung Youn, Wooyoung Jang
J Mov Disord. 2018;11(1):24-29.   Published online January 23, 2018
DOI: https://doi.org/10.14802/jmd.17058
  • 8,797 View
  • 245 Download
  • 10 Citations
AbstractAbstract PDFSupplementary Material
Objective
Postural instability and gait disturbance are the cardinal symptoms associated with falling among patients with Parkinson’s disease (PD). The Tinetti mobility test (TMT) is a well-established measurement tool used to predict falls among elderly people. However, the TMT has not been established or widely used among PD patients in Korea. The purpose of this study was to evaluate the reliability and validity of the Korean version of the TMT for PD patients.
Methods
Twenty-four patients diagnosed with PD were enrolled in this study. For the interrater reliability test, thirteen clinicians scored the TMT after watching a video clip. We also used the test-retest method to determine intrarater reliability. For concurrent validation, the unified Parkinson’s disease rating scale, Hoehn and Yahr staging, Berg Balance Scale, Timed-Up and Go test, 10-m walk test, and gait analysis by three-dimensional motion capture were also used. We analyzed receiver operating characteristic curve to predict falling.
Results
The interrater reliability and intrarater reliability of the Korean Tinetti balance scale were 0.97 and 0.98, respectively. The interrater reliability and intra-rater reliability of the Korean Tinetti gait scale were 0.94 and 0.96, respectively. The Korean TMT scores were significantly correlated with the other clinical scales and three-dimensional motion capture. The cutoff values for predicting falling were 14 points (balance subscale) and 10 points (gait subscale).
Conclusion
We found that the Korean version of the TMT showed excellent validity and reliability for gait and balance and had high sensitivity and specificity for predicting falls among patients with PD.

Citations

Citations to this article as recorded by  
  • Dance Intervention Using the Feldenkrais Method Improves Motor, and Non-Motor Symptoms and Gait in Parkinson’s Disease: A 12-Month Study
    Sung Hoon Kang, Jinhee Kim, Ilsoo Kim, Young Ae Moon, Sojung Park, Seong-Beom Koh
    Journal of Movement Disorders.2022; 15(1): 53.     CrossRef
  • Evaluation of Anticipatory Postural Adjustment before Quantified Weight Shifting—System Development and Reliability Test
    Jiunn-Woei Liaw, Rou-Shayn Chen, Vincent Chiun-Fan Chen, Yan-Ru Wang, Hsiao-Lung Chan, Ya-Ju Chang
    Applied Sciences.2021; 11(2): 758.     CrossRef
  • Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
    Jan Neugebauer, Valérie Tóthová, Jitka Doležalová
    International Journal of Environmental Research and Public Health.2021; 18(6): 3226.     CrossRef
  • Decreased foot height may be a subclinical shuffling gait in early stage of Parkinson’s disease: A study of three-dimensional motion analysis
    Kyong Jin Shin, Jinse Park, Samyeol Ha, Kang Min Park, Sung Eun Kim, Byung In Lee, Dong Ah Lee, Hee-Tae Kim, Ji-Yeon Yoon
    Gait & Posture.2020; 76: 64.     CrossRef
  • Design of a Machine Learning-Assisted Wearable Accelerometer-Based Automated System for Studying the Effect of Dopaminergic Medicine on Gait Characteristics of Parkinson’s Patients
    Satyabrata Aich, Pyari Mohan Pradhan, Sabyasachi Chakraborty, Hee-Cheol Kim, Hee-Tae Kim, Hae-Gu Lee, Il Hwan Kim, Moon-il Joo, Sim Jong Seong, Jinse Park
    Journal of Healthcare Engineering.2020; 2020: 1.     CrossRef
  • Psychometric properties and domains of postural control tests for individuals with knee osteoarthritis: a systematic review
    Helen P. French, Charlotte K. Hager, Anne Venience, Ryan Fagan, Dara Meldrum
    International Journal of Rehabilitation Research.2020; 43(2): 102.     CrossRef
  • Measures of balance and falls risk prediction in people with Parkinson’s disease: a systematic review of psychometric properties
    Stanley J Winser, Priya Kannan, Umar Muhhamad Bello, Susan L Whitney
    Clinical Rehabilitation.2019; 33(12): 1949.     CrossRef
  • Allelic variant in SLC6A3 rs393795 affects cerebral regional homogeneity and gait dysfunction in patients with Parkinson’s disease
    Lina Wang, Yongsheng Yuan, Jianwei Wang, Yuting Shen, Yan Zhi, Junyi Li, Min Wang, Kezhong Zhang
    PeerJ.2019; 7: e7957.     CrossRef
  • Evaluation of Balance Disorders in Parkinson's Disease Using Simple Diagnostic Tests—Not So Simple to Choose
    Karolina Krzysztoń, Jakub Stolarski, Jan Kochanowski
    Frontiers in Neurology.2018;[Epub]     CrossRef
  • Rasch Analysis of the Clinimetric Properties of the Korean Dizziness Handicap Inventory in Patients with Parkinson Disease
    Da-Young Lee, Hui-Jun Yang, Dong-Seok Yang, Jin-Hyuk Choi, Byoung-Soo Park, Ji-Yun Park
    Research in Vestibular Science.2018; 17(4): 152.     CrossRef
Review Article
Movement Disorders Following Cerebrovascular Lesion in the Basal Ganglia Circuit
Jinse Park
J Mov Disord. 2016;9(2):71-79.   Published online May 25, 2016
DOI: https://doi.org/10.14802/jmd.16005
  • 25,809 View
  • 835 Download
  • 28 Citations
AbstractAbstract PDF
Movement disorders are primarily associated with the basal ganglia and the thalamus; therefore, movement disorders are more frequently manifest after stroke compared with neurological injuries associated with other structures of the brain. Overall clinical features, such as types of movement disorder, the time of onset and prognosis, are similar with movement disorders after stroke in other structures. Dystonia and chorea are commonly occurring post-stroke movement disorders in basal ganglia circuit, and these disorders rarely present with tremor. Rarer movement disorders, including tic, restless leg syndrome, and blepharospasm, can also develop following a stroke. Although the precise mechanisms underlying the pathogenesis of these conditions have not been fully characterized, disruptions in the crosstalk between the inhibitory and excitatory circuits resulting from vascular insult are proposed to be the underlying cause. The GABA (gamma-aminobutyric acid)ergic and dopaminergic systems play key roles in post-stroke movement disorders. This review summarizes movement disorders induced by basal ganglia and thalamic stroke according to the anatomical regions in which they manifest.

Citations

Citations to this article as recorded by  
  • Hyperkinetic Choreiform Movements Secondary to Basal Ganglia Calcification and Underlying Developmental Venous Anomaly
    Jay Patel, Muhammad Khalil, Sidra Zafar
    Cureus.2022;[Epub]     CrossRef
  • Case Report: Dystonic Storm Following Japanese Encephalitis Virus Infection
    Ritwik Ghosh, Souvik Dubey, Shambaditya Das, Julián Benito-León
    The American Journal of Tropical Medicine and Hygiene.2022; 107(3): 557.     CrossRef
  • Hemichorea after successful treatment with mechanical thrombectomy in a patient with acute ischemic stroke
    Satoshi Kimura, Jun Tsugawa, Takafumi Mitsutake, Yuji Tateishi, Hayatsura Hanada, Yusuke Morinaga, Ritsuro Inoue, Yoko Hirata, Yusuke Takemura, Kouhei Nii, Yoshio Tsuboi, Toshio Higashi
    Interdisciplinary Neurosurgery.2021; 25: 101156.     CrossRef
  • Post-stroke Movement Disorders: Clinical Spectrum, Pathogenesis, and Management
    Priyanka Tater, Sanjay Pandey
    Neurology India.2021; 69(2): 272.     CrossRef
  • Diagnostic Challenges in Outpatient Stroke: Stroke Chameleons and Atypical Stroke Syndromes
    Emma JC Wallace, Ava L Liberman
    Neuropsychiatric Disease and Treatment.2021; Volume 17: 1469.     CrossRef
  • Ischemic stroke-induced polyaxonal innervation at the neuromuscular junction is attenuated by robot-assisted mechanical therapy
    Maria H.H. Balch, Hallie Harris, Deepti Chugh, Surya Gnyawali, Cameron Rink, Shahid M. Nimjee, W. David Arnold
    Experimental Neurology.2021; 343: 113767.     CrossRef
  • Rare coexistence of multiple manifestations secondary to thalamic hemorrhage: A case report
    Qi-Wei Yu, Tian-Fen Ye, Wen-Jun Qian
    World Journal of Clinical Cases.2021; 9(18): 4817.     CrossRef
  • Human–Robot Cooperation Control Based on Trajectory Deformation Algorithm for a Lower Limb Rehabilitation Robot
    Jie Zhou, Zhijun Li, Xianming Li, Xiaoyun Wang, Rong Song
    IEEE/ASME Transactions on Mechatronics.2021; 26(6): 3128.     CrossRef
  • Neurovascular Unit as a Source of Ischemic Stroke Biomarkers—Limitations of Experimental Studies and Perspectives for Clinical Application
    Aleksandra Steliga, Przemysław Kowiański, Ewelina Czuba, Monika Waśkow, Janusz Moryś, Grażyna Lietzau
    Translational Stroke Research.2020; 11(4): 553.     CrossRef
  • Activity‐dependent cleavage of dyskinesia‐related proline‐rich transmembrane protein 2 (PRRT2) by calpain in mouse primary cortical neurons
    Daisuke Hatta, Keiro Shirotani, Yuma Hori, Naohiro Kurotaki, Nobuhisa Iwata
    The FASEB Journal.2020; 34(1): 180.     CrossRef
  • Vascularization of the Subthalamic Nucleus: Highlighting the Significance of the Premamillary Artery
    Serhat Baydin, Oguz Baran, Abuzer Gungor, Enis Kuruoglu, Necmettin Tanriover
    World Neurosurgery.2020; 135: e562.     CrossRef
  • Hemichorea as Presentation of Acute Cortical Ischemic Stroke. Case Series and Review of the Literature
    Álvaro Carbayo, Jordi Sarto, Daniel Santana, Yaroslau Compta, Xabier Urra
    Journal of Stroke and Cerebrovascular Diseases.2020; 29(10): 105150.     CrossRef
  • Differentiating the Brain’s involvement in Executed and Imagined Stepping using fMRI
    Adrienne Kline, Daniel Pittman, Janet Ronsky, Bradley Goodyear
    Behavioural Brain Research.2020; 394: 112829.     CrossRef
  • Hemichorea-hemiballismus as the initial manifestation of symptomatic middle cerebral artery dissection
    Hanfeng Chen, Ziqi Xu
    Medicine.2020; 99(36): e22116.     CrossRef
  • Deficits in motor and cognitive functions in an adult mouse model of hypoxia-ischemia induced stroke
    Li Feng, Chun-Xia Han, Shu-Yu Cao, He-Ming Zhang, Gang-Yi Wu
    Scientific Reports.2020;[Epub]     CrossRef
  • Effectiveness of rehabilitation of patients with cerebrovascular insufficiency using the biofeedback method
    A. V. Rylskiy, A. N. Oranskaya, K. G. Gurevich
    Fizioterapevt (Physiotherapist).2020; (5): 8.     CrossRef
  • A phase IIb, randomised, double-blind, placebo-controlled, dose-ranging investigation of the safety and efficacy of NTCELL® [immunoprotected (alginate-encapsulated) porcine choroid plexus cells for xenotransplantation] in patients with Parkinson's disease
    Barry Snow, Eoin Mulroy, Arnold Bok, Mark Simpson, Andrew Smith, Kenneth Taylor, Michelle Lockhart, BB Janice Lam, Christopher Frampton, Patrick Schweder, Benson Chen, Gregory Finucane, Adele McMahon, Lorraine Macdonald
    Parkinsonism & Related Disorders.2019; 61: 88.     CrossRef
  • 'Stroke chameleons'
    D. A. Demin, V. V. Belopasov, E. V. Asfandiiarova, E. N. Zhuravleva, I. S. Mintulaev, E. V. Nikolaeva
    Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova.2019; 119(4): 72.     CrossRef
  • Double Hit Theory for the Development of Vascular Parkinsonism
    Herbert Alejandro Manosalva
    Neurophysiology and Rehabilitation.2019; : 42.     CrossRef
  • Deep Brain Stimulation for Intractable Involuntary Movement
    Yoshinori Higuchi, Kyoko Aoyagi, Masaki Izumi, Maidinamu Yakufujiang, Yoji Okahara, Osamu Nagano, Yasuo Iwadate
    Japanese Journal of Neurosurgery.2019; 28(6): 342.     CrossRef
  • Interaction between ventricular expansion and structural changes in the corpus callosum and putamen in males with FMR1 normal and premutation alleles
    Jun Yi Wang, David Hessl, Flora Tassone, Kyoungmi Kim, Randi J. Hagerman, Susan M. Rivera
    Neurobiology of Aging.2019;[Epub]     CrossRef
  • Progressive chorea and dystonia associated with a large arteriovenous malformation
    Jeffrey S Raskin, Mered Parnes, Sandi Lam
    Journal of the International Child Neurology Association.2019;[Epub]     CrossRef
  • Acute-onset Restless legs syndrome in acute neurological conditions-a prospective study on patients with the Guillain-Barre syndrome and acute stroke
    S. Chandan, G. Shukla, A. Gupta, A. Srivastava, D. Vibha, K. Prasad
    Acta Neurologica Scandinavica.2018; 137(5): 488.     CrossRef
  • Levofloxacin-induced hemichorea-hemiballism in a patient with previous thalamic infarction
    Ruggero Bacchin, Francesco Macchione, Davide Cardellini, Riccardo Orlandi, Alberto Gajofatto, Gianluigi Zanusso, Gaetano Vattemi
    Neurological Sciences.2018; 39(8): 1483.     CrossRef
  • Post-Thalamic Stroke Movement Disorders: A Systematic Review
    Navnika Gupta, Sanjay Pandey
    European Neurology.2018; 79(5-6): 303.     CrossRef
  • Individualized Immunological Data for Precise Classification of OCD Patients
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    Brain Sciences.2018; 8(8): 149.     CrossRef
  • Poststroke Choreodystonia Responsive to Zopiclone: Further Evidence of a Role for the “Z-Drugs” in Hyperkinetic Movement Disorders
    Petya Bogdanova-Mihaylova, Richard A. Walsh
    Movement Disorders Clinical Practice.2017; 4(4): 616.     CrossRef
  • Vascular Pathology Causing Late Onset Generalized Chorea: A Clinico-Pathological Case Report
    Paula Salgado, Ricardo Taipa, Joana Domingos, Daniel Dias, Manuel Melo Pires, Marina Magalhães
    Movement Disorders Clinical Practice.2017; 4(6): 819.     CrossRef
Letter to the editor
A Patient with Unilateral Periodic Leg Movements Associated with Pontine Infarction
Joon Won Lee, Kyong Jin Shin, Sam Yeol Ha, Jinse Park, Kang Min Park
J Mov Disord. 2015;8(1):37-39.   Published online January 31, 2015
DOI: https://doi.org/10.14802/jmd.14017
  • 14,455 View
  • 44 Download
  • 3 Citations
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Citations

Citations to this article as recorded by  
  • Asymmetry of Periodic Leg Movements in Sleep (PLMS) in Parkinson’s Disease
    Wiebke Hermann, Theresa Flemming, Moritz D. Brandt, Simona Langner, Heinz Reichmann, Alexander Storch
    Journal of Parkinson's Disease.2020; 10(1): 255.     CrossRef
  • Acute-onset Restless legs syndrome in acute neurological conditions-a prospective study on patients with the Guillain-Barre syndrome and acute stroke
    S. Chandan, G. Shukla, A. Gupta, A. Srivastava, D. Vibha, K. Prasad
    Acta Neurologica Scandinavica.2018; 137(5): 488.     CrossRef
  • Post-stroke restless leg syndrome and periodic limb movements in sleep
    H. G. Woo, D. Lee, K. J. Hwang, T.-B. Ahn
    Acta Neurologica Scandinavica.2017; 135(2): 204.     CrossRef

JMD : Journal of Movement Disorders