4.7 Article

Scale for the assessment and rating of ataxia: Age-dependent performance of healthy adults

Journal

EUROPEAN JOURNAL OF NEUROLOGY
Volume 30, Issue 2, Pages 548-551

Publisher

WILEY
DOI: 10.1111/ene.15596

Keywords

ataxia; cut-off; fSARA; SARA

Ask authors/readers for more resources

This study investigates the age dependence of the Scale for Assessment and Rating of Ataxia (SARA) and defines age-specific cut-off values to differentiate between healthy individuals and those with ataxia.
Background and purpose The Scale for Assessment and Rating of Ataxia (SARA) is a widely used clinical scale. The objective was to study the age dependence of SARA in healthy adults and to define age-specific cut-off values to differentiate healthy from ataxic individuals. Methods Data from 390 healthy individuals and 119 spinocerebellar ataxia patients were analyzed. SARA scores were mapped on functional SARA (fSARA). Age-adjusted cut-off values were determined by receiver operating characteristic curve analysis. Results The cut-off value was 3 for SARA and 1.5 for fSARA. Older patients had higher SARA cut-off values (4.5 for 60-69 years and 6.5 for 70-79 years). Age-adjusted cut-off values for fSARA are 1 for 18-29, 30-39 and 50-59 years, 2 for 40-49 and 60-69 years and 3 for 70-79 years. Sensitivity and specificity were higher for SARA than for fSARA. Conclusion In this study, age-dependent cut-off values were defined for SARA and fSARA. The results may be relevant for the design of future preventive trials in spinocerebellar ataxias that use conversion to ataxia as an outcome.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Neurosciences

Recurrent Pontine Strokes in a Young Male

Marcus Grobe-Einsler, Horst Urbach, Sebastian Paus

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2020)

Article Clinical Neurology

Development of SARAhome, a New Video-Based Tool for the Assessment of Ataxia at Home

Marcus Grobe-Einsler, Arian Taheri Amin, Jennifer Faber, Tamara Schaprian, Heike Jacobi, Tanja Schmitz-Hubsch, Alhassane Diallo, Sophie Tezenas du Montcel, Thomas Klockgether

Summary: The study developed a video-based tool called SARA(home) for measuring ataxia severity at home, which was highly correlated with the conventional SARA. The feasibility of independent home recordings was demonstrated, showing a considerable degree of intraindividual variability in SARA(home) scores.

MOVEMENT DISORDERS (2021)

Letter Clinical Neurology

Autosomal Recessive Cerebellar Ataxias in Europe: Frequency, Onset, and Severity in 677 Patients

Andreas Traschuetz, Astrid D. Adarmes-Gomez, Mathieu Anheim, Jonathan Baets, Bjoern H. Falkenburger, Janina Gburek-Augustat, Sarah Doss, Christoph Kamm, Peter Klivenyi, Marcus Grobe-Einsler, Thomas Klopstock, Martina Minnerop, Alexander Muenchau, Chiara Pane, Mathilde Renaud, Filippo M. Santorelli, Ludger Schoels, Dagmar Timmann, Stefan Vielhaber, Tobias B. Haack, Bart P. van de Warrenburg, Ginevra Zanni, Matthis Synofzik

MOVEMENT DISORDERS (2023)

Article Medicine, General & Internal

The Diagnostic Value of Cerebrospinal Fluid Lactate for Detection of Sepsis in Community-Acquired Bacterial Meningitis

Louisa Nitsch, Stefan Felix Ehrentraut, Marcus Grobe-Einsler, Felix J. Bode, Mohammed Banat, Matthias Schneider, Felix Lehmann, Julian Zimmermann, Johannes Weller

Summary: Community-acquired bacterial meningitis is a serious disease that can lead to severe complications and death. This study investigated the diagnostic performance of cerebrospinal fluid (CSF) parameters for sepsis in patients with community-acquired bacterial meningitis.

DIAGNOSTICS (2023)

Article Health Care Sciences & Services

SARAspeech-Feasibility of automated assessment of ataxic speech disturbance

M. Grobe-Einsler, J. Faber, A. Taheri, J. Kybelka, J. Raue, J. Volkening, F. Helmhold, M. Synofzik, T. Klockgether

Summary: Ataxias refer to a group of movement disorders, characterized by progressive loss of balance, impaired coordination, and speech disturbance, resulting in a significant reduction in quality of life. Although speech disturbance can be clinically diagnosed, there is a lack of objective methods for assessing its severity. Through the analysis of 71 sets of speech recordings from ataxia patients, an automated classification system was developed. This system correctly predicted the expert ratings of speech disturbance in 80% of cases, demonstrating the feasibility of computer-assisted voice analysis for automated assessment of speech disturbance severity.

NPJ DIGITAL MEDICINE (2023)

Article Clinical Neurology

Comparison of Live and Remote Video Ratings of the Scale for Assessment and Rating of Ataxia

Arian Taheri Amin, Jennifer Faber, Demet Onder, Okka Kimmich, Matthis Synofzik, Tetsuo Ashizawa, Thomas Klockgether, Marcus Grobe-Einsler

Summary: After conducting comprehensive SARA assessments on video recordings of 69 patients with cerebellar ataxia, it was found that there was a high level of agreement between live ratings by site investigators and remote video ratings by experienced ataxia clinicians, indicating that remote video ratings are a reliable means to assess the severity of ataxia.

MOVEMENT DISORDERS CLINICAL PRACTICE (2023)

Letter Clinical Neurology

Remarkable improvement of primary orthostatic tremor using perampanel

Marcus Grobe-Einsler, Oliver Kaut

NEUROLOGICAL RESEARCH AND PRACTICE (2020)

No Data Available