Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State

Introduction: Freezing of gait, a common PD motor symptom, could increase the risk of falling. This study aimed to investigate the clinimetric attributes of the Freezing of Gait Questionnaire (FOGQ) for people with Parkinson disease in the “off” state. Methods: A total of 115 patients with Parkinson...

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Main Authors: Ghorban Taghizadeh, Seyed Mohammad Fereshtehnejad, Pablo Martinez-Martin, Mohammad Taghi Joghataei, Fatemeh Mahdizadeh, Sajad Sabbaghi, Sepide Goudarzi, Mahsa Meimandi, Sayed Amir Hasan Habibi, Maryam Mehdizadeh
Format: Article
Language:English
Published: Iran University of Medical Sciences 2021-01-01
Series:Basic and Clinical Neuroscience
Subjects:
Online Access:http://bcn.iums.ac.ir/article-1-1977-en.html
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author Ghorban Taghizadeh
Seyed Mohammad Fereshtehnejad
Pablo Martinez-Martin
Mohammad Taghi Joghataei
Fatemeh Mahdizadeh
Sajad Sabbaghi
Sepide Goudarzi
Mahsa Meimandi
Sayed Amir Hasan Habibi
Maryam Mehdizadeh
author_facet Ghorban Taghizadeh
Seyed Mohammad Fereshtehnejad
Pablo Martinez-Martin
Mohammad Taghi Joghataei
Fatemeh Mahdizadeh
Sajad Sabbaghi
Sepide Goudarzi
Mahsa Meimandi
Sayed Amir Hasan Habibi
Maryam Mehdizadeh
author_sort Ghorban Taghizadeh
collection DOAJ
description Introduction: Freezing of gait, a common PD motor symptom, could increase the risk of falling. This study aimed to investigate the clinimetric attributes of the Freezing of Gait Questionnaire (FOGQ) for people with Parkinson disease in the “off” state. Methods: A total of 115 patients with Parkinson disease (PD; mean age, 60.25 years) were included. Acceptability, internal consistency (by the Cronbach alpha, and test-retest by Intraclass Correlation [ICC]), and reliability of the Persian-translated version of the FOGQ were examined. Dimensionality was estimated by Exploratory Factor Analysis (EFA). Fall efficacy scale-international, unified Parkinson disease rating scale-II, Berg balance scale, functional reach test, and Parkinson disease questionnaire-39 were applied to determine the convergent validity. Diagnostic accuracy for obtaining optimal cutoff point, separating faller and non-faller groups, was analyzed by Receiver Operating Characteristics (ROC) curve analysis and Area Under the Curve (AUC). All tests were carried out in an “off” state. Results: The Cronbach alpha was high (α=0.92). The test-retest showed high reliability (ICC=0.89). The FOGQ was unidimensional according to the EFA and had acceptable convergent validity with moderate to high correlation with other clinical scales. The optimal cutoff point to discriminate fallers from non-fallers during the “off” state was 9/10, with an AUC of 0.92. Conclusion: Our results suggest that the FOGQ has appropriate reliability, validity, and discriminative ability for measuring FOG in patients with PD during the “off” state.
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spelling doaj.art-89ccc21ea2d7440286f5dffb7889033b2024-03-03T08:32:11ZengIran University of Medical SciencesBasic and Clinical Neuroscience2008-126X2228-74422021-01-011216978Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” StateGhorban Taghizadeh0Seyed Mohammad Fereshtehnejad1Pablo Martinez-Martin2Mohammad Taghi Joghataei3Fatemeh Mahdizadeh4Sajad Sabbaghi5Sepide Goudarzi6Mahsa Meimandi7Sayed Amir Hasan Habibi8Maryam Mehdizadeh9 Department of Occupational Therapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran. Department of Neurobiology, Division of Clinical Geriatrics, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden. National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain. Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran. Neuromuscular Research Center, Semnan University of Medical Sciences, Semnan, Iran. Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare Rehabilitation, Tehran, Iran. Department of Pharmacology and Toxicology, Faculty of Pharmacy, Tehran University of Medical Science, Tehran, Iran. Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran. Department of Neurology, Rasoul Akram Hospital, Iran University of Medical Science, Tehran, Iran. Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran. Introduction: Freezing of gait, a common PD motor symptom, could increase the risk of falling. This study aimed to investigate the clinimetric attributes of the Freezing of Gait Questionnaire (FOGQ) for people with Parkinson disease in the “off” state. Methods: A total of 115 patients with Parkinson disease (PD; mean age, 60.25 years) were included. Acceptability, internal consistency (by the Cronbach alpha, and test-retest by Intraclass Correlation [ICC]), and reliability of the Persian-translated version of the FOGQ were examined. Dimensionality was estimated by Exploratory Factor Analysis (EFA). Fall efficacy scale-international, unified Parkinson disease rating scale-II, Berg balance scale, functional reach test, and Parkinson disease questionnaire-39 were applied to determine the convergent validity. Diagnostic accuracy for obtaining optimal cutoff point, separating faller and non-faller groups, was analyzed by Receiver Operating Characteristics (ROC) curve analysis and Area Under the Curve (AUC). All tests were carried out in an “off” state. Results: The Cronbach alpha was high (α=0.92). The test-retest showed high reliability (ICC=0.89). The FOGQ was unidimensional according to the EFA and had acceptable convergent validity with moderate to high correlation with other clinical scales. The optimal cutoff point to discriminate fallers from non-fallers during the “off” state was 9/10, with an AUC of 0.92. Conclusion: Our results suggest that the FOGQ has appropriate reliability, validity, and discriminative ability for measuring FOG in patients with PD during the “off” state.http://bcn.iums.ac.ir/article-1-1977-en.htmlparkinson's diseasegaitquestionnairevalidityreliabilitydiagnostic accuracy“off” state
spellingShingle Ghorban Taghizadeh
Seyed Mohammad Fereshtehnejad
Pablo Martinez-Martin
Mohammad Taghi Joghataei
Fatemeh Mahdizadeh
Sajad Sabbaghi
Sepide Goudarzi
Mahsa Meimandi
Sayed Amir Hasan Habibi
Maryam Mehdizadeh
Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State
Basic and Clinical Neuroscience
parkinson's disease
gait
questionnaire
validity
reliability
diagnostic accuracy
“off” state
title Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State
title_full Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State
title_fullStr Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State
title_full_unstemmed Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State
title_short Clinimetrics of the Freezing of Gait Questionnaire for Parkinson Disease During the “off” State
title_sort clinimetrics of the freezing of gait questionnaire for parkinson disease during the off state
topic parkinson's disease
gait
questionnaire
validity
reliability
diagnostic accuracy
“off” state
url http://bcn.iums.ac.ir/article-1-1977-en.html
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