The Progressive Supranuclear Palsy Rating Scale (PSPRS) is a disease specific measure of severity in patients with progressive supranuclear palsy (PSP). It measures disability across 28 items in six domains: daily activities (by history), behaviour, bulbar, ocular motor, limb motor and gait/midline. It was devised by Golbe and Strickland.
It is a quantitative measure of disability and attempts to include all of the important areas of clinical impairment in PSP.
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| Progressive Supranuclear Palsy |
Intended Population
This scale is targeted toward measuring the severity of clinical impairments in patients with Progressive supranuclear Palsy (PSP).
Method Of Use
Equipment:
Scale, Pen, Paper.
Cup of water
Training Required:
some examination items require prior clinical training
Time Required:
10 min
Instrument and Scoring
It is a Clinician reported measuring disability across six domains giving a maximum score of 100. It comprises of 28 items in six areas. Six items are rated on a 3-point scale (0–2) and 22 are rated on a 5-point scale (0–4).
- The History/Daily Activities area: seven items with a total maximum score of 24,
- The Mentation area: four items with a maximum score of 16,
- The Bulbar area: two items with a maximum score of 8,
- the ocular motor area four items with a maximum score of 16 points,
- The limb motor area six items with a maximum score of 16.
- The Gait area: five items with a maximum score of 20.
Psychometric Properties
Reliability: excellent (IRR= 0.86, 95% CI= 0.65–0.98)
Good sensitivity to disease progression
Validity: moderate construct validity
Resources
Find detailed information here.
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