The SPDDS is an instrument for the measurement of disabilities in Parkinson’s Disease.
24
5 minutes
Adult
18 - 64
yearsElderly Adult
65 +
yearsSuzanne O’Neal, PT, DPT, NCS & the PD EDGE Task Force of the Neurology Section of the APTA
Can also be given to patient’s caregivers to assess the patient’s disability however according to one study, the patient’s assessment was a more accurate picture of their actual disability, particularly in milder stages (Brown et al., 1989).
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Parkinson’s Disease:
(Biemans et al, 2001; n = 142; mean age = 66(10.4) years; Hoehn & Yahr Stage range = I to V (I = 29, II = 41, III = 39, IV = 24, V = 9)
Table 1 Mean, standard deviation and scalability of items of the SPDDS questionnaire
|
Item |
Mean |
SD |
H (g) |
|
Washing face and hands |
1.46 |
0.83 |
0.66 |
|
Brushing teeth |
1.51 |
0.86 |
0.63 |
|
Using a telephone |
1.54 |
0.90 |
0.62 |
|
Making tea or coffee |
1.68 |
1.17 |
0.71 |
|
Inserting and removing an electric plug |
1.70 |
1.09 |
0.63 |
|
Pouring milk from a bottle or carton |
1.75 |
1.10 |
0.65 |
|
Walking about house/flat |
1.82 |
1.19 |
0.66 |
|
Getting up out of armchair |
1.87 |
0.89 |
0.63 |
|
Picking up object from floor |
1.87 |
1.03 |
0.67 |
|
Having a shower |
1.87 |
1.22 |
0.71 |
|
Getting undressed |
1.94 |
1.07 |
0.70 |
|
Holding and reading newspaper |
1.98 |
1.09 |
0.52 |
|
Holding cup and saucer |
1.99 |
1.13 |
0.58 |
|
Getting out of bed |
2.03 |
0.92 |
0.71 |
|
Getting dressed |
2.06 |
1.05 |
0.70 |
|
Walking down the stairs |
2.07 |
1.31 |
0.64 |
|
Doing the dishes |
2.10 |
1.30 |
0.65 |
|
Walking up the stairs |
2.10 |
1.28 |
0.64 |
|
Walking outside, for example to local shops |
2.31 |
1.52 |
0.68 |
|
Cutting food with knife and fork |
2.32 |
1.16 |
0.57 |
|
Opening tins (not using an electric opener) |
2.42 |
1.03 |
0.60 |
|
Turning over in bed |
2.51 |
1.17 |
0.57 |
|
Travelling by public transport |
2.83 |
1.64 |
0.69 |
|
Writing a letter |
2.90 |
1.47 |
0.60 |
(Items in table arranged by level of disability, from least to most)
Parkinson’s Disease:
(Biemans et al, 2001)
Parkinson’s Disease :
(Biemans et al, 2001)
Table 2 The relationship between self-report and observation for selected items of the SPDDS
|
SPDDS Questionnaire |
Observation |
N |
ICC (3,1) |
|
Getting out of bed |
Getting in/out of bed |
28 |
0.81 |
|
Getting up from an armchair |
Getting up from and sitting down in armchair |
29 |
0.61 |
|
Walking up the stairs |
Walking up and down the stairs |
23 |
0.66 |
|
Walking down the stairs |
Walking up and down the stairs |
23 |
0.50 |
|
Getting dressed |
Putting on and taking off coat |
29 |
0.77 |
|
Getting undressed |
Putting on and taking off coat |
29 |
0.73 |
|
Making cup of tea or coffee |
Making cup of tea or coffee |
18 |
0.82 |
|
Holding cup and saucer |
Holding a cup and saucer |
26 |
0.79 |
|
Using a telephone |
Using a telephone |
29 |
0.52 |
|
Writing a letter |
Writing a letter |
29 |
0.57 |
|
Turning over in bed |
Turning over in bed |
26 |
0.56 |
(The ICC varied from 0.52 to 0.82, showing a moderate to high positive association)
|
H&Y Stage |
SPDDS Score (Mean) |
SD |
|
I |
30.3 |
5.8 |
|
II |
36.9 |
7.4 |
|
III |
49.3 |
10.3 |
|
IV |
72.3 |
15.6 |
|
V |
95.2 |
19.6 |
Parkinson’s Disease :
(Brown et al, 1989; Group 1 n = 37; mean age (years) = 65.1(9.6); mean disease duration = 10.9(5.4); duration range (years) = 3 to 26; Hoehn & Yahr Stage II n = 12, Stage III = 20, Stage IV = 3, Stage V = 2; Group 2 n=29; mean age (years) = 50.4(9.3); mean duration (years) = 10.5(4.3); duration range (years) = 3 to 19)
Biemans, M. A., Dekker, J., et al. (2001). "The internal consistency and validity of the Self-Assessment Parkinson's Disease Disability Scale." Clin Rehabil 15(2): 221-228. Find it on PubMed
Brown, R. G., MacCarthy, B., et al. (1989). "Accuracy of self-reported disability in patients with parkinsonism." Arch Neurol 46(9): 955-959. Find it on PubMed
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.