Table 2

Methods of measuring motor complications in clinical trials of early treatment of Parkinson’s disease

ReferenceTreatments comparedSelf report adequateRequiring repeat confirmationOther requirementsTeaching method usedSeverity reportedFrequency reportedExisting scale used
NS, not stated; PSG, Parkinson Study Group. *Rated dyskinesias and fluctuations on scale of 0–3, UPDRS IV=Unified Parkinson’s Disease Rating Scale, motor complications subscale. †Designed Motor Fluctuation Questionnaire for this study, UPDRS IV=Unified Parkinson’s Disease Rating Scale, motor complications subscale.
Cedarbaum, 199114Early vs delayed initiation of L-dopaYesNoNoneNSNoNoNo
Montastruc, 19949bromocriptine v levodopaYesYes, × 2NoneNSNoNoNo
Lees, 199513L-dopa+selegiline v L-dopaNSNSNoneNSYesNoNo*
PSG, 19964Selegiline then L-dopa v L-dopaFluctuations: YesNoNoneNoNoNoNo
Dyskinesias: NoNoNoneNoNoNoNo
Dupont, 199610Madopar HBS v standard MadoparYesNSNoneNSYesYesYes (UPDRS IV)
Larsen, 19976L-dopa+selegiline v L-dopaNSYes, × 1Motor fluctuations on qid L-dopa given q4hNSNoNoNo
Rinne, 19988Cabergoline v L-dopaNSYes, × 1NoneNSYesNoNo
Koller, 199911Sinemet CR v regular SinemetYes (patient diary)Yes, × 1Dyskinesia >10% of waking day or “Off” greater than 20% of waking day by patient diaryNSNoYesNo
Yes (examiner administered questionnaire)Yes, × 15 of 10 questions on the examiner administered questionnaire answered affirmativeNSNoYesNo†
Rascol, 200012Ropinirole v L-dopaYesNoNoneNoYesNoYes (UPDRS IV)
PSG, 20005Pramipexole v L-dopaYesNoNoneNSNoNoNo
Caraceni, 20017L-dopa, lisuride, bromocriptine, selegilineNSNSNoneNSNoNoNo