Article

OBJECTIVE: To report on the development and psychometric evaluation of the
Radboud Oral Motor Inventory for Parkinson's Disease (ROMP), a newly developed
patient-rated assessment of speech, swallowing, and saliva control in patients
with Parkinson's disease (PD). DESIGN: Reliability and validity study. SETTING:
Tertiary-care Parkinson center for multidisciplinary assessment. PARTICIPANTS:
Consecutive community-dwelling patients with PD (n=129) or atypical parkinsonism
(AP; n=49; mean +/- SD age, 64+/-9.8y; mean +/- SD disease duration, 7y; median
Hoehn and Yahr [HY] stage, 2.5). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: To evaluate reproducibility, 60 patients completed the ROMP twice
within a mean of 24+/-12 days. To study validity, another cohort of 118 patients
who had completed the ROMP was assessed by both a neurologist (HY stage, Unified
Parkinson's Disease Rating Scale III) and speech-language pathologist (severity
of dysarthria, dysphagia, drooling) who were blinded to ROMP scores. RESULTS:
Confirmatory factor analysis identified the 3 a priori-designed ROMP domains of
speech, swallowing, and saliva control. Internal consistency was .95 for the
total ROMP and .87 to .94 for the 3 domains or subscales. Intraclass correlation
coefficients for reproducibility were .94 and .83 to .92 for the subscales.
Construct validity was substantial to good with correlations ranging from .36 to
.82. The ROMP differentiated significantly (P<.001) between patients indicated
for speech therapy (based on independent assessment) and those who were not and
between mild, moderate, and severe PD according to HY stage. CONCLUSIONS: The
ROMP provides a reliable and valid instrument to evaluate patient-perceived
problems with speech, swallowing, and saliva control in patients with PD or AP.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS