Validation of the Hebrew version of the Movement Disorder Society—Unified Parkinson's Disease Rating Scale

Jennifer Zitser, Chava Peretz, Aya Ber David, Herzl Shabtai, Adi Ezra, Meir Kestenbaum, Marina Brozgol, Alina Rosenberg, Talia Herman, Yakov Balash, Avi Gadoth, Avner Thaler, Glenn T. Stebbins, Christopher G. Goetz, Barbara C. Tilley, Sheng T. Luo, Yuanyuan Liu, Nir Giladi, Tanya Gurevich

Research output: Contribution to journalArticlepeer-review


Background The Movement Disorders Society (MDS) published the English new Unified Parkinson's Disease Rating Scale (MDS-UPDRS) as the official benchmark scale for Parkinson's disease (PD) in 2008. We aimed to validate the Hebrew version of the MDS-UPDRS, explore its dimensionality and compare it to the original English one. Methods The MDS-UPDRS questionnaire was translated to Hebrew and was tested on 389 patients with PD, treated at the Movement Disorders Unit at Tel-Aviv Medical Center. The MDS-UPDRS is made up of four sections. The higher the score, the worst the clinical situation of the patient is. Confirmatory and explanatory factor analysis were applied to determine if the factor structure of the English version could be confirmed in the Hebrew version. Results The Hebrew version of the MDS-UPDRS showed satisfactory clinimetric properties. The internal consistency of the Hebrew-version was satisfactory, with Cronbach's alpha values 0.79, 0.90, 0.93, 0.80, for parts 1 to 4 respectively. In the confirmatory factor analysis, all four parts had high (greater than 0.90) comparative fit index (CFI) in comparison to the original English MDS-UPDRS with high factor structure (0.96, 0.99, 0.94, 1.00, respectively), thus confirming the pre-specified English factor structure. Explanatory factor analysis yielded that the Hebrew responses differed from the English one within an acceptable range: in isolated item differences in factor structure and in the findings of few items having cross loading on multiple factors. Conclusions The Hebrew version of the MDS-UPDRS meets the requirements to be designated as the Official Hebrew Version of the MDS-UPDRS.

Original languageEnglish
Pages (from-to)7-12
Number of pages6
JournalParkinsonism and Related Disorders
StatePublished - Dec 2017


  • Clinimetrics
  • Parkinson's disease
  • Rating scales
  • Validation


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