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International Parkinson and Movement Disorder Society

MDS Non-Motor Rating Scale (MDS-NMS)

Assess non-motor symptoms in Parkinson’s disease (PD) in depth.

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Permission is required for each single use of the MDS Clinical Outcome Assessments. 

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The MDS-NMS is a revision of the Non-Motor Symptoms Scale (NMSS) and was developed to improve and refine the assessment of non-motor symptoms in Parkinson’s disease (PD). This rater-completed assessment measures frequency and severity of 13 non-motor domains, over 52 items and covers a range of key non-motor symptoms both PD and treatment related, and in greater depth, compared with the NMSS. The scale also has a new MDS-NMS Non-Motor Fluctuations (NMF) Subscale to assess changes in non-motor symptoms in relation to the timing of anti-parkinsonian medications across 8 domains.

This scale is expected to be useful in clinical care and research, including trials of investigational medicinal products related to PD. The MDS-NMS is a valid and reliable rating scale that measures the burden of non-motor symptoms, including non-motor fluctuations, in PD patients.

Authors: K. Ray Chaudhuri, Anette Schrag, Daniel Weintraub, Alexandra Rizos, Carmen Rodriguez-Blazquez, Eugenia Mamikonyan and Pablo Martinez-Martin

Original PublicationView the Scale (PDF)

  • Acronym: MDS-NMS
  • Year Published: 2019
  • Estimated Time to Complete: The estimated time for completion of the scale is 15-40 minutes, depending on the status of patient and number of non-motor symptoms present.
  • Assessment Type: ClinRO

 Available translations: 10+ languages

  Eletronic builds: REDCap, HTML

To request permission to use this Rating Scale, please fill out a Permission Request Form.

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 Certificate Program: Learn to administer the MDS-NMS »
 


Translations

In Progress:

The following translations have completed Cognitive Pre-testing. For more information about the Translation Program, please reference our Protocol for Official Non-English Language Translations.  Please contact ratingscales@movementdisorders.org for more information.

  • Dutch
  • Hebrew
  • Italian
  • Lithuanian
  • Norwegian
  • Swedish


MDS thanks the translation Program Leaders and contributors for the development and ongoing support of translations.
 

Additional Scale Publications

Original Publication

The Movement Disorder Society Nonmotor Rating Scale: Initial Validation Study
Chaudhuri KR, Schrag A, Weintraub D, Rizos A, Rodriguez‐Blazquez C, Mamikonyan E, Martinez‐Martin P 
January 2020 
Movement Disorders Clinical Practice; 35(1):116-33
 

Clinimetrics

Conversion between NMSS and MDS-NMS in Parkinson's Disease
Michela Garon, José-Manuel Rojo-Albuin, K. Ray Chaudhuri, Alexandra Rizos MSc, Carmen Rodriguez-Blazquez, Eugenia Mamikonyan, Roberta Biundo, Anette Schra, Daniel Weintraub, Angelo Antonini, Per Odin, Pablo Martinez-Martin 
March 2025
Movement Disorders 

Characterization of Non-Motor Fluctuations Using the Movement Disorder Society Non-Motor Rating Scale
Wamelen DJ,  Rota S, Schrag A,  Rizos A,  Martinez-Martin P,  Weintraub D, Chaudhuri KR
July 2022
Movement Disorders Clinical Practice; 9(7):932-40

Factor Analysis and Clustering of the Movement Disorder Society–Non-Motor Rating Scale
Martinez-Martin P, Rojo-Abuín J, Weintraub D, Chaudhuri KR, Rodriguez-Blázquez C, Rizos A, Schrag A
June 2020 
Movement Disorders Clinical Practice; 35(6):969-75

Pilot Study of the International Parkinson and Movement Disorder Society-sponsored Non-motor Rating Scale (MDS-NMS)
Martinez-Martin P, Schrag A, Weintraub D, Rizos A, Rodriquez-Blazquez C, Chaudhuri KR
January 2019
Movement Disorders Clinical Practice; 6(3):227-34
 

Translations

Expanded and Independent Spanish Validation of the MDS-Non Motor Rating Scale
Cubo E, Luo S, Martínez-Martín P, Stebbins GT, Lin J, Choi D, García-Bustillo A, Mir P, Santos-Garcia P, Serrano-Dueñas M, Rodriguez-Violante M, Singer M, and the Spanish MDS-NMS Validation Study Group
January 2023
Movement Disorders Clinical Practice; 10(4):586-95
 

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