Objective: To review the historical development of video technology in the field of movement disorders, tracing its origins from early observational methods to its modern-day applications in telemedicine, clinical research, and neurology education.

Background: The diagnosis of movement disorders relies on identifying the salient phenomenology during clinical examination. Besides a thorough in-person examination, the clinician may rely on video recording, particularly in cases of transient, fluctuating, or paroxysmal movement disorders. As such, this subspecialty has been profoundly influenced by the advent of and access to film, video, and digital documentation.

Method: We conducted interviews with ten experts in movement disorders, many of whom actively played a role in formalizing movement disorders as a clinical discipline.

Results: Our understanding of movement disorders was greatly advanced by the adoption of film at first and video later. The growing relative ease of access to videos allowed easy clinical use in the clinic and its display during video rounds and conferences. A session at the American Academy of Neurology (AAN) led by David Marsden and Stanley Fahn played a particularly pivotal role in formalizing phenomenology and establishing video as a tool.

Conclusion: The use of patient recordings paralleled the growth of movement disorders as a field as they played a foundational role in the description of phenomenology, formulation of rating scales, and the education of neurologists. The potential of video recordings continues to be realized, most recently through telemedicine and the adoption of machine learning algorithms in research.

References: 1. Litvak. ACUTE MYOCLONIC ENCEPHALITIS AND THE ELECTRIC CHOREA OF DUBINI. The Journal of Nervous and Mental Disease 1921;54:355.
2. Morris AA. Paramyoclonus multiplex (Friedreich); a clinicotherapeutic study. Arch Neurol Psychiatry 1947;57:342-350.
3. Lanska DJ. Chapter 33: the history of movement disorders. Handb Clin Neurol 2010;95:501-546.
4. Aubert G. Arthur van Gehuchten takes neurology to the movies. Neurology 2002;59:1612-1618.
5. Okun M. Correspondence with Michael Okun. 2024.
6. Administration NAaR. National Archives, The Unwritten Record [online]. Available at: https://unwritten-record.blogs.archives.gov/2013/06/25/film-preservation-101-whats-the-difference-between-a-film-and-a-video/. Accessed 10/18/2024.
7. Stanley Fahn MR. Personal Interview with Stanley Fahn. 2024.
8. Duker AP. Video recording in movement disorders: practical issues. Continuum (Minneap Minn) 2013;19:1401-1405.
9. Goetz CG, Drouin E. Two faces of the teacher: Comparing editions of Charcot’s Lecons du mardi. J Hist Neurosci 2022;31:512-523.
10. Aubert G. Chapter 20: neurological illustration from photography to cinematography. Handb Clin Neurol 2010;95:289-302.
11. Lanska DJ. The Dercum-Muybridge Collaboration and the Study of Pathologic Gaits Using Sequential Photography. J Hist Neurosci 2016;25:23-38.
12. Barboi AC, Goetz CG, Musetoiu R. The origins of scientific cinematography and early medical applications. Neurology 2004;62:2082-2086.
13. Pichel B. From facial expressions to bodily gestures: Passions, photography and movement in French 19(th)-century sciences. Hist Human Sci 2016;29:27-48.
14. Pichel B. 97Photographing the Emotional Body: Performing Expressions in the Theater and the Psychological Sciences. In: Martín-Moruno D, Pichel B, eds. Emotional Bodies: The Historical Performativity of Emotions: University of Illinois Press, 2019: 0.
15. Jeanjean A, Aubert G. Moving pictures of Parkinson’s disease. Lancet 2011;378:1773-1774.
16. Reynolds EH, Healy DG, Lees AJ. A film of patients with movement disorders made in Queen Square, London in the Mid-1920s by Samuel Alexander Kinnier Wilson. Mov Disord 2011;26:2453-2459.
17. Vilensky JA, Gilman S, Dec EM. The Denny-Brown collection: a research and teaching resource. Ann Neurol 1994;36:247-251.
18. Vilensky JA, Goetz CG, Gilman S. Movement disorders associated with encephalitis lethargica: a video compilation. Mov Disord 2006;21:1-8.
19. Columbia University.
20. American Academy of Neurology Oral History Project.
21. Re-Awakenings.
22. Stanley Fahn CV.
23. Frucht S. Correspondence with Steven Frucht. 2024.
24. Lees A. Interview with Andrew Lees. 2024.
25. Lang A. Interview with Anthony Lang. 2024.
26. Christopher Goetz MR. Personal Interview with Christopher Goetz. 2024.
27. Jog MS, Grantier L. Methods for digital video recording, storage, and communication of movement disorders. Mov Disord 2001;16:1196-1200.
28. Mark Hallett MR. Personal Interview with Mark Hallett. 2024.
29. Goetz CG, McGhiey A. The movement disorder society and movement disorders: a modern history. Mov Disord 2011;26:939-946.
30. Tanner C. Interview with Caroline Tanner. 2024.
31. Jankovic J. Personal Corespondence with Joseph Jankovic 2024.
32. Goetz CG, Nutt JG, Stebbins GT. The Unified Dyskinesia Rating Scale: presentation and clinimetric profile. Mov Disord 2008;23:2398-2403.
33. Unified Huntington’s Disease Rating Scale: reliability and consistency. Huntington Study Group. Mov Disord 1996;11:136-142.
34. Goetz CG, Tilley BC, Shaftman SR, et al. Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord 2008;23:2129-2170.
35. Riechmann R, Jakubovski E, Essing J, et al. The Rush Video-Based Tic Rating Scale-Revised: A Practice-Oriented Revision. Mov Disord Clin Pract 2023;10:802-810.
36. MDS-Unified Parkinson’s Disease Rating Scale Certificate Program [online]. Available at: https://mds.movementdisorders.org/updrs/?gad_source=1&gclid=Cj0KCQjwgrO4BhC2ARIsAKQ7zUmS_WPQR0o_6tI3QmZNhuSuoTe723aBoR7p80xyXrJXl7v9qRegHSsaAiZNEALw_wcB.
37. Fahn S. Unified Parkinson’s disease rating scale. Recent developments in Parkinson’s disease 1987:153-163.
38. Barton BR, Hall DA. Video protocols and techniques for movement disorders. Oxford ; New York: Oxford University Press, 2016.
39. Schoffer KL, Patterson V, Read SJ, Henderson RD, Pandian JD, O’Sullivan JD. Guidelines for Filming Digital Camera Video Clips for the Assessment of Gait and Movement Disorders by Teleneurology. Journal of Telemedicine and Telecare 2005;11:368-371.
40. Sambati L, Baldelli L, Calandra Buonaura G, et al. Observing movement disorders: best practice proposal in the use of video recording in clinical practice. Neurol Sci 2019;40:333-338.
41. de Leon D, Moskowitz CB, Stewart C. Proposed guidelines for videotaping individuals with movement disorders. J Neurosci Nurs 1991;23:191-193.
42. Schaefer SM, Vadlamani L, Juthani P, et al. An online curriculum in movement disorders for neurology housestaff. Clin Park Relat Disord 2020;3:100035.
43. Schaefer S. Movement Disorder Modules [online]. Available at: https://movementmodules.yale.edu/.
44. Harold L. Klawans CGG, Caroline M. Tanner. Common movement disorders : a video presentation: Raven Press, 1988.
45. MDS Video Gallery.
46. Continuum Neurology.
47. Aamodt WW, Strowd RE. Teaching NeuroImages and Teaching Video NeuroImages. Neurology 2023;100:S1-S2.
48. Principles and Practice of Movement Disorders2022.
49. Metman LV, Kompoliti K. Encyclopedia of Movement Disorders: Elsevier Academic Press, 2010.
50. Lang AE, Sethi KD. Preface to the Video Challenge Supplement for Movement Disorders Clinical Practice. Mov Disord Clin Pract 2020;7:S53-S54.
51. Ben-Pazi H, Browne P, Chan P, et al. The Promise of Telemedicine for Movement Disorders: an Interdisciplinary Approach. Curr Neurol Neurosci Rep 2018;18:26.
52. Dorsey ER, Bloem BR, Okun MS. A New Day: The Role of Telemedicine in Reshaping Care for Persons With Movement Disorders. Mov Disord 2020;35:1897-1902.
53. Morinan G, Hauser RA, Schrag A, Tang J, O’Keeffe J, Mds-Nms Scale Development Study G. Abbreviated MDS-UPDRS for Remote Monitoring in PD Identified Using Exhaustive Computational Search. Parkinsons Dis 2022;2022:2920255.
54. Srinivasan R, Ben-Pazi H, Dekker M, et al. Telemedicine for Hyperkinetic Movement Disorders. Tremor Other Hyperkinet Mov (N Y) 2020;10.
55. Ricci L, Boscarino M, Assenza G, et al. Clinical utility of home videos for diagnosing epileptic seizures: a systematic review and practical recommendations for optimal and safe recording. Neurol Sci 2021;42:1301-1309.
56. Billnitzer A, Jankovic J. The Clinical Value of Patient Home Videos in Movement Disorders. Tremor Other Hyperkinet Mov (N Y) 2021;11:37.
57. L’Italien GJ, Oikonomou EK, Khera R, et al. Video-Based Kinematic Analysis of Movement Quality in a Phase 3 Clinical Trial of Troriluzole in Adults with Spinocerebellar Ataxia: A Post Hoc Analysis. Neurol Ther 2024;13:1287-1301.
58. Kanko RM, Laende EK, Davis EM, Selbie WS, Deluzio KJ. Concurrent assessment of gait kinematics using marker-based and markerless motion capture. J Biomech 2021;127:110665.
59. Boccagni C, Carpaneto J, Micera S, Bagnato S, Galardi G. Motion analysis in cervical dystonia. Neurol Sci 2008;29:375-381.
60. Guarin DL, Wong JK, McFarland NR, Ramirez-Zamora A, Vaillancourt DE. What the trained eye cannot see: Quantitative kinematics and machine learning detect movement deficits in early-stage Parkinson’s disease from videos. Parkinsonism Relat Disord 2024;127:107104.

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