Suggested immobilization test for diagnosis of restless legs syndrome in Parkinson's disease
Identifieur interne : 001399 ( Istex/Curation ); précédent : 001398; suivant : 001400Suggested immobilization test for diagnosis of restless legs syndrome in Parkinson's disease
Auteurs : Valérie Cochen De Cock [France] ; Sophie Bayard [France] ; Huan Yu [France, République populaire de Chine] ; Magda Grini [France] ; Bertrand Carlander [France] ; Ron Postuma [Canada] ; Mahmoud Charif [France] ; Yves Dauvilliers [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2012-05.
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Abstract
Diagnosis of restless leg syndrome (RLS) in Parkinson's disease (PD) is difficult because of clinical confounds. The suggested immobilization test (SIT) is validated for diagnosis of primary RLS. This study evaluated the usefulness of the SIT for diagnosis of RLS in PD. We compared SIT scores, as well as polysomnography measures in 50 patients with PD (25 with RLS, 25 without), 25 patients with primary RLS, and 25 age/sex matched controls. Mean leg discomfort score was increased in patients with PD and RLS compared to PD without RLS, and also in patients with primary RLS compared to controls. Leg discomfort was significantly higher at the end of the test in patients with RLS compared to patients without RLS. Intensity of leg discomfort was similar between patients with RLS, with or without PD. Using a mean leg discomfort cutoff of 11, we showed sensitivity of 91% and specificity of 72% for RLS diagnosis in PD during symptomatic time intervals. Periodic leg movements index during the SIT did not differ between groups. Periodic leg movements index during sleep and wakefulness was increased in patients with primary RLS compared to controls, but did not differ between patients with PD, with and without RLS. The sensory SIT is a simple test that may help diagnose RLS in patients with PD. © 2012 Movement Disorder Society
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DOI: 10.1002/mds.24969
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France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac, Montpellier</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Shanghai Huashan Hospital, Shangai Fudan University, Shangai, China</mods:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Shanghai Huashan Hospital, Shangai Fudan University, Shangai</wicri:regionArea></affiliation></author><author><name sortKey="Grini, Magda" sort="Grini, Magda" uniqKey="Grini M" first="Magda" last="Grini">Magda Grini</name><affiliation wicri:level="1"><mods:affiliation>Service de Neurologie, Hôpital Gui de Chauliac, Montpellier, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Neurologie, Hôpital Gui de Chauliac, Montpellier</wicri:regionArea></affiliation></author><author><name sortKey="Carlander, Bertrand" sort="Carlander, Bertrand" uniqKey="Carlander B" first="Bertrand" last="Carlander">Bertrand Carlander</name><affiliation wicri:level="1"><mods:affiliation>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac, Montpellier, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac, Montpellier</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Service de Neurologie, Hôpital Gui de Chauliac, Montpellier, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Neurologie, Hôpital Gui de Chauliac, Montpellier</wicri:regionArea></affiliation></author><author><name sortKey="Postuma, Ron" sort="Postuma, Ron" uniqKey="Postuma R" first="Ron" last="Postuma">Ron Postuma</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, McGill University, Montreal 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xml:lang="fr">France</country><wicri:regionArea>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac, Montpellier</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Service de Neurologie, Hôpital Gui de Chauliac, Montpellier, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Neurologie, Hôpital Gui de Chauliac, Montpellier</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>INSERM U1061, Montpellier, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM U1061, Montpellier</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Unité des troubles du sommeil, service de neurologie, hôpital Gui de Chauliac, 80 av Augustin Fliche, 34235 Montpellier, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité des troubles du sommeil, service de neurologie, hôpital Gui de Chauliac, 80 av Augustin Fliche, 34235 Montpellier</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-05">2012-05</date><biblScope unit="volume">27</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="743">743</biblScope><biblScope unit="page" to="749">749</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">0D36CC0760082AC1DD29DA6DDD6FCE1BE8CEF795</idno><idno type="DOI">10.1002/mds.24969</idno><idno type="ArticleID">MDS24969</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>periodic limb movements</term><term>restless legs syndrome</term><term>suggested immobilization test</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Diagnosis of restless leg syndrome (RLS) in Parkinson's disease (PD) is difficult because of clinical confounds. The suggested immobilization test (SIT) is validated for diagnosis of primary RLS. This study evaluated the usefulness of the SIT for diagnosis of RLS in PD. We compared SIT scores, as well as polysomnography measures in 50 patients with PD (25 with RLS, 25 without), 25 patients with primary RLS, and 25 age/sex matched controls. Mean leg discomfort score was increased in patients with PD and RLS compared to PD without RLS, and also in patients with primary RLS compared to controls. Leg discomfort was significantly higher at the end of the test in patients with RLS compared to patients without RLS. Intensity of leg discomfort was similar between patients with RLS, with or without PD. Using a mean leg discomfort cutoff of 11, we showed sensitivity of 91% and specificity of 72% for RLS diagnosis in PD during symptomatic time intervals. Periodic leg movements index during the SIT did not differ between groups. Periodic leg movements index during sleep and wakefulness was increased in patients with primary RLS compared to controls, but did not differ between patients with PD, with and without RLS. The sensory SIT is a simple test that may help diagnose RLS in patients with PD. © 2012 Movement Disorder Society</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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