Mirror movements in parkinsonism: evaluation of a new clinical sign
Identifieur interne : 002971 ( Main/Exploration ); précédent : 002970; suivant : 002972Mirror movements in parkinsonism: evaluation of a new clinical sign
Auteurs : A. Espay ; J. Li ; L. Johnston ; R. Chen ; A. LangSource :
- Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 2005.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Cerebrovascular Circulation (physiology), Female, Foot (physiopathology), Functional Laterality (physiology), Humans, Male, Middle Aged, Motor Cortex (blood supply), Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Parkinson Disease (physiopathology), Severity of Illness Index, Synkinesis (diagnosis), Synkinesis (epidemiology), Synkinesis (physiopathology), Videotape Recording.
- MESH :
- blood supply : Motor Cortex.
- diagnosis : Parkinson Disease, Synkinesis.
- epidemiology : Parkinson Disease, Synkinesis.
- physiology : Cerebrovascular Circulation, Functional Laterality.
- physiopathology : Foot, Parkinson Disease, Synkinesis.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Severity of Illness Index, Videotape Recording.
Abstract
Url:
DOI: 10.1136/jnnp.2005.062950
PubMed: 16170075
PubMed Central: 1739373
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mirror movements in parkinsonism: evaluation of a new clinical sign</title>
<author><name sortKey="Espay, A" sort="Espay, A" uniqKey="Espay A" first="A" last="Espay">A. Espay</name>
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<author><name sortKey="Li, J" sort="Li, J" uniqKey="Li J" first="J" last="Li">J. Li</name>
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<author><name sortKey="Johnston, L" sort="Johnston, L" uniqKey="Johnston L" first="L" last="Johnston">L. Johnston</name>
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<author><name sortKey="Chen, R" sort="Chen, R" uniqKey="Chen R" first="R" last="Chen">R. Chen</name>
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<author><name sortKey="Lang, A" sort="Lang, A" uniqKey="Lang A" first="A" last="Lang">A. Lang</name>
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<series><title level="j">Journal of Neurology, Neurosurgery, and Psychiatry</title>
<idno type="ISSN">0022-3050</idno>
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<term>Aged, 80 and over</term>
<term>Cerebrovascular Circulation (physiology)</term>
<term>Female</term>
<term>Foot (physiopathology)</term>
<term>Functional Laterality (physiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Cortex (blood supply)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Severity of Illness Index</term>
<term>Synkinesis (diagnosis)</term>
<term>Synkinesis (epidemiology)</term>
<term>Synkinesis (physiopathology)</term>
<term>Videotape Recording</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Motor Cortex</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term>
<term>Synkinesis</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term>
<term>Synkinesis</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cerebrovascular Circulation</term>
<term>Functional Laterality</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Foot</term>
<term>Parkinson Disease</term>
<term>Synkinesis</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><p><bold>Background:</bold>
Mirror movements (MM) are not widely appreciated in parkinsonism and no report has evaluated this clinical sign in detail. </p>
<p><bold>Objectives:</bold>
To define the parkinsonian clinical features associated with MM in patients with early, asymmetric parkinsonism. </p>
<p><bold>Methods:</bold>
Twenty seven patients with early Parkinson's disease were evaluated using a standardised videotaping protocol. MM were scored from blinded video assessment using a clinical scale that rates the amplitude, distribution, and proportion of mirroring in the less affected limb. Parkinsonian features were combined into axial and lateralised scores using related items of the Unified Parkinson's Disease Rating Scale. </p>
<p><bold>Results:</bold>
MM were present in 24 of 27 patients. There was a significant linear correlation between the degree of asymmetry of motor deficits and MM on the less affected side. The effect of asymmetry was greater when the proportional rather than the absolute motor difference between sides was largest. Asymmetry in leg rigidity was the most important examination feature in the prediction of contralateral foot mirroring. </p>
<p><bold>Conclusions:</bold>
MM are a clinical feature of the unaffected or less affected side in mild asymmetric parkinsonism. Their presence may be a useful clinical finding in early parkinsonism. </p>
</div>
</front>
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<name sortKey="Johnston, L" sort="Johnston, L" uniqKey="Johnston L" first="L" last="Johnston">L. Johnston</name>
<name sortKey="Lang, A" sort="Lang, A" uniqKey="Lang A" first="A" last="Lang">A. Lang</name>
<name sortKey="Li, J" sort="Li, J" uniqKey="Li J" first="J" last="Li">J. Li</name>
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