La maladie de Parkinson au Canada (serveur d'exploration)

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Dynamic decomposition of motion in essential and parkinsonian tremor.

Identifieur interne : 000550 ( PubMed/Curation ); précédent : 000549; suivant : 000551

Dynamic decomposition of motion in essential and parkinsonian tremor.

Auteurs : Fariborz Rahimi [Canada] ; Derek Debicki [Canada] ; Angela Roberts-South [Canada] ; Carina Bee [Canada] ; Priya Bapat [Canada] ; Mandar Jog [Canada]

Source :

RBID : pubmed:25702954

English descriptors

Abstract

Treatment options for essential (ET) and Parkinson disease (PD) tremor are suboptimal, with significant side effects. Botulinum toxin type A (BoNT A) is successfully used in management of various focal movement disorders but is not widely used for tremor.

DOI: 10.1017/cjn.2015.12
PubMed: 25702954

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pubmed:25702954

Le document en format XML

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<term>Accelerometry</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Biomechanical Phenomena</term>
<term>Botulinum Toxins, Type A (therapeutic use)</term>
<term>Electromyography</term>
<term>Essential Tremor (diagnosis)</term>
<term>Essential Tremor (drug therapy)</term>
<term>Essential Tremor (physiopathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motion</term>
<term>Neuromuscular Agents (therapeutic use)</term>
<term>Parkinsonian Disorders (diagnosis)</term>
<term>Parkinsonian Disorders (drug therapy)</term>
<term>Parkinsonian Disorders (physiopathology)</term>
<term>Pronation</term>
<term>Ulna (physiopathology)</term>
<term>Wrist (physiopathology)</term>
</keywords>
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<term>Botulinum Toxins, Type A</term>
<term>Neuromuscular Agents</term>
</keywords>
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<term>Essential Tremor</term>
<term>Parkinsonian Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Essential Tremor</term>
<term>Parkinsonian Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Essential Tremor</term>
<term>Parkinsonian Disorders</term>
<term>Ulna</term>
<term>Wrist</term>
</keywords>
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<term>Accelerometry</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Biomechanical Phenomena</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motion</term>
<term>Pronation</term>
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<front>
<div type="abstract" xml:lang="en">Treatment options for essential (ET) and Parkinson disease (PD) tremor are suboptimal, with significant side effects. Botulinum toxin type A (BoNT A) is successfully used in management of various focal movement disorders but is not widely used for tremor.</div>
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<Day>25</Day>
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<Month>12</Month>
<Day>15</Day>
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<Month>12</Month>
<Day>30</Day>
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<Volume>42</Volume>
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<Year>2015</Year>
<Month>Mar</Month>
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<Title>The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</Title>
<ISOAbbreviation>Can J Neurol Sci</ISOAbbreviation>
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<ArticleTitle>Dynamic decomposition of motion in essential and parkinsonian tremor.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Treatment options for essential (ET) and Parkinson disease (PD) tremor are suboptimal, with significant side effects. Botulinum toxin type A (BoNT A) is successfully used in management of various focal movement disorders but is not widely used for tremor.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">This study examines complexity of wrist tremor in terms of involvement of its three anatomical degrees of freedom (DOF) in two common situations of rest and posture. The study examines tremor in 11 ET and 17 PD participants by kinematic decomposition of motion in 3-DOF.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Tremor decomposition showed the motion involved more than one DOF (<70% contribution in one DOF) in most ET (rest: 100%, posture: 64%) and PD (rest: 77%, posture: 77%) patients. Task variation resulted in change in both amplitude and composition in ET, but not in PD. Amplitude significantly increased from rest to posture in ET. Directional bias was observed at the wrist for ET (pronation), and PD (extension, ulnar deviation, pronation). Average agreement between clinical visual and kinematic selection of muscles was 55% across all subjects.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study shows the complexity of tremor and the difficulty in visual judgment of tremor, which may be key to the success of targeted focal treatments such as BoNT A.</AbstractText>
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