Suggested Immobilization Test for Diagnosis of Restless Legs Syndrome in Parkinson's Disease
Identifieur interne : 000111 ( France/Analysis ); précédent : 000110; suivant : 000112Suggested 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.
Descripteurs français
- Pascal (Inist)
English descriptors
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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.
Affiliations:
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Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>INSERM U1061</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Bayard, Sophie" sort="Bayard, Sophie" uniqKey="Bayard S" first="Sophie" last="Bayard">Sophie Bayard</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement 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aut.</sZ></inist:fA14><country>République populaire de Chine</country><wicri:noRegion>Shangai</wicri:noRegion></affiliation></author><author><name sortKey="Grini, Magda" sort="Grini, Magda" uniqKey="Grini M" first="Magda" last="Grini">Magda Grini</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Carlander, Bertrand" sort="Carlander, Bertrand" uniqKey="Carlander B" first="Bertrand" last="Carlander">Bertrand Carlander</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Postuma, Ron" sort="Postuma, Ron" uniqKey="Postuma R" first="Ron" last="Postuma">Ron Postuma</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Department of Neurology, McGill University, Montreal General Hospital</s1><s2>Montreal, Ontario</s2><s3>CAN</s3><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Montreal, Ontario</wicri:noRegion><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Charif, Mahmoud" sort="Charif, Mahmoud" uniqKey="Charif M" first="Mahmoud" last="Charif">Mahmoud Charif</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Dauvilliers, Yves" sort="Dauvilliers, Yves" uniqKey="Dauvilliers Y" first="Yves" last="Dauvilliers">Yves Dauvilliers</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unité des troubles du sommeil, Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Neurologie, Hôpital Gui de Chauliac</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>INSERM U1061</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Montpellier</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnosis</term><term>Immobilization test</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Restless legs syndrome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Syndrome des jambes sans repos</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Test immobilisation</term><term>Diagnostic</term></keywords></textClass></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.</div></front></TEI><affiliations><list><country><li>Canada</li><li>France</li><li>République populaire de Chine</li></country><region><li>Québec</li></region><settlement><li>Montpellier</li><li>Montréal</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="France"><noRegion><name sortKey="De Cock, Valerie Cochen" sort="De Cock, Valerie Cochen" uniqKey="De Cock V" first="Valérie Cochen" last="De Cock">Valérie Cochen De Cock</name></noRegion><name sortKey="Bayard, Sophie" sort="Bayard, Sophie" uniqKey="Bayard S" first="Sophie" last="Bayard">Sophie Bayard</name><name sortKey="Bayard, Sophie" sort="Bayard, Sophie" uniqKey="Bayard S" first="Sophie" last="Bayard">Sophie Bayard</name><name sortKey="Carlander, Bertrand" sort="Carlander, Bertrand" uniqKey="Carlander B" first="Bertrand" last="Carlander">Bertrand Carlander</name><name sortKey="Carlander, Bertrand" sort="Carlander, Bertrand" uniqKey="Carlander B" first="Bertrand" last="Carlander">Bertrand Carlander</name><name sortKey="Charif, Mahmoud" sort="Charif, Mahmoud" uniqKey="Charif M" first="Mahmoud" last="Charif">Mahmoud Charif</name><name sortKey="Dauvilliers, Yves" sort="Dauvilliers, Yves" uniqKey="Dauvilliers Y" first="Yves" last="Dauvilliers">Yves Dauvilliers</name><name sortKey="Dauvilliers, Yves" sort="Dauvilliers, Yves" uniqKey="Dauvilliers Y" first="Yves" last="Dauvilliers">Yves Dauvilliers</name><name sortKey="Dauvilliers, Yves" sort="Dauvilliers, Yves" uniqKey="Dauvilliers Y" first="Yves" last="Dauvilliers">Yves Dauvilliers</name><name sortKey="De Cock, Valerie Cochen" sort="De Cock, Valerie Cochen" uniqKey="De Cock V" first="Valérie Cochen" last="De Cock">Valérie Cochen De Cock</name><name sortKey="De Cock, Valerie Cochen" sort="De Cock, Valerie Cochen" uniqKey="De Cock V" first="Valérie Cochen" last="De Cock">Valérie Cochen De Cock</name><name sortKey="Grini, Magda" sort="Grini, Magda" uniqKey="Grini M" first="Magda" last="Grini">Magda Grini</name><name sortKey="Huan Yu" sort="Huan Yu" uniqKey="Huan Yu" last="Huan Yu">HUAN YU</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Huan Yu" sort="Huan Yu" uniqKey="Huan Yu" last="Huan Yu">HUAN YU</name></noRegion></country><country name="Canada"><region name="Québec"><name sortKey="Postuma, Ron" sort="Postuma, Ron" uniqKey="Postuma R" first="Ron" last="Postuma">Ron Postuma</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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