Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor
Identifieur interne : 003128 ( Istex/Corpus ); précédent : 003127; suivant : 003129Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor
Auteurs : Kelly E. Lyons ; Rajesh Pahwa ; Karen L. Busenbark ; Alexander I. Tröster ; Steve Wilkinson ; William C. KollerSource :
- Movement Disorders [ 0885-3185 ] ; 1998-07.
English descriptors
- KwdEn :
Abstract
Deep brain stimulation (DBS) of the thalamus reduces tremor in patients with essential tremor (ET). However, few studies have determined the degree of improvement in daily functioning associated with DBS. We developed a selfreport Tremor Activities of Daily Living Scale (TADLS) to compare daily functioning with the stimulator turned on and off. Patients rated their performance on the 30 items of the TADLS with the stimulator turned off and then on. They also performed 10 activities under the supervision of a clinician who rated their functional ability with stimulation off and then on. There was a 58% improvement in self‐rated TADLS scores in patients with DBS with the stimulator on compared with stimulation off. When activities were rated by the clinicain, the average improvement in functioning with the stimulator on was 54%. There were reasonably high correlations between patient and clinician ratings of functioning. ET patients have a marked improvement in daily functioning with thalamic DBS.
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DOI: 10.1002/mds.870130414
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ISTEX:5AB27BA880B4534308EAA24A1BCA8D64EC85B014Le document en format XML
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However, few studies have determined the degree of improvement in daily functioning associated with DBS. We developed a selfreport Tremor Activities of Daily Living Scale (TADLS) to compare daily functioning with the stimulator turned on and off. Patients rated their performance on the 30 items of the TADLS with the stimulator turned off and then on. They also performed 10 activities under the supervision of a clinician who rated their functional ability with stimulation off and then on. There was a 58% improvement in self‐rated TADLS scores in patients with DBS with the stimulator on compared with stimulation off. When activities were rated by the clinicain, the average improvement in functioning with the stimulator on was 54%. There were reasonably high correlations between patient and clinician ratings of functioning. ET patients have a marked improvement in daily functioning with thalamic DBS.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Kelly E. Lyons PhD</name><affiliations><json:string>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</json:string></affiliations></json:item><json:item><name>Rajesh Pahwa MD</name><affiliations><json:string>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</json:string></affiliations></json:item><json:item><name>Karen L. Busenbark BSN</name><affiliations><json:string>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</json:string></affiliations></json:item><json:item><name>Alexander I. Tröster PhD</name><affiliations><json:string>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</json:string></affiliations></json:item><json:item><name>Steve Wilkinson MD</name><affiliations><json:string>Departments of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</json:string></affiliations></json:item><json:item><name>William C. 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ET patients have a marked improvement in daily functioning with thalamic DBS.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>DBS</term></item><item><term>Essential tremor</term></item><item><term>Quality of life</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1997-08-27">Received</change><change when="1998-03-03">Registration</change><change when="1998-07">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/5AB27BA880B4534308EAA24A1BCA8D64EC85B014/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="tocForm">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. 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However, few studies have determined the degree of improvement in daily functioning associated with DBS. We developed a selfreport Tremor Activities of Daily Living Scale (TADLS) to compare daily functioning with the stimulator turned on and off. Patients rated their performance on the 30 items of the TADLS with the stimulator turned off and then on. They also performed 10 activities under the supervision of a clinician who rated their functional ability with stimulation off and then on. There was a 58% improvement in self‐rated TADLS scores in patients with DBS with the stimulator on compared with stimulation off. When activities were rated by the clinicain, the average improvement in functioning with the stimulator on was 54%. There were reasonably high correlations between patient and clinician ratings of functioning. ET patients have a marked improvement in daily functioning with thalamic DBS.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>DAILY FUNCTIONING AND DBS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor</title></titleInfo><name type="personal"><namePart type="given">Kelly E.</namePart><namePart type="family">Lyons</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</affiliation><description>Correspondence: The Department of Neurology, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS 66160–7314, U.S.A.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rajesh</namePart><namePart type="family">Pahwa</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Karen L.</namePart><namePart type="family">Busenbark</namePart><namePart type="termsOfAddress">BSN</namePart><affiliation>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alexander I.</namePart><namePart type="family">Tröster</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Steve</namePart><namePart type="family">Wilkinson</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Departments of Neurosurgery, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">William C.</namePart><namePart type="family">Koller</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Departments of Neurology, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1998-07</dateIssued><dateCaptured encoding="w3cdtf">1997-08-27</dateCaptured><dateValid encoding="w3cdtf">1998-03-03</dateValid><copyrightDate encoding="w3cdtf">1998</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">3</extent><extent unit="references">6</extent></physicalDescription><abstract lang="fr">Deep brain stimulation (DBS) of the thalamus reduces tremor in patients with essential tremor (ET). However, few studies have determined the degree of improvement in daily functioning associated with DBS. We developed a selfreport Tremor Activities of Daily Living Scale (TADLS) to compare daily functioning with the stimulator turned on and off. Patients rated their performance on the 30 items of the TADLS with the stimulator turned off and then on. They also performed 10 activities under the supervision of a clinician who rated their functional ability with stimulation off and then on. There was a 58% improvement in self‐rated TADLS scores in patients with DBS with the stimulator on compared with stimulation off. When activities were rated by the clinicain, the average improvement in functioning with the stimulator on was 54%. There were reasonably high correlations between patient and clinician ratings of functioning. ET patients have a marked improvement in daily functioning with thalamic DBS.</abstract><subject lang="en"><genre>Keywords</genre><topic>DBS</topic><topic>Essential tremor</topic><topic>Quality of life</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>1998</date><detail type="volume"><caption>vol.</caption><number>13</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>690</start><end>692</end><total>3</total></extent></part></relatedItem><identifier type="istex">5AB27BA880B4534308EAA24A1BCA8D64EC85B014</identifier><identifier type="DOI">10.1002/mds.870130414</identifier><identifier type="ArticleID">MDS870130414</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1998 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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