MovDisordV3, Main, Exploration, bibRecord, 002A25

Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb

Identifieur interne : 002A25 ( Main/Exploration ); précédent : 002A24; suivant : 002A26

Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb

Auteurs : Michele Tinazzi [Italie] ; Sara Simonetto [Italie] ; Laura Franco [Italie] ; Kailash P. Bhatia [Royaume-Uni] ; Giuseppe Moretto [Italie] ; Antonio Fiaschi [Italie] ; Cristina Deluca [Italie]

Source :

Movement Disorders [ 0885-3185 ] ; 2008-12-15.

RBID : ISTEX:7EB975D5FAD6854D381460AAA06A0377820EB093

Descripteurs français

Pascal (Inist)
- Doigt, Membre supérieur, Paralysie, Pathologie du système nerveux, Signe, Syncinésie.

English descriptors

KwdEn :
- Adult, Aged, Electromyography (methods), Female, Finger, Fingers (physiopathology), Functional Laterality (physiology), Hoover's test, Humans, Male, Middle Aged, Muscle, Skeletal (physiopathology), Nervous system diseases, Paralysis, Paralysis (pathology), Paralysis (physiopathology), Sensitivity and Specificity, Sign, Synkinesia, Upper Extremity (physiopathology), Upper limb, Young Adult, synkinesia, upper limb functional paralysis.
MESH :
- methods : Electromyography.
- pathology : Paralysis.
- physiology : Functional Laterality.
- physiopathology : Fingers, Muscle, Skeletal, Paralysis, Upper Extremity.
- Adult, Aged, Female, Humans, Male, Middle Aged, Sensitivity and Specificity, Young Adult.

Abstract

Objective of this study is testing a new sign to differentiate functional from organic paralysis of the arm. Thirty‐six healthy subjects, ten patients with acute functional paralysis of one arm and eleven patients with acute organic paralysis of one arm were enrolled. The test consisted of abduction finger movements of one hand against resistance with a maximal sustained contraction to detect synkinetic abduction finger movements of the contralateral hand. For both hands, contralateral hand synkinesias were observed in healthy subjects. The task performed with the unaffected hand evoked synkinesias of the presumed affected hand in functional patients, but did not evoke synkinesias of the affected hand in organic patients. The abduction finger test had 100% sensitivity and specificity in distinguishing functional from organic paralysis of the upper limb in this cohort of patients. The abduction finger sign may be a reliable bedside test to discriminate functional from organic arm paralysis. © 2008 Movement Disorder Society

Url:

https://api.istex.fr/document/7EB975D5FAD6854D381460AAA06A0377820EB093/fulltext/pdf

DOI: 10.1002/mds.22268

Affiliations:

Le document en format XML

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<author><name sortKey="Simonetto, Sara" sort="Simonetto, Sara" uniqKey="Simonetto S" first="Sara" last="Simonetto">Sara Simonetto</name>
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<author><name sortKey="Franco, Laura" sort="Franco, Laura" uniqKey="Franco L" first="Laura" last="Franco">Laura Franco</name>
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<author><name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P." last="Bhatia">Kailash P. Bhatia</name>
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<front><div type="abstract" xml:lang="en">Objective of this study is testing a new sign to differentiate functional from organic paralysis of the arm. Thirty‐six healthy subjects, ten patients with acute functional paralysis of one arm and eleven patients with acute organic paralysis of one arm were enrolled. The test consisted of abduction finger movements of one hand against resistance with a maximal sustained contraction to detect synkinetic abduction finger movements of the contralateral hand. For both hands, contralateral hand synkinesias were observed in healthy subjects. The task performed with the unaffected hand evoked synkinesias of the presumed affected hand in functional patients, but did not evoke synkinesias of the affected hand in organic patients. The abduction finger test had 100% sensitivity and specificity in distinguishing functional from organic paralysis of the upper limb in this cohort of patients. The abduction finger sign may be a reliable bedside test to discriminate functional from organic arm paralysis. © 2008 Movement Disorder Society</div>
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Movement Disorders (revue)

Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb

Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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