Movement Disorders (revue)

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Impaired motor imagery in patients with essential tremor: A case control study

Identifieur interne : 002E02 ( Main/Exploration ); précédent : 002E01; suivant : 002E03

Impaired motor imagery in patients with essential tremor: A case control study

Auteurs : Yew-Long Lo [Singapour] ; Elan D. Louis [États-Unis] ; Stephanie Fook-Chong [Singapour] ; Eng-King Tan [Singapour]

Source :

RBID : ISTEX:F05C12B46267C59F26F1BD34472CDD0F42D4A81A

Descripteurs français

English descriptors

Abstract

Motor imagery (MI), which refers to the process of mental representation of movements, has not been studied in patients with essential tremor (ET). We investigated the presence of impaired MI in ET patients compared with healthy controls. A group of drug‐naive and nondemented ET patients and age‐matched controls were studied using transcranial magnetic stimulation, while they were specifically instructed to try and imagine themselves performing two motor tasks. The various clinical and electrophysiological variables were evaluated and compared. Repeated measures ANOVA demonstrated a significant difference between ET patients and controls with respect to mean motor‐evoked potential (MEP) amplitudes (F(1,38) = 31.92, P < 0.005) during MI. The process of MI effectively facilitated MEP amplitude in controls but not in ET patients, regardless of side of stimulation or motor tasks. We provide evidence to demonstrate impairment of MI in a group of ET patients compared with healthy controls. The basis for this novel finding is unclear, and further studies are warranted to determine whether it is related to cerebellar or motor cortical dysfunction. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21356


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="fr">Motor imagery (MI), which refers to the process of mental representation of movements, has not been studied in patients with essential tremor (ET). We investigated the presence of impaired MI in ET patients compared with healthy controls. A group of drug‐naive and nondemented ET patients and age‐matched controls were studied using transcranial magnetic stimulation, while they were specifically instructed to try and imagine themselves performing two motor tasks. The various clinical and electrophysiological variables were evaluated and compared. Repeated measures ANOVA demonstrated a significant difference between ET patients and controls with respect to mean motor‐evoked potential (MEP) amplitudes (F(1,38) = 31.92, P < 0.005) during MI. The process of MI effectively facilitated MEP amplitude in controls but not in ET patients, regardless of side of stimulation or motor tasks. We provide evidence to demonstrate impairment of MI in a group of ET patients compared with healthy controls. The basis for this novel finding is unclear, and further studies are warranted to determine whether it is related to cerebellar or motor cortical dysfunction. © 2007 Movement Disorder Society</div>
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