The pull test: A history
Identifieur interne : 003148 ( Main/Exploration ); précédent : 003147; suivant : 003149The pull test: A history
Auteurs : Ann L. Hunt [États-Unis] ; Kapil D. Sethi [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Europe, Evaluation scale, History, 19th Century, History, 20th Century, Humans, Instability, Nervous system diseases, Parkinson Disease (history), Parkinson disease, Parkinson's disease, Postural Balance, Severity of Illness Index, Unified Parkinson's Disease Rating Scale, United States, postural instability, pull test.
- MESH :
- geographic : Europe, United States.
- history : Parkinson Disease.
- History, 19th Century, History, 20th Century, Humans, Postural Balance, Severity of Illness Index.
Abstract
The pull test (PT) is used as a measure of postural instability in Parkinson's disease (PD) and other movement disorders. In 1987, it was incorporated into the Unified Parkinson's Disease Rating Scale (UPDRS), a scale used to measure the severity and treatment response in PD both in research studies and in clinical practice. However, the origins of the observation of postural instability in movement disorders and the attempt to quantify it are much older. Here, we trace the history of postural instability first described as a feature of PD by Romberg in 1853. Attempts to evaluate postural instability began with the first measurement by Charcot in the 1880s by pulling the clothes of patients and progressed to the push on the sternum by Hoehn and Yahr in the 1960s. Eventually, this evolved into the formal PT proposed by Fahn in the 1980s. Despite the widespread use of the PT as part of the UPDRS, variability exists in its execution. Recommendations have been made for training of examiners in clinical trials to improve its accuracy in assessing postural instability. We agree with improving PT technique for clinical trials and advocate for its routine use in clinical practice when diagnosing and treating movement disorders. Further, we propose the name “Fahn pull test” for the maneuver based on his significant contribution to its development. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.20925
Affiliations:
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Le document en format XML
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Hunt</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Beth Israel Medical Center, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Sethi, Kapil D" sort="Sethi, Kapil D" uniqKey="Sethi K" first="Kapil D." last="Sethi">Kapil D. Sethi</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Medical College of Georgia, Augusta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-07">2006-07</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="894">894</biblScope><biblScope unit="page" to="899">899</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">03A53F8162E7BE0E8D0FC5BCDAB7CD924917A8CB</idno><idno type="DOI">10.1002/mds.20925</idno><idno type="ArticleID">MDS20925</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Europe</term><term>Evaluation scale</term><term>History, 19th Century</term><term>History, 20th Century</term><term>Humans</term><term>Instability</term><term>Nervous system diseases</term><term>Parkinson Disease (history)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Postural Balance</term><term>Severity of Illness Index</term><term>Unified Parkinson's Disease Rating Scale</term><term>United States</term><term>postural instability</term><term>pull test</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term><term>United States</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>History, 19th Century</term><term>History, 20th Century</term><term>Humans</term><term>Postural Balance</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Echelle d'évaluation</term><term>Instabilité</term><term>Parkinson maladie</term><term>Système nerveux pathologie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The pull test (PT) is used as a measure of postural instability in Parkinson's disease (PD) and other movement disorders. In 1987, it was incorporated into the Unified Parkinson's Disease Rating Scale (UPDRS), a scale used to measure the severity and treatment response in PD both in research studies and in clinical practice. However, the origins of the observation of postural instability in movement disorders and the attempt to quantify it are much older. Here, we trace the history of postural instability first described as a feature of PD by Romberg in 1853. Attempts to evaluate postural instability began with the first measurement by Charcot in the 1880s by pulling the clothes of patients and progressed to the push on the sternum by Hoehn and Yahr in the 1960s. Eventually, this evolved into the formal PT proposed by Fahn in the 1980s. Despite the widespread use of the PT as part of the UPDRS, variability exists in its execution. Recommendations have been made for training of examiners in clinical trials to improve its accuracy in assessing postural instability. We agree with improving PT technique for clinical trials and advocate for its routine use in clinical practice when diagnosing and treating movement disorders. Further, we propose the name “Fahn pull test” for the maneuver based on his significant contribution to its development. © 2006 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Hunt, Ann L" sort="Hunt, Ann L" uniqKey="Hunt A" first="Ann L." last="Hunt">Ann L. Hunt</name></region><name sortKey="Sethi, Kapil D" sort="Sethi, Kapil D" uniqKey="Sethi K" first="Kapil D." last="Sethi">Kapil D. Sethi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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