Pallidotomy in Parkinson's disease improves single‐joint, repetitive, ballistic movements, but fails to modify multijoint, repetitive, gestural movements
Identifieur interne : 004017 ( Main/Exploration ); précédent : 004016; suivant : 004018Pallidotomy in Parkinson's disease improves single‐joint, repetitive, ballistic movements, but fails to modify multijoint, repetitive, gestural movements
Auteurs : Marcelo Merello [Argentine] ; Jorge Balej [Argentine] ; Ramon Leiguarda [Argentine]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Body movement, Dyskinesias (physiopathology), Elbow (physiopathology), Evolution, Exeresis, Female, Follow-Up Studies, Gesture, Gestures, Globus Pallidus (surgery), Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Joints (physiopathology), Kinematics, Male, Middle Aged, Movement, Pallidum, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (surgery), Parkinson disease, Parkinson's disease, Prognosis, Psychomotor Performance, Treatment, Treatment Outcome, Wrist Joint (physiopathology), ballistic movements, gestural movements, posteroventral pallidotomy.
- MESH :
- diagnosis : Parkinson Disease.
- physiopathology : Dyskinesias, Elbow, Joints, Parkinson Disease, Wrist Joint.
- surgery : Globus Pallidus, Parkinson Disease.
- Female, Follow-Up Studies, Gestures, Humans, Image Processing, Computer-Assisted, Imaging, Three-Dimensional, Male, Middle Aged, Movement, Psychomotor Performance, Treatment Outcome.
Abstract
We studied 12 non‐demented PD patients in on state before and 3 months after posteroventral pallidotomy (PVP), in order to evaluate the effects of surgery upon an unconstrained, multijoint skilled movement as well as a single joint, repetitive, ballistic movement. A Selspot II System was used for three‐dimensional data acquisition, processing and reconstruction of limb trajectories. Specific wrist kinematic features of spatial accuracy (linearity and planarity), temporal attributes (acceleration and velocity), spatiotemporal relationships (velocity‐curvature coupling), and joint kinematic variables (relationships between wrist and elbow velocities and relative arm angle amplitudes) for each cycle of movement were graphically and numerically analysed. QMC was applied to single joint, repetitive, ballistic movements. QMC significantly improved after PVP (P < 0.0006). However, wrist as well as joint kinematic variables of the gestural movements failed to change significantly after PVP. The lack of improvement of the kinematic abnormalities of the gestural movement in PD patients would indicate that they are unrelated to the basic motor deficit; most likely they are the result of a disruption of a complex of sensorimotor integration processes due to abnormal parieto‐frontal basal ganglia interaction. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10336
Affiliations:
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Le document en format XML
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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>New York</pubPlace><date type="published" when="2003-03">2003-03</date><biblScope unit="vol">18</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="280">280</biblScope><biblScope unit="page" to="286">286</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8A61E60653458A7E51625615A32AABC1614E79FE</idno><idno type="DOI">10.1002/mds.10336</idno><idno type="ArticleID">MDS10336</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Body movement</term><term>Dyskinesias (physiopathology)</term><term>Elbow (physiopathology)</term><term>Evolution</term><term>Exeresis</term><term>Female</term><term>Follow-Up Studies</term><term>Gesture</term><term>Gestures</term><term>Globus Pallidus (surgery)</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Imaging, Three-Dimensional</term><term>Joints (physiopathology)</term><term>Kinematics</term><term>Male</term><term>Middle Aged</term><term>Movement</term><term>Pallidum</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (surgery)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Prognosis</term><term>Psychomotor Performance</term><term>Treatment</term><term>Treatment Outcome</term><term>Wrist Joint (physiopathology)</term><term>ballistic movements</term><term>gestural movements</term><term>posteroventral pallidotomy</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dyskinesias</term><term>Elbow</term><term>Joints</term><term>Parkinson Disease</term><term>Wrist Joint</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Globus Pallidus</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Follow-Up Studies</term><term>Gestures</term><term>Humans</term><term>Image Processing, Computer-Assisted</term><term>Imaging, Three-Dimensional</term><term>Male</term><term>Middle Aged</term><term>Movement</term><term>Psychomotor Performance</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Cinématique</term><term>Evolution</term><term>Exérèse</term><term>Geste</term><term>Mouvement corporel</term><term>Pallidotomie</term><term>Pallidum</term><term>Parkinson maladie</term><term>Pronostic</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We studied 12 non‐demented PD patients in on state before and 3 months after posteroventral pallidotomy (PVP), in order to evaluate the effects of surgery upon an unconstrained, multijoint skilled movement as well as a single joint, repetitive, ballistic movement. A Selspot II System was used for three‐dimensional data acquisition, processing and reconstruction of limb trajectories. Specific wrist kinematic features of spatial accuracy (linearity and planarity), temporal attributes (acceleration and velocity), spatiotemporal relationships (velocity‐curvature coupling), and joint kinematic variables (relationships between wrist and elbow velocities and relative arm angle amplitudes) for each cycle of movement were graphically and numerically analysed. QMC was applied to single joint, repetitive, ballistic movements. QMC significantly improved after PVP (P < 0.0006). However, wrist as well as joint kinematic variables of the gestural movements failed to change significantly after PVP. The lack of improvement of the kinematic abnormalities of the gestural movement in PD patients would indicate that they are unrelated to the basic motor deficit; most likely they are the result of a disruption of a complex of sensorimotor integration processes due to abnormal parieto‐frontal basal ganglia interaction. © 2002 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Argentine</li></country></list><tree><country name="Argentine"><noRegion><name sortKey="Merello, Marcelo" sort="Merello, Marcelo" uniqKey="Merello M" first="Marcelo" last="Merello">Marcelo Merello</name></noRegion><name sortKey="Balej, Jorge" sort="Balej, Jorge" uniqKey="Balej J" first="Jorge" last="Balej">Jorge Balej</name><name sortKey="Leiguarda, Ramon" sort="Leiguarda, Ramon" uniqKey="Leiguarda R" first="Ramon" last="Leiguarda">Ramon Leiguarda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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