Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor
Identifieur interne : 004F83 ( Main/Exploration ); précédent : 004F82; suivant : 004F84Improvements in daily functioning after deep brain stimulation of the thalamus for intractable tremor
Auteurs : Kelly E. Lyons [États-Unis] ; Rajesh Pahwa [États-Unis] ; Karen L. Busenbark [États-Unis] ; Alexander I. Tröster [États-Unis] ; Steve Wilkinson [États-Unis] ; William C. Koller [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1998-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte, Qualité de la vie.
English descriptors
- KwdEn :
- Activities of Daily Living (classification), Adult, Aged, Brain (vertebrata), DBS, Daily living, Deep level, Dominance, Cerebral (physiology), Electric Stimulation Therapy, Electrical stimulus, Electrodes, Implanted, Essential, Essential tremor, Evolution, Female, Humans, Implantation, Instrumentation therapy, Male, Neurologic Examination, Psychometrics, Quality of Life, Quality of life, Refractory, Thalamus, Thalamus (physiopathology), Tremor, Tremor (physiopathology), Tremor (therapy).
- MESH :
- classification : Activities of Daily Living.
- physiology : Dominance, Cerebral.
- physiopathology : Thalamus, Tremor.
- therapy : Tremor.
- Aged, Electric Stimulation Therapy, Electrodes, Implanted, Female, Humans, Male, Neurologic Examination, Quality of Life.
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.
Url:
DOI: 10.1002/mds.870130414
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>Hoboken</pubPlace><date type="published" when="1998-07">1998-07</date><biblScope unit="vol">13</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="690">690</biblScope><biblScope unit="page" to="692">692</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">5AB27BA880B4534308EAA24A1BCA8D64EC85B014</idno><idno type="DOI">10.1002/mds.870130414</idno><idno type="ArticleID">MDS870130414</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (classification)</term><term>Adult</term><term>Aged</term><term>Brain (vertebrata)</term><term>DBS</term><term>Daily living</term><term>Deep level</term><term>Dominance, Cerebral (physiology)</term><term>Electric Stimulation Therapy</term><term>Electrical stimulus</term><term>Electrodes, Implanted</term><term>Essential</term><term>Essential tremor</term><term>Evolution</term><term>Female</term><term>Humans</term><term>Implantation</term><term>Instrumentation therapy</term><term>Male</term><term>Neurologic Examination</term><term>Psychometrics</term><term>Quality of Life</term><term>Quality of life</term><term>Refractory</term><term>Thalamus</term><term>Thalamus (physiopathology)</term><term>Tremor</term><term>Tremor (physiopathology)</term><term>Tremor (therapy)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Activities of Daily Living</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Dominance, Cerebral</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Thalamus</term><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Female</term><term>Humans</term><term>Male</term><term>Neurologic Examination</term><term>Quality of Life</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Encéphale</term><term>Essentiel</term><term>Evolution</term><term>Implantation</term><term>Niveau profond</term><term>Psychométrie</term><term>Qualité vie</term><term>Réfractaire</term><term>Stimulus électrique</term><term>Thalamus</term><term>Traitement instrumental</term><term>Tremblement</term><term>Vie quotidienne</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term><term>Qualité de la vie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml: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.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Kansas</li></region></list><tree><country name="États-Unis"><region name="Kansas"><name sortKey="Lyons, Kelly E" sort="Lyons, Kelly E" uniqKey="Lyons K" first="Kelly E." last="Lyons">Kelly E. Lyons</name></region><name sortKey="Busenbark, Karen L" sort="Busenbark, Karen L" uniqKey="Busenbark K" first="Karen L." last="Busenbark">Karen L. Busenbark</name><name sortKey="Koller, William C" sort="Koller, William C" uniqKey="Koller W" first="William C." last="Koller">William C. Koller</name><name sortKey="Pahwa, Rajesh" sort="Pahwa, Rajesh" uniqKey="Pahwa R" first="Rajesh" last="Pahwa">Rajesh Pahwa</name><name sortKey="Troster, Alexander I" sort="Troster, Alexander I" uniqKey="Troster A" first="Alexander I." last="Tröster">Alexander I. Tröster</name><name sortKey="Wilkinson, Steve" sort="Wilkinson, Steve" uniqKey="Wilkinson S" first="Steve" last="Wilkinson">Steve Wilkinson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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