A comparison of different bedside tests for essential tremor
Identifieur interne : 004E29 ( Main/Exploration ); précédent : 004E28; suivant : 004E30A comparison of different bedside tests for essential tremor
Auteurs : Elan D. Louis [États-Unis] ; Blair Ford [États-Unis] ; Kristin J. Wendt [États-Unis] ; Helen Lee [États-Unis] ; Howard Andrews [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Essai, Homme, épidémiologie, Essai.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Tremor.
- Aged, Aged, 80 and over, Female, Humans, Male, Point-of-Care Systems, Severity of Illness Index.
Abstract
OBJECTIVE: To compare the performance of different bedside tests for essential tremor (ET). BACKGROUND: Numerous tests (for example, writing, arm extension) may be used to elicit tremor in patients with ET. In large epidemiological surveys in which many patients must be evaluated efficiently, knowledge about the relative performance of these tests would be useful. METHODS: 154 subjects (42 with ET and 112 control subjects) were part of a community‐based family study of ET in northern Manhattan, New York. Subjects underwent a tremor interview and a videotaped tremor examination which included six different tests for ET. Each of the six tests was performed with both the dominant and the nondominant arms. Two neurologists reviewed the videotaped examination and rated the severity of tremor during each test. Tremor ratings were 0 (none), +1 (mild), +2 (moderate), and +3 (severe). RESULTS: Among ET cases, there was considerable variation in the performance of each bedside test. With some tests (nondominant arm extension), as few as 48.8% of the ratings were >+2 and 29.8% of the ratings were 0 (no tremor). With other tests (finger‐to‐nose maneuver using nondominant arm), as many as 88.1% of the ratings were >+2 and only 2.4% were 0. Among the control subjects, there was also considerable variation in the performance of each test. Using some tests (finger‐to‐nose maneuver using nondominant arm), as many as 26.3% of the ratings were >+2, 72.8% were >+1 tremor, and only 27.2% of the ratings were 0. CONCLUSIONS: The performance of the tests varied considerably. In settings in which only one or two tests must be selected to screen a population, tests that are most likely to be abnormal in an ET case (finger‐to‐nose maneuver) could be used. In settings in which it is also desirable to exclude normal subjects, tests such as sustained arm extension, pouring water, or drawing a spiral could be used. Data regarding the performance of bedside tests for diagnosing ET are central to the design of research strategies for the clinical evaluation of patients with ET.
Url:
DOI: 10.1002/1531-8257(199905)14:3<462::AID-MDS1012>3.0.CO;2-V
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000B64
- to stream Istex, to step Curation: 000B64
- to stream Istex, to step Checkpoint: 003596
- to stream Main, to step Merge: 007B28
- to stream PascalFrancis, to step Corpus: 002D98
- to stream PascalFrancis, to step Curation: 003A26
- to stream PascalFrancis, to step Checkpoint: 002E85
- to stream Main, to step Merge: 007D34
- to stream PubMed, to step Corpus: 004203
- to stream PubMed, to step Curation: 004203
- to stream PubMed, to step Checkpoint: 004290
- to stream Ncbi, to step Merge: 000049
- to stream Ncbi, to step Curation: 000049
- to stream Ncbi, to step Checkpoint: 000049
- to stream Main, to step Merge: 007897
- to stream Main, to step Curation: 004E29
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">A comparison of different bedside tests for essential tremor</title>
<author><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name>
</author>
<author><name sortKey="Ford, Blair" sort="Ford, Blair" uniqKey="Ford B" first="Blair" last="Ford">Blair Ford</name>
</author>
<author><name sortKey="Wendt, Kristin J" sort="Wendt, Kristin J" uniqKey="Wendt K" first="Kristin J." last="Wendt">Kristin J. Wendt</name>
</author>
<author><name sortKey="Lee, Helen" sort="Lee, Helen" uniqKey="Lee H" first="Helen" last="Lee">Helen Lee</name>
</author>
<author><name sortKey="Andrews, Howard" sort="Andrews, Howard" uniqKey="Andrews H" first="Howard" last="Andrews">Howard Andrews</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:74531211B64CDAD7164ECA388BCD15207A6DA26A</idno>
<date when="1999" year="1999">1999</date>
<idno type="doi">10.1002/1531-8257(199905)14:3<462::AID-MDS1012>3.0.CO;2-V</idno>
<idno type="url">https://api.istex.fr/document/74531211B64CDAD7164ECA388BCD15207A6DA26A/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000B64</idno>
<idno type="wicri:Area/Istex/Curation">000B64</idno>
<idno type="wicri:Area/Istex/Checkpoint">003596</idno>
<idno type="wicri:doubleKey">0885-3185:1999:Louis E:a:comparison:of</idno>
<idno type="wicri:Area/Main/Merge">007B28</idno>
<idno type="wicri:source">INIST</idno>
<idno type="RBID">Pascal:99-0271334</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">002D98</idno>
<idno type="wicri:Area/PascalFrancis/Curation">003A26</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">002E85</idno>
<idno type="wicri:doubleKey">0885-3185:1999:Louis E:a:comparison:of</idno>
<idno type="wicri:Area/Main/Merge">007D34</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="RBID">pubmed:10348470</idno>
<idno type="wicri:Area/PubMed/Corpus">004203</idno>
<idno type="wicri:Area/PubMed/Curation">004203</idno>
<idno type="wicri:Area/PubMed/Checkpoint">004290</idno>
<idno type="wicri:Area/Ncbi/Merge">000049</idno>
<idno type="wicri:Area/Ncbi/Curation">000049</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000049</idno>
<idno type="wicri:doubleKey">0885-3185:1999:Louis E:a:comparison:of</idno>
<idno type="wicri:Area/Main/Merge">007897</idno>
<idno type="wicri:Area/Main/Curation">004E29</idno>
<idno type="wicri:Area/Main/Exploration">004E29</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">A comparison of different bedside tests for essential tremor</title>
<author><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Ford, Blair" sort="Ford, Blair" uniqKey="Ford B" first="Blair" last="Ford">Blair Ford</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Wendt, Kristin J" sort="Wendt, Kristin J" uniqKey="Wendt K" first="Kristin J." last="Wendt">Kristin J. Wendt</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Data Management and Statistical Analysis Unit, New York State Psychiatric Institute, New York, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lee, Helen" sort="Lee, Helen" uniqKey="Lee H" first="Helen" last="Lee">Helen Lee</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Data Management and Statistical Analysis Unit, New York State Psychiatric Institute, New York, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Andrews, Howard" sort="Andrews, Howard" uniqKey="Andrews H" first="Howard" last="Andrews">Howard Andrews</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Data Management and Statistical Analysis Unit, New York State Psychiatric Institute, New York, NY</wicri:regionArea>
<placeName><region type="state">État de New York</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>John Wiley & Sons, Inc.</publisher>
<pubPlace>New York</pubPlace>
<date type="published" when="1999-05">1999-05</date>
<biblScope unit="vol">14</biblScope>
<biblScope unit="issue">3</biblScope>
<biblScope unit="page" from="462">462</biblScope>
<biblScope unit="page" to="467">467</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">74531211B64CDAD7164ECA388BCD15207A6DA26A</idno>
<idno type="DOI">10.1002/1531-8257(199905)14:3<462::AID-MDS1012>3.0.CO;2-V</idno>
<idno type="ArticleID">MDS1012</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Comparative study</term>
<term>Diagnosis</term>
<term>Epidemiology</term>
<term>Essential</term>
<term>Essential tremor</term>
<term>Evaluation scale</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Male</term>
<term>Patient bedside</term>
<term>Performance evaluation</term>
<term>Point-of-Care Systems</term>
<term>Severity of Illness Index</term>
<term>Test</term>
<term>Testing</term>
<term>Tremor</term>
<term>Tremor (diagnosis)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Tremor</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Point-of-Care Systems</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Chevet malade</term>
<term>Diagnostic</term>
<term>Echelle évaluation</term>
<term>Essai</term>
<term>Essentiel</term>
<term>Etude comparative</term>
<term>Evaluation performance</term>
<term>Homme</term>
<term>Tremblement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Essai</term>
<term>Homme</term>
<term>épidémiologie</term>
<term>Essai</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="fr">OBJECTIVE: To compare the performance of different bedside tests for essential tremor (ET). BACKGROUND: Numerous tests (for example, writing, arm extension) may be used to elicit tremor in patients with ET. In large epidemiological surveys in which many patients must be evaluated efficiently, knowledge about the relative performance of these tests would be useful. METHODS: 154 subjects (42 with ET and 112 control subjects) were part of a community‐based family study of ET in northern Manhattan, New York. Subjects underwent a tremor interview and a videotaped tremor examination which included six different tests for ET. Each of the six tests was performed with both the dominant and the nondominant arms. Two neurologists reviewed the videotaped examination and rated the severity of tremor during each test. Tremor ratings were 0 (none), +1 (mild), +2 (moderate), and +3 (severe). RESULTS: Among ET cases, there was considerable variation in the performance of each bedside test. With some tests (nondominant arm extension), as few as 48.8% of the ratings were >+2 and 29.8% of the ratings were 0 (no tremor). With other tests (finger‐to‐nose maneuver using nondominant arm), as many as 88.1% of the ratings were >+2 and only 2.4% were 0. Among the control subjects, there was also considerable variation in the performance of each test. Using some tests (finger‐to‐nose maneuver using nondominant arm), as many as 26.3% of the ratings were >+2, 72.8% were >+1 tremor, and only 27.2% of the ratings were 0. CONCLUSIONS: The performance of the tests varied considerably. In settings in which only one or two tests must be selected to screen a population, tests that are most likely to be abnormal in an ET case (finger‐to‐nose maneuver) could be used. In settings in which it is also desirable to exclude normal subjects, tests such as sustained arm extension, pouring water, or drawing a spiral could be used. Data regarding the performance of bedside tests for diagnosing ET are central to the design of research strategies for the clinical evaluation of patients with ET.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>État de New York</li>
</region>
</list>
<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name>
</region>
<name sortKey="Andrews, Howard" sort="Andrews, Howard" uniqKey="Andrews H" first="Howard" last="Andrews">Howard Andrews</name>
<name sortKey="Ford, Blair" sort="Ford, Blair" uniqKey="Ford B" first="Blair" last="Ford">Blair Ford</name>
<name sortKey="Lee, Helen" sort="Lee, Helen" uniqKey="Lee H" first="Helen" last="Lee">Helen Lee</name>
<name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D." last="Louis">Elan D. Louis</name>
<name sortKey="Wendt, Kristin J" sort="Wendt, Kristin J" uniqKey="Wendt K" first="Kristin J." last="Wendt">Kristin J. Wendt</name>
<name sortKey="Wendt, Kristin J" sort="Wendt, Kristin J" uniqKey="Wendt K" first="Kristin J." last="Wendt">Kristin J. Wendt</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004E29 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004E29 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= MovDisordV3 |flux= Main |étape= Exploration |type= RBID |clé= ISTEX:74531211B64CDAD7164ECA388BCD15207A6DA26A |texte= A comparison of different bedside tests for essential tremor }}
![]() | This area was generated with Dilib version V0.6.23. | ![]() |