Movement Disorders (revue)

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Is essential tremor predominantly a kinetic or a postural tremor? A clinical and electrophysiological study

Identifieur interne : 002762 ( PascalFrancis/Corpus ); précédent : 002761; suivant : 002763

Is essential tremor predominantly a kinetic or a postural tremor? A clinical and electrophysiological study

Auteurs : Kevin C. Brennan ; Eva C. Jurewicz ; Blair Ford ; Seth L. Pullman ; Elan D. Louis

Source :

RBID : Pascal:02-0315512

Descripteurs français

English descriptors

Abstract

Both postural and kinetic tremors may occur in essential tremor (ET), however the relative contribution of each is not clear. ET has been variably defined with respect to kinetic and postural tremors. To examine the relative severity of postural and kinetic tremors in ET, 50 ET cases from a clinic and 55 from a community underwent a videotaped tremor examination. Kinetic and postural tremors were rated using a validated clinical rating scale (score range, 0-3). Thirty-one cases also underwent accelerometry to precisely quantify tremor amplitude. In clinic cases, the mean postural tremor rating was 1.25 (S.D., 0.89). The mean kinetic tremor rating was 52% higher (1.90; S.D., 0.57; P < 0.001). The community cases had similar characteristics. Sixty percent of the 105 cases had postural tremor ratings scoring 0 or 1 (no tremor or low amplitude, intermittent tremor). In clinic cases, the mean amplitude of postural tremor during tremor analysis was 0.51 mm (S.D., 0.66 mm), and the mean amplitude of kinetic tremor was 2.91 mm (S.D., 2.11 mm; P < 0.01). Similar values were obtained for community cases. These quantitative data suggest that kinetic tremor is more severe than postural tremor in ET. The majority of cases had mild or absent postural tremor. Despite this, ET is defined only as a postural tremor in many studies. Our data argue for a more consistent inclusion of kinetic tremor in diagnostic criteria for ET.

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Pour connaître la documentation sur le format Inist Standard.

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A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 17
A06       @2 2
A08 01  1  ENG  @1 Is essential tremor predominantly a kinetic or a postural tremor? A clinical and electrophysiological study
A11 01  1    @1 BRENNAN (Kevin C.)
A11 02  1    @1 JUREWICZ (Eva C.)
A11 03  1    @1 FORD (Blair)
A11 04  1    @1 PULLMAN (Seth L.)
A11 05  1    @1 LOUIS (Elan D.)
A14 01      @1 College of Physicians and Surgeons, Columbia University @2 New York, New York @3 USA @Z 1 aut.
A14 02      @1 Gertrude H. Sergievsky Center, Columbia University @2 New York, New York @3 USA @Z 2 aut. @Z 5 aut.
A14 03      @1 Department of Neurology, College of Physicians and Surgeons, Columbia University @2 New York, New York @3 USA @Z 3 aut. @Z 4 aut. @Z 5 aut.
A20       @1 313-316
A21       @1 2002
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000100907450120
A44       @0 0000 @1 © 2002 INIST-CNRS. All rights reserved.
A45       @0 40 ref.
A47 01  1    @0 02-0315512
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Both postural and kinetic tremors may occur in essential tremor (ET), however the relative contribution of each is not clear. ET has been variably defined with respect to kinetic and postural tremors. To examine the relative severity of postural and kinetic tremors in ET, 50 ET cases from a clinic and 55 from a community underwent a videotaped tremor examination. Kinetic and postural tremors were rated using a validated clinical rating scale (score range, 0-3). Thirty-one cases also underwent accelerometry to precisely quantify tremor amplitude. In clinic cases, the mean postural tremor rating was 1.25 (S.D., 0.89). The mean kinetic tremor rating was 52% higher (1.90; S.D., 0.57; P < 0.001). The community cases had similar characteristics. Sixty percent of the 105 cases had postural tremor ratings scoring 0 or 1 (no tremor or low amplitude, intermittent tremor). In clinic cases, the mean amplitude of postural tremor during tremor analysis was 0.51 mm (S.D., 0.66 mm), and the mean amplitude of kinetic tremor was 2.91 mm (S.D., 2.11 mm; P < 0.01). Similar values were obtained for community cases. These quantitative data suggest that kinetic tremor is more severe than postural tremor in ET. The majority of cases had mild or absent postural tremor. Despite this, ET is defined only as a postural tremor in many studies. Our data argue for a more consistent inclusion of kinetic tremor in diagnostic criteria for ET.
C02 01  X    @0 002B17A01
C03 01  X  FRE  @0 Tremblement @5 01
C03 01  X  ENG  @0 Tremor @5 01
C03 01  X  SPA  @0 Temblor @5 01
C03 02  X  FRE  @0 Essentiel @5 02
C03 02  X  ENG  @0 Essential @5 02
C03 02  X  SPA  @0 Esencial @5 02
C03 03  X  FRE  @0 Electrophysiologie @5 04
C03 03  X  ENG  @0 Electrophysiology @5 04
C03 03  X  SPA  @0 Electrofisiología @5 04
C03 04  X  FRE  @0 Posture @5 07
C03 04  X  ENG  @0 Posture @5 07
C03 04  X  SPA  @0 Postura @5 07
C03 05  X  FRE  @0 Symptomatologie @5 17
C03 05  X  ENG  @0 Symptomatology @5 17
C03 05  X  SPA  @0 Sintomatología @5 17
C03 06  X  FRE  @0 Exploration @5 18
C03 06  X  ENG  @0 Exploration @5 18
C03 06  X  SPA  @0 Exploración @5 18
C03 07  X  FRE  @0 Homme @5 20
C03 07  X  ENG  @0 Human @5 20
C03 07  X  SPA  @0 Hombre @5 20
C03 08  X  FRE  @0 Tremblement cinétique @4 INC @5 86
C07 01  X  FRE  @0 Système nerveux pathologie @5 37
C07 01  X  ENG  @0 Nervous system diseases @5 37
C07 01  X  SPA  @0 Sistema nervioso patología @5 37
C07 02  X  FRE  @0 Trouble neurologique @5 38
C07 02  X  ENG  @0 Neurological disorder @5 38
C07 02  X  SPA  @0 Trastorno neurológico @5 38
C07 03  X  FRE  @0 Mouvement involontaire @5 39
C07 03  X  ENG  @0 Involuntary movement @5 39
C07 03  X  SPA  @0 Movimiento involuntario @5 39
N21       @1 175
N82       @1 PSI

Format Inist (serveur)

NO : PASCAL 02-0315512 INIST
ET : Is essential tremor predominantly a kinetic or a postural tremor? A clinical and electrophysiological study
AU : BRENNAN (Kevin C.); JUREWICZ (Eva C.); FORD (Blair); PULLMAN (Seth L.); LOUIS (Elan D.)
AF : College of Physicians and Surgeons, Columbia University/New York, New York/Etats-Unis (1 aut.); Gertrude H. Sergievsky Center, Columbia University/New York, New York/Etats-Unis (2 aut., 5 aut.); Department of Neurology, College of Physicians and Surgeons, Columbia University/New York, New York/Etats-Unis (3 aut., 4 aut., 5 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. 2; Pp. 313-316; Bibl. 40 ref.
LA : Anglais
EA : Both postural and kinetic tremors may occur in essential tremor (ET), however the relative contribution of each is not clear. ET has been variably defined with respect to kinetic and postural tremors. To examine the relative severity of postural and kinetic tremors in ET, 50 ET cases from a clinic and 55 from a community underwent a videotaped tremor examination. Kinetic and postural tremors were rated using a validated clinical rating scale (score range, 0-3). Thirty-one cases also underwent accelerometry to precisely quantify tremor amplitude. In clinic cases, the mean postural tremor rating was 1.25 (S.D., 0.89). The mean kinetic tremor rating was 52% higher (1.90; S.D., 0.57; P < 0.001). The community cases had similar characteristics. Sixty percent of the 105 cases had postural tremor ratings scoring 0 or 1 (no tremor or low amplitude, intermittent tremor). In clinic cases, the mean amplitude of postural tremor during tremor analysis was 0.51 mm (S.D., 0.66 mm), and the mean amplitude of kinetic tremor was 2.91 mm (S.D., 2.11 mm; P < 0.01). Similar values were obtained for community cases. These quantitative data suggest that kinetic tremor is more severe than postural tremor in ET. The majority of cases had mild or absent postural tremor. Despite this, ET is defined only as a postural tremor in many studies. Our data argue for a more consistent inclusion of kinetic tremor in diagnostic criteria for ET.
CC : 002B17A01
FD : Tremblement; Essentiel; Electrophysiologie; Posture; Symptomatologie; Exploration; Homme; Tremblement cinétique
FG : Système nerveux pathologie; Trouble neurologique; Mouvement involontaire
ED : Tremor; Essential; Electrophysiology; Posture; Symptomatology; Exploration; Human
EG : Nervous system diseases; Neurological disorder; Involuntary movement
SD : Temblor; Esencial; Electrofisiología; Postura; Sintomatología; Exploración; Hombre
LO : INIST-20953.354000100907450120
ID : 02-0315512

Links to Exploration step

Pascal:02-0315512

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<div type="abstract" xml:lang="en">Both postural and kinetic tremors may occur in essential tremor (ET), however the relative contribution of each is not clear. ET has been variably defined with respect to kinetic and postural tremors. To examine the relative severity of postural and kinetic tremors in ET, 50 ET cases from a clinic and 55 from a community underwent a videotaped tremor examination. Kinetic and postural tremors were rated using a validated clinical rating scale (score range, 0-3). Thirty-one cases also underwent accelerometry to precisely quantify tremor amplitude. In clinic cases, the mean postural tremor rating was 1.25 (S.D., 0.89). The mean kinetic tremor rating was 52% higher (1.90; S.D., 0.57; P < 0.001). The community cases had similar characteristics. Sixty percent of the 105 cases had postural tremor ratings scoring 0 or 1 (no tremor or low amplitude, intermittent tremor). In clinic cases, the mean amplitude of postural tremor during tremor analysis was 0.51 mm (S.D., 0.66 mm), and the mean amplitude of kinetic tremor was 2.91 mm (S.D., 2.11 mm; P < 0.01). Similar values were obtained for community cases. These quantitative data suggest that kinetic tremor is more severe than postural tremor in ET. The majority of cases had mild or absent postural tremor. Despite this, ET is defined only as a postural tremor in many studies. Our data argue for a more consistent inclusion of kinetic tremor in diagnostic criteria for ET.</div>
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<NO>PASCAL 02-0315512 INIST</NO>
<ET>Is essential tremor predominantly a kinetic or a postural tremor? A clinical and electrophysiological study</ET>
<AU>BRENNAN (Kevin C.); JUREWICZ (Eva C.); FORD (Blair); PULLMAN (Seth L.); LOUIS (Elan D.)</AU>
<AF>College of Physicians and Surgeons, Columbia University/New York, New York/Etats-Unis (1 aut.); Gertrude H. Sergievsky Center, Columbia University/New York, New York/Etats-Unis (2 aut., 5 aut.); Department of Neurology, College of Physicians and Surgeons, Columbia University/New York, New York/Etats-Unis (3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. 2; Pp. 313-316; Bibl. 40 ref.</SO>
<LA>Anglais</LA>
<EA>Both postural and kinetic tremors may occur in essential tremor (ET), however the relative contribution of each is not clear. ET has been variably defined with respect to kinetic and postural tremors. To examine the relative severity of postural and kinetic tremors in ET, 50 ET cases from a clinic and 55 from a community underwent a videotaped tremor examination. Kinetic and postural tremors were rated using a validated clinical rating scale (score range, 0-3). Thirty-one cases also underwent accelerometry to precisely quantify tremor amplitude. In clinic cases, the mean postural tremor rating was 1.25 (S.D., 0.89). The mean kinetic tremor rating was 52% higher (1.90; S.D., 0.57; P < 0.001). The community cases had similar characteristics. Sixty percent of the 105 cases had postural tremor ratings scoring 0 or 1 (no tremor or low amplitude, intermittent tremor). In clinic cases, the mean amplitude of postural tremor during tremor analysis was 0.51 mm (S.D., 0.66 mm), and the mean amplitude of kinetic tremor was 2.91 mm (S.D., 2.11 mm; P < 0.01). Similar values were obtained for community cases. These quantitative data suggest that kinetic tremor is more severe than postural tremor in ET. The majority of cases had mild or absent postural tremor. Despite this, ET is defined only as a postural tremor in many studies. Our data argue for a more consistent inclusion of kinetic tremor in diagnostic criteria for ET.</EA>
<CC>002B17A01</CC>
<FD>Tremblement; Essentiel; Electrophysiologie; Posture; Symptomatologie; Exploration; Homme; Tremblement cinétique</FD>
<FG>Système nerveux pathologie; Trouble neurologique; Mouvement involontaire</FG>
<ED>Tremor; Essential; Electrophysiology; Posture; Symptomatology; Exploration; Human</ED>
<EG>Nervous system diseases; Neurological disorder; Involuntary movement</EG>
<SD>Temblor; Esencial; Electrofisiología; Postura; Sintomatología; Exploración; Hombre</SD>
<LO>INIST-20953.354000100907450120</LO>
<ID>02-0315512</ID>
</server>
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