Movement Disorders (revue)

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Quantitative assessment of daytime motor activity provides a responsive measure of functional decline in patients with Huntington's disease

Identifieur interne : 002A03 ( PascalFrancis/Corpus ); précédent : 002A02; suivant : 002A04

Quantitative assessment of daytime motor activity provides a responsive measure of functional decline in patients with Huntington's disease

Auteurs : J. P. P. Van Vugt ; S. Siesling ; K. K. E. Piet ; A. H. Zwinderman ; H. A. M. Middelkoop ; J. J. Van Hilten ; R. A. C. Roos

Source :

RBID : Pascal:01-0377462

Descripteurs français

English descriptors

Abstract

Voluntary motor impairment is a functionally important aspect of Huntington's disease (HD). Therefore, quantitative assessment of disturbed voluntary movement might be important in follow-up. We investigated the relation between quantitatively assessed daytime motor activity and symptom severity in HD and evaluated whether assessment of daytime motor activity is a responsive measure in the follow-up of patients. Sixty-four consecutive HD patients and 67 age- and sex-matched healthy controls were studied. Daytime motor activity was recorded using a wrist-worn activity monitor that counts all movements during a period of five consecutive days. Patients were rated clinically for voluntary motor impairment, dyskinesias, posture & gait, depression, cognitive impairment and functional capacity. Follow-up was available from 40 patients (mean follow-up 2.0 years) and 29 controls (mean follow-up 5.9 years). Despite chorea, patients had less daytime motor activity than controls (P < 0.005). This hypokinesia correlated with impaired voluntary movements (r = 0.37; P < 0.01), disturbed posture & gait (r = 0.38; P < 0.005) and especially with reduced functional capacity (r = 0.51; P < 0.0005). During follow-up, hypokinesia remained unchanged in clinically stable patients, but became worse in those whose functional disability progressed (P < 0.005). Hypokinesia seems a core symptom of HD which is related to functional capacity. Actimetric assessment of hypokinesia is responsive to disease progression and can be used as an objective tool for follow-up.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
A05       @2 16
A06       @2 3
A08 01  1  ENG  @1 Quantitative assessment of daytime motor activity provides a responsive measure of functional decline in patients with Huntington's disease
A11 01  1    @1 VAN VUGT (J. P. P.)
A11 02  1    @1 SIESLING (S.)
A11 03  1    @1 PIET (K. K. E.)
A11 04  1    @1 ZWINDERMAN (A. H.)
A11 05  1    @1 MIDDELKOOP (H. A. M.)
A11 06  1    @1 VAN HILTEN (J. J.)
A11 07  1    @1 ROOS (R. A. C.)
A14 01      @1 Department of Neurology, Leiden University Medical Center @2 Leiden @3 NLD @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut.
A14 02      @1 Department of Medical Statistics, Leiden University Medical Center @2 Leiden @3 NLD @Z 4 aut.
A20       @1 481-488
A21       @1 2001
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000099011180110
A44       @0 0000 @1 © 2001 INIST-CNRS. All rights reserved.
A45       @0 27 ref.
A47 01  1    @0 01-0377462
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Voluntary motor impairment is a functionally important aspect of Huntington's disease (HD). Therefore, quantitative assessment of disturbed voluntary movement might be important in follow-up. We investigated the relation between quantitatively assessed daytime motor activity and symptom severity in HD and evaluated whether assessment of daytime motor activity is a responsive measure in the follow-up of patients. Sixty-four consecutive HD patients and 67 age- and sex-matched healthy controls were studied. Daytime motor activity was recorded using a wrist-worn activity monitor that counts all movements during a period of five consecutive days. Patients were rated clinically for voluntary motor impairment, dyskinesias, posture & gait, depression, cognitive impairment and functional capacity. Follow-up was available from 40 patients (mean follow-up 2.0 years) and 29 controls (mean follow-up 5.9 years). Despite chorea, patients had less daytime motor activity than controls (P < 0.005). This hypokinesia correlated with impaired voluntary movements (r = 0.37; P < 0.01), disturbed posture & gait (r = 0.38; P < 0.005) and especially with reduced functional capacity (r = 0.51; P < 0.0005). During follow-up, hypokinesia remained unchanged in clinically stable patients, but became worse in those whose functional disability progressed (P < 0.005). Hypokinesia seems a core symptom of HD which is related to functional capacity. Actimetric assessment of hypokinesia is responsive to disease progression and can be used as an objective tool for follow-up.
C02 01  X    @0 002B17G
C03 01  X  FRE  @0 Chorée Huntington @5 01
C03 01  X  ENG  @0 Huntington disease @5 01
C03 01  X  SPA  @0 Corea Huntington @5 01
C03 02  X  FRE  @0 Activité manuelle @5 04
C03 02  X  ENG  @0 Manual activity @5 04
C03 02  X  SPA  @0 Actividad manual @5 04
C03 03  X  FRE  @0 Jour @5 07
C03 03  X  ENG  @0 Day @5 07
C03 03  X  SPA  @0 Día @5 07
C03 04  X  FRE  @0 Handicap moteur @5 10
C03 04  X  ENG  @0 Motor handicap @5 10
C03 04  X  SPA  @0 Deficiencia motora @5 10
C03 05  X  FRE  @0 Pronostic @5 17
C03 05  X  ENG  @0 Prognosis @5 17
C03 05  X  SPA  @0 Pronóstico @5 17
C03 06  X  FRE  @0 Homme @5 20
C03 06  X  ENG  @0 Human @5 20
C03 06  X  SPA  @0 Hombre @5 20
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 Système nerveux central pathologie @5 38
C07 02  X  ENG  @0 Central nervous system disease @5 38
C07 02  X  SPA  @0 Sistema nervosio central patología @5 38
C07 03  X  FRE  @0 Encéphale pathologie @5 39
C07 03  X  ENG  @0 Cerebral disorder @5 39
C07 03  X  SPA  @0 Encéfalo patología @5 39
C07 04  X  FRE  @0 Extrapyramidal syndrome @5 40
C07 04  X  ENG  @0 Extrapyramidal syndrome @5 40
C07 04  X  SPA  @0 Extrapiramidal síndrome @5 40
C07 05  X  FRE  @0 Maladie dégénérative @5 41
C07 05  X  ENG  @0 Degenerative disease @5 41
C07 05  X  SPA  @0 Enfermedad degenerativa @5 41
C07 06  X  FRE  @0 Maladie héréditaire @5 42
C07 06  X  ENG  @0 Genetic disease @5 42
C07 06  X  SPA  @0 Enfermedad hereditaria @5 42
N21       @1 267

Format Inist (serveur)

NO : PASCAL 01-0377462 INIST
ET : Quantitative assessment of daytime motor activity provides a responsive measure of functional decline in patients with Huntington's disease
AU : VAN VUGT (J. P. P.); SIESLING (S.); PIET (K. K. E.); ZWINDERMAN (A. H.); MIDDELKOOP (H. A. M.); VAN HILTEN (J. J.); ROOS (R. A. C.)
AF : Department of Neurology, Leiden University Medical Center/Leiden/Pays-Bas (1 aut., 2 aut., 3 aut., 5 aut., 6 aut., 7 aut.); Department of Medical Statistics, Leiden University Medical Center/Leiden/Pays-Bas (4 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2001; Vol. 16; No. 3; Pp. 481-488; Bibl. 27 ref.
LA : Anglais
EA : Voluntary motor impairment is a functionally important aspect of Huntington's disease (HD). Therefore, quantitative assessment of disturbed voluntary movement might be important in follow-up. We investigated the relation between quantitatively assessed daytime motor activity and symptom severity in HD and evaluated whether assessment of daytime motor activity is a responsive measure in the follow-up of patients. Sixty-four consecutive HD patients and 67 age- and sex-matched healthy controls were studied. Daytime motor activity was recorded using a wrist-worn activity monitor that counts all movements during a period of five consecutive days. Patients were rated clinically for voluntary motor impairment, dyskinesias, posture & gait, depression, cognitive impairment and functional capacity. Follow-up was available from 40 patients (mean follow-up 2.0 years) and 29 controls (mean follow-up 5.9 years). Despite chorea, patients had less daytime motor activity than controls (P < 0.005). This hypokinesia correlated with impaired voluntary movements (r = 0.37; P < 0.01), disturbed posture & gait (r = 0.38; P < 0.005) and especially with reduced functional capacity (r = 0.51; P < 0.0005). During follow-up, hypokinesia remained unchanged in clinically stable patients, but became worse in those whose functional disability progressed (P < 0.005). Hypokinesia seems a core symptom of HD which is related to functional capacity. Actimetric assessment of hypokinesia is responsive to disease progression and can be used as an objective tool for follow-up.
CC : 002B17G
FD : Chorée Huntington; Activité manuelle; Jour; Handicap moteur; Pronostic; Homme
FG : Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Maladie héréditaire
ED : Huntington disease; Manual activity; Day; Motor handicap; Prognosis; Human
EG : Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Genetic disease
SD : Corea Huntington; Actividad manual; Día; Deficiencia motora; Pronóstico; Hombre
LO : INIST-20953.354000099011180110
ID : 01-0377462

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Pascal:01-0377462

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<s0>Central nervous system disease</s0>
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<s0>Sistema nervosio central patología</s0>
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</fC07>
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<s0>Encéphale pathologie</s0>
<s5>39</s5>
</fC07>
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<s0>Cerebral disorder</s0>
<s5>39</s5>
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<s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
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<s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
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<s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
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<s0>Maladie dégénérative</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>41</s5>
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<s0>Enfermedad degenerativa</s0>
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<s0>Maladie héréditaire</s0>
<s5>42</s5>
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<s5>42</s5>
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<NO>PASCAL 01-0377462 INIST</NO>
<ET>Quantitative assessment of daytime motor activity provides a responsive measure of functional decline in patients with Huntington's disease</ET>
<AU>VAN VUGT (J. P. P.); SIESLING (S.); PIET (K. K. E.); ZWINDERMAN (A. H.); MIDDELKOOP (H. A. M.); VAN HILTEN (J. J.); ROOS (R. A. C.)</AU>
<AF>Department of Neurology, Leiden University Medical Center/Leiden/Pays-Bas (1 aut., 2 aut., 3 aut., 5 aut., 6 aut., 7 aut.); Department of Medical Statistics, Leiden University Medical Center/Leiden/Pays-Bas (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2001; Vol. 16; No. 3; Pp. 481-488; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>Voluntary motor impairment is a functionally important aspect of Huntington's disease (HD). Therefore, quantitative assessment of disturbed voluntary movement might be important in follow-up. We investigated the relation between quantitatively assessed daytime motor activity and symptom severity in HD and evaluated whether assessment of daytime motor activity is a responsive measure in the follow-up of patients. Sixty-four consecutive HD patients and 67 age- and sex-matched healthy controls were studied. Daytime motor activity was recorded using a wrist-worn activity monitor that counts all movements during a period of five consecutive days. Patients were rated clinically for voluntary motor impairment, dyskinesias, posture & gait, depression, cognitive impairment and functional capacity. Follow-up was available from 40 patients (mean follow-up 2.0 years) and 29 controls (mean follow-up 5.9 years). Despite chorea, patients had less daytime motor activity than controls (P < 0.005). This hypokinesia correlated with impaired voluntary movements (r = 0.37; P < 0.01), disturbed posture & gait (r = 0.38; P < 0.005) and especially with reduced functional capacity (r = 0.51; P < 0.0005). During follow-up, hypokinesia remained unchanged in clinically stable patients, but became worse in those whose functional disability progressed (P < 0.005). Hypokinesia seems a core symptom of HD which is related to functional capacity. Actimetric assessment of hypokinesia is responsive to disease progression and can be used as an objective tool for follow-up.</EA>
<CC>002B17G</CC>
<FD>Chorée Huntington; Activité manuelle; Jour; Handicap moteur; Pronostic; Homme</FD>
<FG>Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Maladie héréditaire</FG>
<ED>Huntington disease; Manual activity; Day; Motor handicap; Prognosis; Human</ED>
<EG>Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Genetic disease</EG>
<SD>Corea Huntington; Actividad manual; Día; Deficiencia motora; Pronóstico; Hombre</SD>
<LO>INIST-20953.354000099011180110</LO>
<ID>01-0377462</ID>
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