Clinical impairment of sequential finger movements in Parkinson's disease.
Identifieur interne : 004430 ( PubMed/Curation ); précédent : 004429; suivant : 004431Clinical impairment of sequential finger movements in Parkinson's disease.
Auteurs : R. Agostino [Italie] ; A. Berardelli ; A. Currà ; N. Accornero ; M. ManfrediSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1998.
English descriptors
- KwdEn :
- Aged, Basal Ganglia (physiopathology), Female, Fingers (innervation), Functional Laterality (physiology), Hand Strength (physiology), Humans, Male, Middle Aged, Motor Activity (physiology), Motor Skills (physiology), Neurologic Examination, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology).
- MESH :
- diagnosis : Parkinson Disease.
- innervation : Fingers.
- physiology : Functional Laterality, Hand Strength, Motor Activity, Motor Skills.
- physiopathology : Basal Ganglia, Parkinson Disease.
- Aged, Female, Humans, Male, Middle Aged, Neurologic Examination.
Abstract
A retrospective analysis was performed on the records of 33 off-therapy parkinsonian patients. We analyzed the clinical score of three sequential upper limb movements: finger tapping, hand opening and closing, and forearm pronation and supination. The records showed that nearly all patients had difficulty in performing all three motor tasks, but movement scores showed that they found the sequential finger-tapping task significantly more difficult than the other two tasks. We suggest that parkinsonian patients find individual finger movements more difficult to execute than gross hand movements because--owing to their abnormal basal ganglia output--they lack the finer cortical control and greater facilitation that the finger task demands.
DOI: 10.1002/mds.870130308
PubMed: 9613731
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pubmed:9613731Le document en format XML
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<author><name sortKey="Agostino, R" sort="Agostino, R" uniqKey="Agostino R" first="R" last="Agostino">R. Agostino</name>
<affiliation wicri:level="1"><nlm:affiliation>Dipartimento Scienze Neurologiche, Università di Roma La Sapienza, Rome, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dipartimento Scienze Neurologiche, Università di Roma La Sapienza, Rome</wicri:regionArea>
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<author><name sortKey="Berardelli, A" sort="Berardelli, A" uniqKey="Berardelli A" first="A" last="Berardelli">A. Berardelli</name>
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<author><name sortKey="Curra, A" sort="Curra, A" uniqKey="Curra A" first="A" last="Currà">A. Currà</name>
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<author><name sortKey="Accornero, N" sort="Accornero, N" uniqKey="Accornero N" first="N" last="Accornero">N. Accornero</name>
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<author><name sortKey="Manfredi, M" sort="Manfredi, M" uniqKey="Manfredi M" first="M" last="Manfredi">M. Manfredi</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Basal Ganglia (physiopathology)</term>
<term>Female</term>
<term>Fingers (innervation)</term>
<term>Functional Laterality (physiology)</term>
<term>Hand Strength (physiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Activity (physiology)</term>
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<term>Neurologic Examination</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (physiopathology)</term>
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<term>Hand Strength</term>
<term>Motor Activity</term>
<term>Motor Skills</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Basal Ganglia</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en">A retrospective analysis was performed on the records of 33 off-therapy parkinsonian patients. We analyzed the clinical score of three sequential upper limb movements: finger tapping, hand opening and closing, and forearm pronation and supination. The records showed that nearly all patients had difficulty in performing all three motor tasks, but movement scores showed that they found the sequential finger-tapping task significantly more difficult than the other two tasks. We suggest that parkinsonian patients find individual finger movements more difficult to execute than gross hand movements because--owing to their abnormal basal ganglia output--they lack the finer cortical control and greater facilitation that the finger task demands.</div>
</front>
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<Abstract><AbstractText>A retrospective analysis was performed on the records of 33 off-therapy parkinsonian patients. We analyzed the clinical score of three sequential upper limb movements: finger tapping, hand opening and closing, and forearm pronation and supination. The records showed that nearly all patients had difficulty in performing all three motor tasks, but movement scores showed that they found the sequential finger-tapping task significantly more difficult than the other two tasks. We suggest that parkinsonian patients find individual finger movements more difficult to execute than gross hand movements because--owing to their abnormal basal ganglia output--they lack the finer cortical control and greater facilitation that the finger task demands.</AbstractText>
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