What is the functional significance of nondominant arm tremor in essential tremor?
Identifieur interne : 001B95 ( Main/Corpus ); précédent : 001B94; suivant : 001B96What is the functional significance of nondominant arm tremor in essential tremor?
Auteurs : Elan D. Louis ; Marina Gerbin ; Mary M. MullaneySource :
- Movement Disorders [ 0885-3185 ] ; 2010-11-15.
English descriptors
- KwdEn :
Abstract
Tremor in the dominant arm is often the focus of clinical attention in essential tremor (ET) yet many daily activities require both arms. The functional relevance of nondominant arm tremor has rarely been studied. In 181 right‐handed patients with ET, action tremor in each arm was rated using a clinical rating scale. Tremor disability was self‐reported and a performance‐based test of function was administered. Independently of tremor on the right, greater tremor severity on the left was associated with greater self‐reported disability (P = 0.02) and greater performance‐based dysfunction (P < 0.001). In 5.0% of patients, tremor was largely restricted to the nondominant arm. Nondominant arm tremor, independent of dominant arm tremor, had a significant functional correlate, contributing to both greater perceived and greater observable functional difficulty. In 5% of patients, tremor in the nondominant arm was the likely motivator for seeking care, which is another indication of its functional significance. © 2010 Movement Disorder Society.
Url:
DOI: 10.1002/mds.23284
Links to Exploration step
ISTEX:E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CFLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">What is the functional significance of nondominant arm tremor in 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><mods:affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Gerbin, Marina" sort="Gerbin, Marina" uniqKey="Gerbin M" first="Marina" last="Gerbin">Marina Gerbin</name><affiliation><mods:affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Mullaney, Mary M" sort="Mullaney, Mary M" uniqKey="Mullaney M" first="Mary M." last="Mullaney">Mary M. Mullaney</name><affiliation><mods:affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF</idno><date when="2010" year="2010">2010</date><idno type="doi">10.1002/mds.23284</idno><idno type="url">https://api.istex.fr/document/E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001B95</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">What is the functional significance of nondominant arm tremor in 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><mods:affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Gerbin, Marina" sort="Gerbin, Marina" uniqKey="Gerbin M" first="Marina" last="Gerbin">Marina Gerbin</name><affiliation><mods:affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation></author><author><name sortKey="Mullaney, Mary M" sort="Mullaney, Mary M" uniqKey="Mullaney M" first="Mary M." last="Mullaney">Mary M. Mullaney</name><affiliation><mods:affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. 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="2010-11-15">2010-11-15</date><biblScope unit="volume">25</biblScope><biblScope unit="issue">15</biblScope><biblScope unit="page" from="2674">2674</biblScope><biblScope unit="page" to="2678">2678</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF</idno><idno type="DOI">10.1002/mds.23284</idno><idno type="ArticleID">MDS23284</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>clinical</term><term>disability</term><term>essential tremor</term><term>function</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tremor in the dominant arm is often the focus of clinical attention in essential tremor (ET) yet many daily activities require both arms. The functional relevance of nondominant arm tremor has rarely been studied. In 181 right‐handed patients with ET, action tremor in each arm was rated using a clinical rating scale. Tremor disability was self‐reported and a performance‐based test of function was administered. Independently of tremor on the right, greater tremor severity on the left was associated with greater self‐reported disability (P = 0.02) and greater performance‐based dysfunction (P < 0.001). In 5.0% of patients, tremor was largely restricted to the nondominant arm. Nondominant arm tremor, independent of dominant arm tremor, had a significant functional correlate, contributing to both greater perceived and greater observable functional difficulty. In 5% of patients, tremor in the nondominant arm was the likely motivator for seeking care, which is another indication of its functional significance. © 2010 Movement Disorder Society.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Elan D. Louis MD, MSc</name><affiliations><json:string>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</json:string><json:string>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA</json:string><json:string>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</json:string><json:string>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</json:string></affiliations></json:item><json:item><name>Marina Gerbin MPH</name><affiliations><json:string>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</json:string></affiliations></json:item><json:item><name>Mary M. Mullaney MS</name><affiliations><json:string>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>essential tremor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>clinical</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>function</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>disability</value></json:item></subject><articleId><json:string>MDS23284</json:string></articleId><language><json:string>eng</json:string></language><abstract>Tremor in the dominant arm is often the focus of clinical attention in essential tremor (ET) yet many daily activities require both arms. The functional relevance of nondominant arm tremor has rarely been studied. In 181 right‐handed patients with ET, action tremor in each arm was rated using a clinical rating scale. Tremor disability was self‐reported and a performance‐based test of function was administered. Independently of tremor on the right, greater tremor severity on the left was associated with greater self‐reported disability (P = 0.02) and greater performance‐based dysfunction (P > 0.001). In 5.0% of patients, tremor was largely restricted to the nondominant arm. Nondominant arm tremor, independent of dominant arm tremor, had a significant functional correlate, contributing to both greater perceived and greater observable functional difficulty. In 5% of patients, tremor in the nondominant arm was the likely motivator for seeking care, which is another indication of its functional significance. © 2010 Movement Disorder Society.</abstract><qualityIndicators><score>6.872</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>4</keywordCount><abstractCharCount>1052</abstractCharCount><pdfWordCount>23400</pdfWordCount><pdfCharCount>153211</pdfCharCount><pdfPageCount>37</pdfPageCount><abstractWordCount>156</abstractWordCount></qualityIndicators><title>What is the functional significance of nondominant arm tremor in essential tremor?</title><genre><json:string>brief communication</json:string></genre><host><volume>25</volume><publisherId><json:string>MDS</json:string></publisherId><pages><total>5</total><last>2678</last><first>2674</first></pages><issn><json:string>0885-3185</json:string></issn><issue>15</issue><subject><json:item><value>Brief Report</value></json:item></subject><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1531-8257</json:string></eissn><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2010</publicationDate><copyrightDate>2010</copyrightDate><doi><json:string>10.1002/mds.23284</json:string></doi><id>E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">What is the functional significance of nondominant arm tremor in essential tremor?</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>WILEY</p></availability><date>2010</date></publicationStmt><notesStmt><note type="content">*Potential conflict of interest: The authors report no conflicts of interest.</note><note>National Institutes of Health (Bethesda, MD) - No. R01 NS39422; No. R01 NS42859;</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">What is the functional significance of nondominant arm tremor in essential tremor?</title><author><persName><forename type="first">Elan D.</forename><surname>Louis</surname></persName><roleName type="degree">MD, MSc</roleName><note type="correspondence"><p>Correspondence: Unit 198, Neurological Institute, 710 West 168th Street, New York, NY, 10032, USA</p></note><affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><affiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><affiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</affiliation></author><author><persName><forename type="first">Marina</forename><surname>Gerbin</surname></persName><roleName type="degree">MPH</roleName><affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation></author><author><persName><forename type="first">Mary M.</forename><surname>Mullaney</surname></persName><roleName type="degree">MS</roleName><affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-11-15"></date><biblScope unit="volume">25</biblScope><biblScope unit="issue">15</biblScope><biblScope unit="page" from="2674">2674</biblScope><biblScope unit="page" to="2678">2678</biblScope></imprint></monogr><idno type="istex">E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF</idno><idno type="DOI">10.1002/mds.23284</idno><idno type="ArticleID">MDS23284</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2010</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Tremor in the dominant arm is often the focus of clinical attention in essential tremor (ET) yet many daily activities require both arms. The functional relevance of nondominant arm tremor has rarely been studied. In 181 right‐handed patients with ET, action tremor in each arm was rated using a clinical rating scale. Tremor disability was self‐reported and a performance‐based test of function was administered. Independently of tremor on the right, greater tremor severity on the left was associated with greater self‐reported disability (P = 0.02) and greater performance‐based dysfunction (P < 0.001). In 5.0% of patients, tremor was largely restricted to the nondominant arm. Nondominant arm tremor, independent of dominant arm tremor, had a significant functional correlate, contributing to both greater perceived and greater observable functional difficulty. In 5% of patients, tremor in the nondominant arm was the likely motivator for seeking care, which is another indication of its functional significance. © 2010 Movement Disorder Society.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>essential tremor</term></item><item><term>clinical</term></item><item><term>function</term></item><item><term>disability</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Brief Report</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-03-09">Received</change><change when="2010-05-10">Registration</change><change when="2010-11-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="150"><doi origin="wiley" registered="yes">10.1002/mds.v25:15</doi><numberingGroup><numbering type="journalVolume" number="25">25</numbering><numbering type="journalIssue">15</numbering></numberingGroup><coverDate startDate="2010-11-15">15 November 2010</coverDate></publicationMeta><publicationMeta level="unit" type="shortCommunication" position="300" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.23284</doi><idGroup><id type="unit" value="MDS23284"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Brief Report</title><title type="tocHeading1">Brief Reports</title></titleGroup><copyright ownership="thirdParty">Copyright © 2010 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="2010-03-09"></event><event type="manuscriptRevised" date="2010-04-05"></event><event type="manuscriptAccepted" date="2010-05-10"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:3.1.9 mode:FullText" date="2013-01-24"></event><event type="publishedOnlineEarlyUnpaginated" date="2010-08-27"></event><event type="publishedOnlineFinalForm" date="2010-11-10"></event><event type="firstOnline" date="2010-08-27"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">2674</numbering><numbering type="pageLast">2678</numbering></numberingGroup><correspondenceTo>Unit 198, Neurological Institute, 710 West 168th Street, New York, NY, 10032, USA</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS23284.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="2"></count><count type="referenceTotal" number="16"></count><count type="wordTotal" number="3106"></count></countGroup><titleGroup><title type="main" xml:lang="en">What is the functional significance of nondominant arm tremor in essential tremor?<link href="#fn3"></link></title><title type="short" xml:lang="en">Nondominant Arm Tremor in Essential Tremor</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1 #af2 #af3 #af4" corresponding="yes"><personName><givenNames>Elan D.</givenNames><familyName>Louis</familyName><degrees>MD, MSc</degrees></personName><contactDetails><email>EDL2@columbia.edu</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Marina</givenNames><familyName>Gerbin</familyName><degrees>MPH</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Mary M.</givenNames><familyName>Mullaney</familyName><degrees>MS</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="US" type="organization"><unparsedAffiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">essential tremor</keyword><keyword xml:id="kwd2">clinical</keyword><keyword xml:id="kwd3">function</keyword><keyword xml:id="kwd4">disability</keyword></keywordGroup><fundingInfo><fundingAgency>National Institutes of Health (Bethesda, MD)</fundingAgency><fundingNumber>R01 NS39422</fundingNumber><fundingNumber>R01 NS42859</fundingNumber></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Tremor in the dominant arm is often the focus of clinical attention in essential tremor (ET) yet many daily activities require both arms. The functional relevance of nondominant arm tremor has rarely been studied. In 181 right‐handed patients with ET, action tremor in each arm was rated using a clinical rating scale. Tremor disability was self‐reported and a performance‐based test of function was administered. Independently of tremor on the right, greater tremor severity on the left was associated with greater self‐reported disability (<i>P</i> = 0.02) and greater performance‐based dysfunction (<i>P</i> < 0.001). In 5.0% of patients, tremor was largely restricted to the nondominant arm. Nondominant arm tremor, independent of dominant arm tremor, had a significant functional correlate, contributing to both greater perceived and greater observable functional difficulty. In 5% of patients, tremor in the nondominant arm was the likely motivator for seeking care, which is another indication of its functional significance. © 2010 Movement Disorder Society.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn3"><p>Potential conflict of interest: The authors report no conflicts of interest.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>What is the functional significance of nondominant arm tremor in essential tremor?</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Nondominant Arm Tremor in Essential Tremor</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>What is the functional significance of nondominant arm tremor in essential tremor?</title></titleInfo><name type="personal"><namePart type="given">Elan D.</namePart><namePart type="family">Louis</namePart><namePart type="termsOfAddress">MD, MSc</namePart><affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><affiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><affiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</affiliation><description>Correspondence: Unit 198, Neurological Institute, 710 West 168th Street, New York, NY, 10032, USA</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marina</namePart><namePart type="family">Gerbin</namePart><namePart type="termsOfAddress">MPH</namePart><affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mary M.</namePart><namePart type="family">Mullaney</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>GH Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief communication" displayLabel="shortCommunication"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2010-11-15</dateIssued><dateCaptured encoding="w3cdtf">2010-03-09</dateCaptured><dateValid encoding="w3cdtf">2010-05-10</dateValid><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">2</extent><extent unit="references">16</extent><extent unit="words">3106</extent></physicalDescription><abstract lang="en">Tremor in the dominant arm is often the focus of clinical attention in essential tremor (ET) yet many daily activities require both arms. The functional relevance of nondominant arm tremor has rarely been studied. In 181 right‐handed patients with ET, action tremor in each arm was rated using a clinical rating scale. Tremor disability was self‐reported and a performance‐based test of function was administered. Independently of tremor on the right, greater tremor severity on the left was associated with greater self‐reported disability (P = 0.02) and greater performance‐based dysfunction (P < 0.001). In 5.0% of patients, tremor was largely restricted to the nondominant arm. Nondominant arm tremor, independent of dominant arm tremor, had a significant functional correlate, contributing to both greater perceived and greater observable functional difficulty. In 5% of patients, tremor in the nondominant arm was the likely motivator for seeking care, which is another indication of its functional significance. © 2010 Movement Disorder Society.</abstract><note type="content">*Potential conflict of interest: The authors report no conflicts of interest.</note><note type="funding">National Institutes of Health (Bethesda, MD) - No. R01 NS39422; No. R01 NS42859; </note><subject lang="en"><genre>Keywords</genre><topic>essential tremor</topic><topic>clinical</topic><topic>function</topic><topic>disability</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Brief Report</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><detail type="issue"><caption>no.</caption><number>15</number></detail><extent unit="pages"><start>2674</start><end>2678</end><total>5</total></extent></part></relatedItem><identifier type="istex">E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF</identifier><identifier type="DOI">10.1002/mds.23284</identifier><identifier type="ArticleID">MDS23284</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001B95 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 001B95 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= ISTEX:E9F8FF8F2AD3605A6897C1A8AD7BB47D8980E2CF
|texte= What is the functional significance of nondominant arm tremor in essential tremor?
}}
| This area was generated with Dilib version V0.6.23. |  |