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Functional correlates of lower cognitive test scores in essential tremor

Identifieur interne : 000709 ( Main/Exploration ); précédent : 000708; suivant : 000710

Functional correlates of lower cognitive test scores in essential tremor

Auteurs : Elan D. Louis [États-Unis]

Source :

RBID : ISTEX:C99AD6DBE899E368A6B03ABDE1B861BEE8F5E248

English descriptors

Abstract

Although motor features have been the defining element of essential tremor (ET), lower neurocognitive test scores are increasingly being recognized. However, the clinical correlates, if any, of these lower test scores remain largely unexplored. The aim of this study was to determine whether cognitive test scores in ET have any functional correlates. The Modified Mini Mental Status Examination (MMSE), Katz Activities of Daily Living (ADL) scale and Lawton Instrumental (I) ADL scale were administered to 95 cases. The Katz ADL score (rho = 0.26, P = 0.01) and Lawton IADL score (rho = 0.32, P = 0.001) were correlated with MMSE scores, such that poorer cognitive performance indicated greater dysfunction. Furthermore, cognitive test scores were a better predictor of functional disability than was tremor severity. Poorer cognitive performance in ET was associated with greater functional deficit. Cognition should enter the clinical dialog with ET patients as an issue of clinical significance. © 2010 Movement Disorder Society

Url:
DOI: 10.1002/mds.22920


Affiliations:


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