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Shaky and unsteady: Dynamic posturography in essential tremor.

Identifieur interne : 000354 ( Main/Exploration ); précédent : 000353; suivant : 000355

Shaky and unsteady: Dynamic posturography in essential tremor.

Auteurs : Shweta Prasad [Inde] ; Selva Ganapathy Velayutham [Inde] ; Venkateswara Reddy Reddam [Inde] ; Albert Stezin [Inde] ; Ketan Jhunjhunwala [Inde] ; Pramod Kumar Pal [Inde]

Source :

RBID : pubmed:29406890

Descripteurs français

English descriptors

Abstract

BACKGROUND

The spectrum of symptoms exhibited by patients with essential tremor (ET) extends far beyond the classical tremor. This study aims to explore and establish the presence of subtle balance abnormalities in ET using dynamic posturography (DP).

METHODS

DP was performed on 18 patients with ET and 26 controls. Diagnosis of ET was based on the Consensus Statement of the Movement Disorder Society on Tremor. Dynamic stability which included the overall balance index, anterior-posterior index and mediolateral index, and limits of stability were measured.

RESULTS

Patients with ET had significantly impaired balance indices. Impairment of dynamic stability revealed poor static balance control in all directions. Lower limits of stability scores indicated a smaller range of motion prior to which patients have to shift foot balance. No correlations were observed between age at evaluation, age at onset, duration of illness and the balance indices.

CONCLUSIONS

Dynamic posturography reveals significant balance impairment in patients with ET which is unrelated to the age at onset, age at evaluation or duration of illness. This finding concurs with pre-existing reports and adds to the growing body evidence of cerebellar involvement in ET.


DOI: 10.1016/j.jns.2017.12.003
PubMed: 29406890


Affiliations:


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Le document en format XML

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<term>Essential Tremor (diagnosis)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
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<term>Sensation Disorders (diagnosis)</term>
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<term>Examen neurologique (méthodes)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tremblement essentiel (complications)</term>
<term>Tremblement essentiel (diagnostic)</term>
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<b>BACKGROUND</b>
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<p>The spectrum of symptoms exhibited by patients with essential tremor (ET) extends far beyond the classical tremor. This study aims to explore and establish the presence of subtle balance abnormalities in ET using dynamic posturography (DP).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>DP was performed on 18 patients with ET and 26 controls. Diagnosis of ET was based on the Consensus Statement of the Movement Disorder Society on Tremor. Dynamic stability which included the overall balance index, anterior-posterior index and mediolateral index, and limits of stability were measured.</p>
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<b>RESULTS</b>
</p>
<p>Patients with ET had significantly impaired balance indices. Impairment of dynamic stability revealed poor static balance control in all directions. Lower limits of stability scores indicated a smaller range of motion prior to which patients have to shift foot balance. No correlations were observed between age at evaluation, age at onset, duration of illness and the balance indices.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Dynamic posturography reveals significant balance impairment in patients with ET which is unrelated to the age at onset, age at evaluation or duration of illness. This finding concurs with pre-existing reports and adds to the growing body evidence of cerebellar involvement in ET.</p>
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