Assessment of ability/disability in patients treated with chronic thalamic stimulation for tremor

被引:38
作者
Hariz, GM
Bergenheim, AT
Hariz, MI
Lindberg, M
机构
[1] Umea Univ, Coll Hlth & Caring Sci, Sect Occupat Therapy, S-90187 Umea, Sweden
[2] Umea Univ, Dept Phys Med & Rehabil, S-90187 Umea, Sweden
关键词
Parkinson's disease; essential tremor; chronic thalamic stimulation; occupational therapy; activities of daily living; assessment of motor and process skills;
D O I
10.1002/mds.870130117
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Chronic thalamic stimulation (CTS) has a documented good effect on tremor in patients with Parkinson's disease (PD) and essential tremor (ET). This study evaluates whether the alleviation of impairment, i.e., tremor, translates into improvement of the patient's ability in performing instrumental activities of daily Living (IADL). Thirteen patients were assessed with an occupational therapy tool called Assessment of Motor and Process Skills (AMPS). This observation-based scale rates the patient's motor and process skills needed to perform a given task. The evaluations were done at a mean of 13 months after surgery in the patient's home, and included assessments of IADL with the CTS activated and switched off, respectively. The results showed that most patients improved to variable degrees in their IADL ability when the thalamic stimulation was on. The improvement was more marked in patients operated on for tremor of their dominant hand. The improvement concerned mainly the skill items related to the patients' abilities of coordination, calibration, endurance, and accommodation during IADL task performance. The authors concluded that for some patients with tremor, CTS can improve independence in domestic activities of daily living.
引用
收藏
页码:78 / 83
页数:6
相关论文
共 30 条
[1]   STIMULATION OF THE VENTRAL INTERMEDIATE THALAMIC NUCLEUS IN TREMOR DOMINATED PARKINSONS-DISEASE AND ESSENTIAL TREMOR [J].
ALESCH, F ;
PINTER, MM ;
HELSCHER, RJ ;
FERTL, L ;
BENABID, AL ;
KOOS, WT .
ACTA NEUROCHIRURGICA, 1995, 136 (1-2) :75-81
[2]  
[Anonymous], SCAND J OCCUP THER
[3]  
[Anonymous], 1989, Quantification of Neurological Deficit
[4]  
[Anonymous], 1995, ASSESSMENT MOTOR PRO
[5]   Chronic electrical stimulation of the ventralis intermedius nucleus of the thalamus as a treatment of movement disorders [J].
Benabid, AL ;
Pollak, P ;
Gao, DM ;
Hoffmann, D ;
Limousin, P ;
Gay, E ;
Payen, I ;
Benazzouz, A .
JOURNAL OF NEUROSURGERY, 1996, 84 (02) :203-214
[6]   LONG-TERM SUPPRESSION OF TREMOR BY CHRONIC STIMULATION OF THE VENTRAL INTERMEDIATE THALAMIC NUCLEUS [J].
BENABID, AL ;
POLLAK, P ;
GERVASON, C ;
HOFFMANN, D ;
GAO, DM ;
HOMMEL, M ;
PERRET, JE ;
DEROUGEMONT, J .
LANCET, 1991, 337 (8738) :403-406
[7]   DIFFERENCES BETWEEN PERSONS WITH RIGHT OR LEFT CEREBRAL VASCULAR ACCIDENT ON THE ASSESSMENT OF MOTOR AND PROCESS SKILLS [J].
BERNSPANG, B ;
FISHER, AG .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1995, 76 (12) :1144-1151
[8]   CONTROL OF TREMOR AND INVOLUNTARY MOVEMENT-DISORDERS BY CHRONIC STEREOTAXIC STIMULATION OF THE VENTRAL INTERMEDIATE THALAMIC NUCLEUS [J].
BLOND, S ;
CAPARROSLEFEBVRE, D ;
PARKER, F ;
ASSAKER, R ;
PETIT, H ;
GUIEU, JD ;
CHRISTIAENS, JL .
JOURNAL OF NEUROSURGERY, 1992, 77 (01) :62-68
[9]   ACCURACY OF SELF-REPORTED DISABILITY IN PATIENTS WITH PARKINSONISM [J].
BROWN, RG ;
MACCARTHY, B ;
JAHANSHAHI, M ;
MARSDEN, CD .
ARCHIVES OF NEUROLOGY, 1989, 46 (09) :955-959
[10]   A METHOD FOR EVALUATING DISABILITY IN PATIENTS WITH PARKINSONS-DISEASE [J].
CANTER, GJ ;
DELATORRE, R ;
MIER, M .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1961, 133 (02) :143-147