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Four Essential Tremor Cases with Moderately Impaired Gait: How Impaired can Gait be in this Disease? Cover

Four Essential Tremor Cases with Moderately Impaired Gait: How Impaired can Gait be in this Disease?

Open Access
|Nov 2013

Figures & Tables

Table. 1

Clinical Data on Four Patients with ET

Patient 1Patient 2Patient 3Patient 4
Age (years)79705238
GenderMaleMaleMaleFemale
Age of tremor onset (years)3561216
Tremor duration (years)44644022
Family history of ETYes (Brother, Sister)Yes (Sister)Yes (Grandfather, Nephew)Yes (Father, Grandmother)
Current ET medicationsPro 10 mg/d, Top 50 mg/dNoneGab 1600 mg/d, Top 100 mg/dPro 80 mg/d
Mean Archimedes spiral score (range = 0–31)2.52.03.03.0
International Co-operative Ataxia Rating Scale (range = 0–1001)24132737
Posture/Gait (0–34)94310
Kinetic Functions (0–52)1592427
Speech (0–8)0000
Oculomotor (0–6)0000
Activities-specific Balance Confidence Scale (ABC, range = 01–100)48.878.878.490.9
Berg Balance Scale (range = 01–56)42545453
POMA (range = 01–28)18222521
Number of tandem missteps (range = 0–101)10415
GAITRite Data2
Velocity (m/s)0.79 [1.17]0.90 [1.17]1.18 [1.28]1.16 [1.28]
Cadence (steps/min)85.2 [102.0]100.1 [102.0]129.6 [125.1]87.5 [125.1]
Step length (m)0.55 [0.69]0.52 [0.69]0.60 [0.65]0.80 [0.65]
Double support time (%)28.7 [26.3]40.1 [26.3]27.532.4
Step time difference (s)0.07 [0.03]0.04 [0.03]0.050.05
Swing time CV (%)9.4 [4.5]6.7 [4.5]11.86.7

1 Most impaired.

2 Values in brackets are normative data for healthy participants aged 70–79 years, or where available, normative data for healthy participants aged 40–49 years.

Abbreviations: CV, coefficient of variation; Gab, gabapentin; m, meters; mg/d, mg/day; m/s, meters/second; POMA, Tinetti Performance Oriented Mobility Assessment; Pro, propranolol; Top, topiramate.

DOI: https://doi.org/10.5334/tohm.138 | Journal eISSN: 2160-8288
Language: English
Submitted on: Sep 9, 2013
Accepted on: Oct 3, 2013
Published on: Nov 4, 2013
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2013 Elan D. Louis, Monica Galecki, Ashwini K. Rao, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.