Tremor: adaptação de uma escala clínica

Nicaretta, Denise Hack; Pereira, João Santos; Pimentel, Maria Lúcia Vellutini

doi:10.1590/S0004-282X1997000300005

Resumos

Adaptamos a escala clínica para avaliação de tremor de Fahn, Tolosa e Marín para a monitorização em nosso meio dos pacientes com tremor. Aplicamos essa escala em 123 pacientes com esse distúrbio do movimento, sem restrição etiológica ou de faixa etária, selecionados aleatoriamente no Ambulatório de Medicina Integral e no Serviço de Pronto Atendimento do Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro. Embora tenham sido observadas algumas variáveis influenciando nos escores da escala, estas não parecem ser relevantes para alterar a padronização da mesma e sua aplicabilidade clínica.

tremor; escala clínica; avaliação

The Fahn, Tolosae Mann's clinical rating scale for tremor was adapted to our country for evaluation of tremor. This scale was applied to 123 patients with this movement disorder, selected from the Ambulatory of General Medicine at Hospital Universitário Pedro Ernesto from Universidade do Estado do Rio de Janeiro. These patients had been chosen no matter the etiology of their condition or their age. Although some variants may had influenced the scores of this particular scale, they did not seem to change its standardization and applicability.

tremor; clinical scale; evaluation

Tremor: adaptação de uma escala clínica

Tremor: adaptation of a clinical scale

Denise Hack Nicaretta^I; João Santos Pereira^II; Maria Lúcia Vellutini Pimentel^III

^IBolsista CNPq

^IIProfessor Adjunto da Disciplina de Neurologia da UERJ, responsável pelo Ambulatório de Distúrbios do Movimento

^IIIMédica neurologista. Apoio CNPq

RESUMO

Adaptamos a escala clínica para avaliação de tremor de Fahn, Tolosa e Marín para a monitorização em nosso meio dos pacientes com tremor. Aplicamos essa escala em 123 pacientes com esse distúrbio do movimento, sem restrição etiológica ou de faixa etária, selecionados aleatoriamente no Ambulatório de Medicina Integral e no Serviço de Pronto Atendimento do Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro. Embora tenham sido observadas algumas variáveis influenciando nos escores da escala, estas não parecem ser relevantes para alterar a padronização da mesma e sua aplicabilidade clínica.

Palavras-chave: tremor, escala clínica, avaliação.

ABSTRACT

The Fahn, Tolosae Mann's clinical rating scale for tremor was adapted to our country for evaluation of tremor. This scale was applied to 123 patients with this movement disorder, selected from the Ambulatory of General Medicine at Hospital Universitário Pedro Ernesto from Universidade do Estado do Rio de Janeiro. These patients had been chosen no matter the etiology of their condition or their age. Although some variants may had influenced the scores of this particular scale, they did not seem to change its standardization and applicability.

Key words: tremor, clinical scale, evaluation.

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Agradecimentos - Aos médicos do Serviço de Pronto Atendimento e do Ambulatório de Medicina Integral do Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro.

Aceite: 7-abril-1997.

Dr. João Santos Pereira - Disciplina de Neurologia, Hospital Universitário Pedro Ernesto, UERJ - Boulevard 28 de Setembro 77, 2ºandar - 20551-030 Rio de Janeiro RJ - Brasil.

1. Bain PG, Findley LJ, Atchison P, Behari M, Vidailhet M, Gresty M, Rothwell JC, Thompson PD, Marsden CD. Assessing tremor severity. J Neurol Neurosurg Psychiatry 1993;56:868-873.
2. Bain PG, Mally J, Gresty M, Findley LJ. Assessing the impact of essential tremor on upper limb function. J Neurol 1993;241:54-61.
3. Beuter A, Geoffroy A, Cordo P. The measurement of tremor using simple laser systems. J Neuros Meth 1994;53:47-54.
4. Elble RJ, Koller WC. The measurement and quantification of tremor. In: Elble RJ, KoIIer WC. Tremor. Baltimore: John Hopkins Univ Press, 1990:10-36.
5. Fahn S, Tolosa E, Marín C. Clinical rating scale for tremor. In: Jankovic J, Tolosa E (eds). Parkinson's disease and movement disorders. Baltimore: Urban & Schwarzenberg, 1988:225-234.
6. Fahn S, Tolosa E, Marin C. Clinical rating scale for tremor. In: Jankovic J, Tolosa E (eds). Parkinson's disease and movement disorders. Ed2. Baltimore: Urban & Schwarzenberg, 1993:271-280.
7. Findley LI. Tremors: differentia] diagnosis and pharmacology. In Jankovic J, Tolosa E (eds). Parkinson's disease and movement disorders. Baltimore: Urban & Schwarzenber, 1993;293-313.
8. Freitas MRG. Doença de Charcot-Marie-Tooth: estudo de 45 pacientes. Tese (Professor Titular) Universidade Federal Fluminense. Niterói, 1993.
9. Koller WC, Biary N, Cone S. Disability in essential tremor: effect of treatment. Neurology 1986;36:1001-1004.
10. Koller WC, Huber SJ. Tremor disorders of aging: diagnosis and management. Geriatrics 1989;44:33-41.
11. Lejoyeux M, Gorwood P, Stalla-Bourdillon A, Adès J. Traduction et utilisation de l'échelle de Simpson et Angus de symptomes extra-pyramidaux. Encéphale 1993;19:17-21.
12. Lou J-S, Jankovic J. Tremors. In Appel SH (ed). Current Neurology. St Louis: Mosby Year Book, 1991:199-232.
13. MacKenzie RC, Charlson ME. Standards for the use of ordinal scales in clinical trials. Br Med J 1986;292:40-43.
14. Martinez-Martin P, Gil-Nagel A, Gracia LM, Gómez JB, Martínez-Sarriés J, Bermejo F, The Cooperative Multicentric Group. Unified Parkinson's disease rating scale characteristics and structure. Mov Disord 1994;9:76-83.
15. Nascimento OJM. Polirradiculoneuropatia desmiclinizante inflamatória crônica (Síndrome de Austin-Dyck): estudo de 45 pacientes. Tese (Professor Titular) Universidade Federal Fluminense. Niterói, 1993.
16. Nascimento OJM, Freitas MRG, Chimelli L, Nevares MT, Escada TM. Polineuropatias das gamapatias monoclonais de etiologia indeterminada. Rev Bras Neurol 1993;29:140-146.
17. Said G, Bathien N, Cesaro P. Peripheral neuropathies and tremor. Neurology 1982;32:480-485.
18. Sprague RL, Korach MS, Van Emmerik REA, Newell KM. Correlations between kinematic and rating scale measures of tardive dyskinesia in a developmentally disabled population. J Nerv Ment Dis 1993;181:42-47.
19. Weiner WJ, Lang AE. Tremor. In: Weiner WJ, Lang AE. Movement disorders: a comprehensive survey. New York: Futura 1989:221-256.

Datas de Publicação

Publicação nesta coleção
18 Out 2010
Data do Fascículo
Set 1997

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Bain PG, Findley LJ, Atchison P, Behari M, Vidailhet M, Gresty M, Rothwell JC, Thompson PD, Marsden CD. Assessing tremor severity. J Neurol Neurosurg Psychiatry 1993;56:868-873.

[2] 2. Bain PG, Mally J, Gresty M, Findley LJ. Assessing the impact of essential tremor on upper limb function. J Neurol 1993;241:54-61.

[3] 3. Beuter A, Geoffroy A, Cordo P. The measurement of tremor using simple laser systems. J Neuros Meth 1994;53:47-54.

[4] 4. Elble RJ, Koller WC. The measurement and quantification of tremor. In: Elble RJ, KoIIer WC. Tremor. Baltimore: John Hopkins Univ Press, 1990:10-36.

[5] 5. Fahn S, Tolosa E, Marín C. Clinical rating scale for tremor. In: Jankovic J, Tolosa E (eds). Parkinson's disease and movement disorders. Baltimore: Urban & Schwarzenberg, 1988:225-234.

[6] 6. Fahn S, Tolosa E, Marin C. Clinical rating scale for tremor. In: Jankovic J, Tolosa E (eds). Parkinson's disease and movement disorders. Ed2. Baltimore: Urban & Schwarzenberg, 1993:271-280.

[7] 7. Findley LI. Tremors: differentia] diagnosis and pharmacology. In Jankovic J, Tolosa E (eds). Parkinson's disease and movement disorders. Baltimore: Urban & Schwarzenber, 1993;293-313.

[8] 8. Freitas MRG. Doença de Charcot-Marie-Tooth: estudo de 45 pacientes. Tese (Professor Titular) Universidade Federal Fluminense. Niterói, 1993.

[9] 9. Koller WC, Biary N, Cone S. Disability in essential tremor: effect of treatment. Neurology 1986;36:1001-1004.

[10] 10. Koller WC, Huber SJ. Tremor disorders of aging: diagnosis and management. Geriatrics 1989;44:33-41.

[11] 11. Lejoyeux M, Gorwood P, Stalla-Bourdillon A, Adès J. Traduction et utilisation de l'échelle de Simpson et Angus de symptomes extra-pyramidaux. Encéphale 1993;19:17-21.

[12] 12. Lou J-S, Jankovic J. Tremors. In Appel SH (ed). Current Neurology. St Louis: Mosby Year Book, 1991:199-232.

[13] 13. MacKenzie RC, Charlson ME. Standards for the use of ordinal scales in clinical trials. Br Med J 1986;292:40-43.

[14] 14. Martinez-Martin P, Gil-Nagel A, Gracia LM, Gómez JB, Martínez-Sarriés J, Bermejo F, The Cooperative Multicentric Group. Unified Parkinson's disease rating scale characteristics and structure. Mov Disord 1994;9:76-83.

[15] 15. Nascimento OJM. Polirradiculoneuropatia desmiclinizante inflamatória crônica (Síndrome de Austin-Dyck): estudo de 45 pacientes. Tese (Professor Titular) Universidade Federal Fluminense. Niterói, 1993.

[16] 16. Nascimento OJM, Freitas MRG, Chimelli L, Nevares MT, Escada TM. Polineuropatias das gamapatias monoclonais de etiologia indeterminada. Rev Bras Neurol 1993;29:140-146.

[17] 17. Said G, Bathien N, Cesaro P. Peripheral neuropathies and tremor. Neurology 1982;32:480-485.

[18] 18. Sprague RL, Korach MS, Van Emmerik REA, Newell KM. Correlations between kinematic and rating scale measures of tardive dyskinesia in a developmentally disabled population. J Nerv Ment Dis 1993;181:42-47.

[19] 19. Weiner WJ, Lang AE. Tremor. In: Weiner WJ, Lang AE. Movement disorders: a comprehensive survey. New York: Futura 1989:221-256.