Auff E, Doppelbauer A, Fertl E
Neurological Clinic, University of Vienna, Austria.
J Neural Transm Suppl. 1991;33:105-10. doi: 10.1007/978-3-7091-9135-4_16.
78 patients with essential tremor (ET) were investigated to uncover correlation and discrepancies between functional (motor) disabilities and subjective impairment. Various self-rating scales (Zung, v. Zerssen etc.) were used for the assessment of the latter: 2/5 of the patients rated themselves as severely impaired; 1/3 was depressive. Patients who showed nearly the same functional (motor) disability felt very differently subjectively impaired. Semiquantitative clinical scores of action tremor correlated best with the subjective impairment in activities of daily living. Objective measurements of motor disability were performed with the "Motorische Leistungsserie nach Schoppe" (motor performance test) and showed good correlation to the subjective impairment in simple tasks of every day life, such as drinking from a glass, eating soup, and writing. Asking for the subjective impairment in these tasks allows to estimate the objective disability correctly. This may be of value in long-term studies of essential tremor.
对78例特发性震颤（ET）患者进行了调查，以揭示功能（运动）障碍与主观损伤之间的相关性和差异。使用了各种自评量表（Zung量表、v. Zerssen量表等）来评估后者：五分之二的患者将自己评为严重受损；三分之一患有抑郁症。功能（运动）障碍几乎相同的患者主观损伤感受却大不相同。动作性震颤的半定量临床评分与日常生活活动中的主观损伤相关性最好。使用“Schoppe运动能力系列测试”（运动表现测试）对运动障碍进行客观测量，结果显示与日常生活简单任务（如用杯子喝水、喝汤和写字）中的主观损伤具有良好的相关性。询问这些任务中的主观损伤情况有助于正确估计客观障碍。这在特发性震颤的长期研究中可能具有重要价值。
