School of Rehabilitation Therapy, Queen's University Kingston, ON, Canada ; Centre for Neuroscience Studies, Queen's University Kingston, ON, Canada.
Front Neurol. 2013 May 10;4:50. doi: 10.3389/fneur.2013.00050. eCollection 2013.
People with Parkinson's disease, essential tremor, or other movement disorders involving tremor have changes in fine motor skills that are among the hallmarks of these diseases. Numerous measurement tools have been created and other methods devised to measure such changes in fine motor skills. Measurement tools may focus on specific features - e.g., motor skills or dexterity, slowness in movement execution associated with parkinsonian bradykinesia, or magnitude of tremor. Less obviously, some tools may be better suited than others for specific goals such as detecting subtle dysfunction early in disease, revealing aspects of brain function affected by disease, or tracking changes expected from treatment or disease progression. The purpose of this review is to describe and appraise selected measurement tools of fine motor skills appropriate for people with tremor disorders. In this context, we consider the tools' content - i.e., what movement features they focus on. In addition, we consider how measurement tools of fine motor skills relate to measures of a person's disease state or a person's function. These considerations affect how one should select and interpret the results of these tools in laboratory and clinical contexts.
患有帕金森病、特发性震颤或其他涉及震颤的运动障碍的人，精细运动技能会发生变化，这些变化是这些疾病的特征之一。已经创建了许多测量工具，并设计了其他方法来测量精细运动技能的这些变化。测量工具可能侧重于特定的特征——例如，运动技能或灵巧性、与帕金森氏病运动徐缓相关的运动执行缓慢，或震颤幅度。不太明显的是，某些工具可能比其他工具更适合特定的目标，例如早期检测疾病的细微功能障碍、揭示受疾病影响的大脑功能方面，或跟踪治疗或疾病进展预期的变化。本综述的目的是描述和评估适合震颤障碍患者的精细运动技能的选定测量工具。在这种情况下，我们考虑工具的内容——即它们关注的运动特征。此外，我们还考虑精细运动技能测量工具与一个人的疾病状态或一个人的功能的测量之间的关系。这些考虑因素会影响如何在实验室和临床环境中选择和解释这些工具的结果。
