Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb
Objective of this study is testing a new sign to differentiate functional from organic paralysis of the arm. Thirty‐six healthy subjects, ten patients with acute functional paralysis of one arm and eleven patients with acute organic paralysis of one arm were enrolled. The test consisted of abduction...
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| Veröffentlicht in: | Movement disorders 2008-12, Vol.23 (16), p.2415-2419 |
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| creator | Tinazzi, Michele Simonetto, Sara Franco, Laura Bhatia, Kailash P. Moretto, Giuseppe Fiaschi, Antonio Deluca, Cristina |
| description | Objective of this study is testing a new sign to differentiate functional from organic paralysis of the arm. Thirty‐six healthy subjects, ten patients with acute functional paralysis of one arm and eleven patients with acute organic paralysis of one arm were enrolled. The test consisted of abduction finger movements of one hand against resistance with a maximal sustained contraction to detect synkinetic abduction finger movements of the contralateral hand. For both hands, contralateral hand synkinesias were observed in healthy subjects. The task performed with the unaffected hand evoked synkinesias of the presumed affected hand in functional patients, but did not evoke synkinesias of the affected hand in organic patients. The abduction finger test had 100% sensitivity and specificity in distinguishing functional from organic paralysis of the upper limb in this cohort of patients. The abduction finger sign may be a reliable bedside test to discriminate functional from organic arm paralysis. © 2008 Movement Disorder Society |
| doi_str_mv | 10.1002/mds.22268 |
| format | Article |
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Thirty‐six healthy subjects, ten patients with acute functional paralysis of one arm and eleven patients with acute organic paralysis of one arm were enrolled. The test consisted of abduction finger movements of one hand against resistance with a maximal sustained contraction to detect synkinetic abduction finger movements of the contralateral hand. For both hands, contralateral hand synkinesias were observed in healthy subjects. The task performed with the unaffected hand evoked synkinesias of the presumed affected hand in functional patients, but did not evoke synkinesias of the affected hand in organic patients. The abduction finger test had 100% sensitivity and specificity in distinguishing functional from organic paralysis of the upper limb in this cohort of patients. The abduction finger sign may be a reliable bedside test to discriminate functional from organic arm paralysis. © 2008 Movement Disorder Society</description><identifier>ISSN: 0885-3185</identifier><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.22268</identifier><identifier>PMID: 18951441</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Electromyography - methods ; Female ; Fingers - physiopathology ; Functional Laterality - physiology ; Hoover's test ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Muscle, Skeletal - physiopathology ; Nervous system ; Neurology ; Paralysis - pathology ; Paralysis - physiopathology ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Sensitivity and Specificity ; synkinesia ; Upper Extremity - physiopathology ; upper limb functional paralysis ; Young Adult</subject><ispartof>Movement disorders, 2008-12, Vol.23 (16), p.2415-2419</ispartof><rights>Copyright © 2008 Movement Disorder Society</rights><rights>2009 INIST-CNRS</rights><rights>(c) 2008 Movement Disorder Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4888-47c44525734a0a8cf3a1b624f5fe0a13c8940a049c4c8cebf229e7924bdf30743</citedby><cites>FETCH-LOGICAL-c4888-47c44525734a0a8cf3a1b624f5fe0a13c8940a049c4c8cebf229e7924bdf30743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmds.22268$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmds.22268$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21005670$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18951441$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tinazzi, Michele</creatorcontrib><creatorcontrib>Simonetto, Sara</creatorcontrib><creatorcontrib>Franco, Laura</creatorcontrib><creatorcontrib>Bhatia, Kailash P.</creatorcontrib><creatorcontrib>Moretto, Giuseppe</creatorcontrib><creatorcontrib>Fiaschi, Antonio</creatorcontrib><creatorcontrib>Deluca, Cristina</creatorcontrib><title>Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb</title><title>Movement disorders</title><addtitle>Mov. Disord</addtitle><description>Objective of this study is testing a new sign to differentiate functional from organic paralysis of the arm. Thirty‐six healthy subjects, ten patients with acute functional paralysis of one arm and eleven patients with acute organic paralysis of one arm were enrolled. The test consisted of abduction finger movements of one hand against resistance with a maximal sustained contraction to detect synkinetic abduction finger movements of the contralateral hand. For both hands, contralateral hand synkinesias were observed in healthy subjects. The task performed with the unaffected hand evoked synkinesias of the presumed affected hand in functional patients, but did not evoke synkinesias of the affected hand in organic patients. The abduction finger test had 100% sensitivity and specificity in distinguishing functional from organic paralysis of the upper limb in this cohort of patients. The abduction finger sign may be a reliable bedside test to discriminate functional from organic arm paralysis. © 2008 Movement Disorder Society</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Electromyography - methods</subject><subject>Female</subject><subject>Fingers - physiopathology</subject><subject>Functional Laterality - physiology</subject><subject>Hoover's test</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Nervous system</subject><subject>Neurology</subject><subject>Paralysis - pathology</subject><subject>Paralysis - physiopathology</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Sensitivity and Specificity</subject><subject>synkinesia</subject><subject>Upper Extremity - physiopathology</subject><subject>upper limb functional paralysis</subject><subject>Young Adult</subject><issn>0885-3185</issn><issn>1531-8257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1PFDEUhhuigRW58A-Q3mjixUBPP2Y63m1WXSSIF67hyjSdTguF-aKdCe6_t-wucGW86knzvO85eRB6B-QECKGnbR1PKKW53EMzEAwySUXxCs2IlCJjIMUBehPjLSEAAvJ9dACyFMA5zNDveVVPZvR9h53vrm3A0V93n_Acd_ZhM-Oxx7UdrRnx1PlGjzboBrup26TSOOj0sY4-4t7h8cbiaRhST-Pb6i167XQT7dHuPUS_vn5ZLc6yix_Lb4v5RWa4lDLjheFcpJsZ10RL45iGKqfcCWeJBmZkyYkmvDTcSGMrR2lpi5LyqnaMFJwdog_b3iH095ONo2p9NLZpdGf7Kaq8LCkTSc3_QAog0yWQwI9b0IQ-xmCdGoJvdVgrIOpRukrS1UZ6Yo93pVPV2vqF3FlOwPsdoKPRjQu6Mz4-czT1ibwgiTvdcg--set_b1TfP_98Wp1tEz6O9s9zQoc7lResEOrqcqno5Yqfny8XasX-Av05pv0</recordid><startdate>20081215</startdate><enddate>20081215</enddate><creator>Tinazzi, Michele</creator><creator>Simonetto, Sara</creator><creator>Franco, Laura</creator><creator>Bhatia, Kailash P.</creator><creator>Moretto, Giuseppe</creator><creator>Fiaschi, Antonio</creator><creator>Deluca, Cristina</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20081215</creationdate><title>Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb</title><author>Tinazzi, Michele ; Simonetto, Sara ; Franco, Laura ; Bhatia, Kailash P. ; Moretto, Giuseppe ; Fiaschi, Antonio ; Deluca, Cristina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4888-47c44525734a0a8cf3a1b624f5fe0a13c8940a049c4c8cebf229e7924bdf30743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Electromyography - methods</topic><topic>Female</topic><topic>Fingers - physiopathology</topic><topic>Functional Laterality - physiology</topic><topic>Hoover's test</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Nervous system</topic><topic>Neurology</topic><topic>Paralysis - pathology</topic><topic>Paralysis - physiopathology</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Sensitivity and Specificity</topic><topic>synkinesia</topic><topic>Upper Extremity - physiopathology</topic><topic>upper limb functional paralysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tinazzi, Michele</creatorcontrib><creatorcontrib>Simonetto, Sara</creatorcontrib><creatorcontrib>Franco, Laura</creatorcontrib><creatorcontrib>Bhatia, Kailash P.</creatorcontrib><creatorcontrib>Moretto, Giuseppe</creatorcontrib><creatorcontrib>Fiaschi, Antonio</creatorcontrib><creatorcontrib>Deluca, Cristina</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Movement disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tinazzi, Michele</au><au>Simonetto, Sara</au><au>Franco, Laura</au><au>Bhatia, Kailash P.</au><au>Moretto, Giuseppe</au><au>Fiaschi, Antonio</au><au>Deluca, Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb</atitle><jtitle>Movement disorders</jtitle><addtitle>Mov. 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| subjects | Adult Aged Biological and medical sciences Electromyography - methods Female Fingers - physiopathology Functional Laterality - physiology Hoover's test Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Muscle, Skeletal - physiopathology Nervous system Neurology Paralysis - pathology Paralysis - physiopathology Radiodiagnosis. Nmr imagery. Nmr spectrometry Sensitivity and Specificity synkinesia Upper Extremity - physiopathology upper limb functional paralysis Young Adult |
| title | Abduction finger sign: A new sign to detect unilateral functional paralysis of the upper limb |
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