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Long-term effect of deep brain stimulation for essential tremor on activities of daily living and health-related quality of life.
Acta Neurol Scand. 2008 Dec; 118(6):387-94.AN

Abstract

OBJECTIVES

To report long-term effects of thalamic deep brain stimulation (DBS) on activities of daily living (ADL) and health-related quality of life (HRQoL) in patients with essential tremor (ET).

MATERIALS AND METHODS

Nineteen consecutive patients were evaluated at baseline, at a mean of 1 year, then at a mean of 7 years after DBS using Tremor Rating Scale, Mini Mental Test, ADL Taxonomy, Nottingham Health Profile, Life Satisfaction Checklist, Visual Analogue Scale and interview.

RESULTS

There was a decrease of DBS efficacy on tremor between 1 and 7 years post-operatively. The marked improvement in ADL at 1 year was no longer sustained at long-term, except for the ability to eat. Social life remained improved.

CONCLUSION

Although there is a decrease of DBS effect on tremor at 7 years, and even though further ageing and co-morbidities may impact on the well-being of patients, there is still relevant benefit of DBS on few aspects of ADL and HRQoL in patients with ET.

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Authors+Show Affiliations

Hariz GM
Department of Community Medicine and Rehabilitation, Section of Occupational Therapy, Umeå University, Sweden. gun-marie.hariz@neuro.umu.se
Blomstedt P
No affiliation info available
Koskinen LO
No affiliation info available

MeSH

Activities of Daily LivingAgedAged, 80 and overDeep Brain StimulationDisability EvaluationEssential TremorFemaleHumansMaleNeuropsychological TestsQuality of LifeSurveys and QuestionnairesThalamusTimeTreatment Outcome

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18616684

Clinical Trial Links

Cyclic Deep Brain Stimulation in Essential Tremor

Citation

Hariz, G-M, et al. "Long-term Effect of Deep Brain Stimulation for Essential Tremor On Activities of Daily Living and Health-related Quality of Life." Acta Neurologica Scandinavica, vol. 118, no. 6, 2008, pp. 387-94.
Hariz GM, Blomstedt P, Koskinen LO. Long-term effect of deep brain stimulation for essential tremor on activities of daily living and health-related quality of life. Acta Neurol Scand. 2008;118(6):387-94.
Hariz, G. M., Blomstedt, P., & Koskinen, L. O. (2008). Long-term effect of deep brain stimulation for essential tremor on activities of daily living and health-related quality of life. Acta Neurologica Scandinavica, 118(6), 387-94. https://doi.org/10.1111/j.1600-0404.2008.01065.x
Hariz GM, Blomstedt P, Koskinen LO. Long-term Effect of Deep Brain Stimulation for Essential Tremor On Activities of Daily Living and Health-related Quality of Life. Acta Neurol Scand. 2008;118(6):387-94. PubMed PMID: 18616684.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term effect of deep brain stimulation for essential tremor on activities of daily living and health-related quality of life. AU - Hariz,G-M, AU - Blomstedt,P, AU - Koskinen,L-O D, Y1 - 2008/07/08/ PY - 2008/7/12/pubmed PY - 2009/1/10/medline PY - 2008/7/12/entrez SP - 387 EP - 94 JF - Acta neurologica Scandinavica JO - Acta Neurol Scand VL - 118 IS - 6 N2 - OBJECTIVES: To report long-term effects of thalamic deep brain stimulation (DBS) on activities of daily living (ADL) and health-related quality of life (HRQoL) in patients with essential tremor (ET). MATERIALS AND METHODS: Nineteen consecutive patients were evaluated at baseline, at a mean of 1 year, then at a mean of 7 years after DBS using Tremor Rating Scale, Mini Mental Test, ADL Taxonomy, Nottingham Health Profile, Life Satisfaction Checklist, Visual Analogue Scale and interview. RESULTS: There was a decrease of DBS efficacy on tremor between 1 and 7 years post-operatively. The marked improvement in ADL at 1 year was no longer sustained at long-term, except for the ability to eat. Social life remained improved. CONCLUSION: Although there is a decrease of DBS effect on tremor at 7 years, and even though further ageing and co-morbidities may impact on the well-being of patients, there is still relevant benefit of DBS on few aspects of ADL and HRQoL in patients with ET. SN - 1600-0404 UR - https://www.unboundmedicine.com/medline/citation/18616684/Long_term_effect_of_deep_brain_stimulation_for_essential_tremor_on_activities_of_daily_living_and_health_related_quality_of_life_ L2 - https://doi.org/10.1111/j.1600-0404.2008.01065.x DB - PRIME DP - Unbound Medicine ER -