title: Combined measures of movement and force variability distinguish Parkinson's disease from essential tremor.
abstract: OBJECTIVE
  To examine whether behavioral and electrophysiological measures of motor performance accurately differentiate Parkinson's disease (PD) and essential tremor (ET).
  
  
  METHODS
  Twenty-four patients (12 PD; 12 ET) performed isometric force, ballistic movements, and tremor tasks. Receiver operating characteristic (ROC) analyses were conducted on all dependent measures that were significantly different between the two patient groups.
  
  
  RESULTS
  Patients with PD were more impaired on measures of movement deceleration than ET. Patients with ET were more impaired on measures of force variability than PD. ROC analyses revealed that sensitivity and specificity were excellent when combining measures during the isometric force task (torque rise time and force variability; 92% sensitivity and 92% specificity; AUC = 0.97). When combining measures across the force and movement tasks, the ROC analysis revealed improved sensitivity and specificity (force variability and peak deceleration; 92% sensitivity and 100% specificity; AUC = 0.99).
  
  
  CONCLUSIONS
  Combining measures of force variability and movement deceleration accurately differentiate patients with PD from those with ET with high sensitivity and specificity.
  
  
  CONCLUSIONS
  If validated in a larger sample, these measures can serve as markers to confirm the diagnosis of PD or ET and thus, enhance decision making for appropriate treatments for patients with these respective diseases.
authors.affiliation: Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Poon
authors.forename: Julie A
authors.initials: JA
authors.lastname: Robichaud
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Corcos
authors.forename: Jennifer G
authors.initials: JG
authors.lastname: Goldman
authors.forename: David E
authors.initials: DE
authors.lastname: Vaillancourt
mesh_terms: D000328:Adult; D000368:Aged; D003657:Decision Making / Q000502:physiology*; D003937:Diagnosis, Differential; D020329:Essential Tremor / Q000175:diagnosis* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D018476:Hypokinesia / Q000175:diagnosis / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology*; D053580:Muscle Strength / Q000502:physiology; D010300:Parkinson Disease / Q000175:diagnosis* / Q000503:physiopathology*; D012372:ROC Curve