{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:29:21Z","timestamp":1787729361406,"version":"build-2784847793"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T00:00:00Z","timestamp":1550620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hand position for rest tremor evaluation in PD is not standardized. We evaluated the sensitivity and specificity of different hand positions commonly used to evaluate rest tremor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty patients with PD and rest tremor were included as cases and 20 patients with essential tremor without rest tremor as controls. Video and accelerometric recordings were conducted in semiprone, completely prone, and with hands hanging down from armrest positions. Three movement disorder specialists rated tremor in each different position using Movement Disorder Society UPDRS items 3.17 and 3.18.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Hands hanging showed the highest amplitude (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.004) and constancy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.015) scores. Sensitivity and specificity analysis for each position showed the following sensitivity\/specificity results: semiprone, 95%\/80%; completely prone, 85%\/98.33%; and hands hanging, 96.66%\/63.33%, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The hands\u2010hanging position was shown to be the most suitable for evaluating rest tremor amplitude in PD, whereas the completely prone position proved to be more specific to detect rest tremor. The preferred hand position would depend on the purpose of the examination. \u00a9 2019 International Parkinson and Movement Disorder Society<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mds.27648","type":"journal-article","created":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T21:56:38Z","timestamp":1550699798000},"page":"575-579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Sensitivity and specificity of different hand positions to assess upper limb rest tremor"],"prefix":"10.1002","volume":"34","author":[{"given":"Miguel","family":"Wilken","sequence":"first","affiliation":[{"name":"Movement Disorders, Neurology Department FLENI  Buenos Aires Argentina"},{"name":"Clinical Neurophysiology, Neurology Department FLENI  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ver\u00f3nica","family":"Bruno","sequence":"additional","affiliation":[{"name":"Movement Disorders, Neurology Department FLENI  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3383-8566","authenticated-orcid":false,"given":"Malco","family":"Rossi","sequence":"additional","affiliation":[{"name":"Movement Disorders, Neurology Department FLENI  Buenos Aires Argentina"},{"name":"Argentine National Scientific and Technological Research Council (CONICET)  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6788-3587","authenticated-orcid":false,"given":"Luc\u00eda","family":"Ameghino","sequence":"additional","affiliation":[{"name":"Movement Disorders, Neurology Department FLENI  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4176-9196","authenticated-orcid":false,"given":"G\u00fcnther","family":"Deuschl","sequence":"additional","affiliation":[{"name":"Department of Neurology University\u2010Hospital Schleswig\u2010Holstein, Campus Kiel, Christian\u2010Albrechts\u2010University  Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-7823","authenticated-orcid":false,"given":"Marcelo","family":"Merello","sequence":"additional","affiliation":[{"name":"Movement Disorders, Neurology Department FLENI  Buenos Aires Argentina"},{"name":"Argentine National Scientific and Technological Research Council (CONICET)  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,20]]},"reference":[{"key":"e_1_2_6_2_1","article-title":"An Essay on the Shaking Palsy","volume":"38","author":"Parkinson J","year":"1817","journal-title":"London Medical and Physical Journal"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1567-4231(09)70172-8"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.17.7.711"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22014"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.57.3.397"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00007781"},{"key":"e_1_2_6_8_1","unstructured":"A Manual of Diseases of the Nervous System. Gowers W. R. (William Richard); 1845\u20101915."},{"key":"e_1_2_6_9_1","first-page":"225","volume-title":"Parkinson's Disease and Movement Disorders","author":"Fahn S","year":"1988"},{"issue":"3","key":"e_1_2_6_10_1","first-page":"2","article-title":"an Ad Hoc Scientific Committee. Consensus statement of the Movement Disorder Society on tremor","volume":"13","author":"Deuschl G","year":"1998","journal-title":"Mov Disord"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22340"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(00)00384-9"},{"issue":"1","key":"e_1_2_6_13_1","first-page":"i3","article-title":"The management of tremor","volume":"72","author":"Bain PG","year":"2002","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"e_1_2_6_14_1","first-page":"S124","article-title":"A study of the relative reliabilities of different ways of measuring the magnitude of parkinsonian tremors","volume":"7","author":"Navan P","year":"2001","journal-title":"Parkinsonism Relat Disord"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.10320"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.67.5.646"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.10538"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-150650"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.56.8.868"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26424"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.27121"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.60.3.405"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"}],"container-title":["Movement Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmds.27648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.27648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:32:23Z","timestamp":1760967143000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mds.27648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,20]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1002\/mds.27648"],"URL":"https:\/\/doi.org\/10.1002\/mds.27648","archive":["Portico"],"relation":{},"ISSN":["0885-3185","1531-8257"],"issn-type":[{"value":"0885-3185","type":"print"},{"value":"1531-8257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,20]]},"assertion":[{"value":"2018-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}