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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1996-12-6
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pubmed:abstractText |
Previous polysomnographic (PSG) investigations have reported a rhythmic electromyographic (EMG) pattern (0.5-3.0 cps) of leg movement activity in a subset of patients with neuroleptic-induced akathisia (NIA). It has been suggested that this EMG pattern may represent a pathophysiological correlate of NIA and thus have clinical utility as an objective marker for this condition. We present preliminary measures of sensitivity and specificity for this EMG pattern as a diagnostic marker for NIA for 26 neuroleptic-treated patients. The EMG marker yielded a diagnostic sensitivity of 68.9% and a specificity of 70.0%, falling just short of statistical significance (Fisher's exact test p = 0.06). Quantitative analysis of the EMG pattern revealed a significant positive correlation between the percentage of time the NIA marker occurred during wakefulness and corresponding chlorpromazine equivalent levels. Clinical demographic findings for true-positive, false-positive, true-negative, and false-negative groups are discussed. Overall findings suggest that this particular pattern of EMG marker activity observed in neuroleptic-treated patients during PSG and EMG studies is valuable in facilitating the diagnosis and monitoring treatment.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0362-5664
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
321-32
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:8828995-Adolescent,
pubmed-meshheading:8828995-Adult,
pubmed-meshheading:8828995-Age Factors,
pubmed-meshheading:8828995-Aged,
pubmed-meshheading:8828995-Antipsychotic Agents,
pubmed-meshheading:8828995-Chlorpromazine,
pubmed-meshheading:8828995-Electromyography,
pubmed-meshheading:8828995-Female,
pubmed-meshheading:8828995-Humans,
pubmed-meshheading:8828995-Male,
pubmed-meshheading:8828995-Middle Aged,
pubmed-meshheading:8828995-Psychomotor Agitation,
pubmed-meshheading:8828995-Sensitivity and Specificity
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pubmed:year |
1996
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pubmed:articleTitle |
An electromyographic marker for neuroleptic-induced akathisia: preliminary measures of sensitivity and specificity.
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pubmed:affiliation |
Sleep Disorders Center and Sleep Research Program, McLean Hospital, Belmont, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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