Glossary entry

French term or phrase:

manoeuvre du Bretteur

English translation:

testing for action/postural tremor while sitting, elbows bent and index fingertips close in opposition

Added to glossary by Drmanu49
Dec 3, 2019 08:48
4 yrs ago
3 viewers *
French term

manoeuvre du Bretteur

French to English Medical Medical (general) Neurology
In the context of a neurological exam to detect and characterise tremor:
"un tremblement myoclonique irrégulier, avec des myoclonies de durée brève, majorées par l’extension passive et la manoeuvre du Bretteur."

I've found the following explanation in French:
"Elle consiste à tendre les bras en positionnant les deux index à quelques millimètres l’un de l’autre. Cela permet de déceler un éventuel tremblement d’attitude."
https://www.ameli.fr/doubs/assure/sante/themes/tremblements/...
I'm wondering if the test just doesn't have a name in English, partly based on the description of the tests in Table 5 here:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5144461/
but if anyone's come across it before or has any other ideas they'd be much appreciated!
Change log

Dec 3, 2019 08:48: changed "Kudoz queue" from "In queue" to "Public"

Dec 3, 2019 15:21: Andrea Capuselli changed "Vetting" from "Needs Vetting" to "Vet OK"

Dec 5, 2019 09:37: Drmanu49 changed "Edited KOG entry" from "<a href="/profile/2834671">Jennifer Dobson's</a> old entry - "manoeuvre du Bretteur"" to ""testing for action/postural tremor while sitting, elbows bent and index fingertips close in opposition""

Discussion

Drmanu49 Dec 4, 2019:
Yes Postural, or action tremor, as I first mentioned in my answer.
Jennifer Dobson (asker) Dec 4, 2019:
Thank you for your help. It should be noted, though, that this is a test for an action tremor rather than a rest tremor. "Le tremblement d'attitude n'apparaît que dans le maintien volontaire d'une attitude et disparaît totalement en position de repos." The difference is explained here: https://www.ameli.fr/doubs/assure/sante/themes/tremblements/...
Drmanu49 Dec 4, 2019:
testing for action/postural tremor while sitting, elbows bent and index fingertips touching/close in opposition will describe it but I cannot find a name for this test used by Raymond Garcin.
Jennifer Dobson (asker) Dec 4, 2019:
Diagram of "manoeuvre du Bretteur" See pg 14 here:
http://docplayer.fr/15115173-Le-guide-du-tremblement-essenti...
which shows a diagram of the "posture du Bretteur". The maneouvre consists of "rapprocher ses index à l’horizontale" https://www.cen-neurologie.fr/deuxième-cycle/mouvements-anor...

Proposed translations

7 hrs
Selected

arm stabilisation test and pronator drift test

are the closest I found. Bretteur is definitely not used in English.

Postural, or action tremor, is observed when muscles voluntarily contract. This tremor is exhibited with any attempt to keep the limbs or trunk in a particular position, for example to keep the arms outstretched. This type of tremor becomes worse when the limb is actively moved, for instance, when trying to drink from a cup. However, no tremor is observed when the limb is fully relaxed. This tremor is most often seen as a manifestation of essential tremor.

https://www.ncbi.nlm.nih.gov › articles › PMC3617996
Traduire cette page
de C Daum - ‎2013 - ‎Cité 21 fois - ‎Autres articles
1 avr. 2013 - During the arm stabilisation test, the presence of a pronator drift, a mild elbow flexion and passive abduction of the little finger and sometimes ...

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Note added at 1 jour 1 heure (2019-12-04 10:24:32 GMT)
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testing for action tremor while sitting, elbows bent and index fingertips touching/close in opposition will describe it but I cannot find a name for this test used by Raymond Garcin.
Note from asker:
Thank you. Unfortunately I don't think that can be the translation, as the "manoeuvre du Bretteur" requires the arms to be bent with the index fingers pointing towards each other. I've just found a helpful diagram here on page 14: http://docplayer.fr/15115173-Le-guide-du-tremblement-essentiel.html The arm stabilization test and pronator drift test seem to be used to detect arm weakness rather than tremor.
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1 KudoZ points awarded for this answer. Comment: "Final answer agreed as "testing for action/postural tremor while sitting, elbows bent and index fingertips close in opposition""
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