Clinical and Demographic Characteristics of Upper Limb Dystonia

BACKGROUND

Knowledge of characteristics in upper limb dystonia remains limited, derived primarily from small, single-site studies.

OBJECTIVE

The objective of this study was to characterize demographic and clinical characteristics of upper limb dystonia from the Dystonia Coalition data set, a large, international, multicenter resource.

METHODS

We evaluated clinical and demographic characteristics of 367 participants with upper limb dystonia from onset, comparing across subcategories of focal (with and without dystonia spread) versus nonfocal onset.

RESULTS

Focal onset occurred in 80%; 67% remained focal without spread. Task specificity was most frequent in this subgroup, most often writer's cramp and affecting the dominant limb (83%). Focal onset with spread was more frequent in young onset (<21 years). Focal onset occurred equally in women and men; nonfocal onset affected women disproportionately.

CONCLUSIONS

Upper limb dystonia distribution, focality, and task specificity relate to onset age and likelihood of regional spread. Observations may inform clinical counseling and design, execution, and interpretation of future studies. © 2020 International Parkinson and Movement Disorder Society.

Aperture Proximity Effects in High Heat Flux Sensors Calibration

In the transfer calibration of heat flux sensors, a correction for the irradiance distribution across the sensing area may be required when the sensing areas of the reference and test sensors are different. A method to calculate this correction using well-known equations for the configuration factors is presented. Also, estimates of the correction for test conditions corresponding to the transfer calibration technique in use at the National Institute of Standards and Technology are given.

Calibration of High Heat Flux Sensors at NIST

An ongoing program at the National Institute of Standards and Technology (NIST) is aimed at improving and standardizing heat-flux sensor calibration methods. The current calibration needs of U.S. science and industry exceed the current NIST capability of 40 kW/m² irradiance. In achieving this goal, as well as meeting lower-level non-radiative heat flux calibration needs of science and industry, three different types of calibration facilities currently are under development at NIST: convection, conduction, and radiation. This paper describes the research activities associated with the NIST Radiation Calibration Facility. Two different techniques, transfer and absolute, are presented. The transfer calibration technique employs a transfer standard calibrated with reference to a radiometric standard for calibrating the sensors using a graphite tube blackbody. Plans for an absolute calibration facility include the use of a spherical blackbody and a cooled aperture and sensor-housing assembly to calibrate the sensors in a low convective environment.