Pull test performance and correlation with falls risk in Parkinson's disease.
Identifieur interne : 000956 ( Main/Exploration ); précédent : 000955; suivant : 000957Pull test performance and correlation with falls risk in Parkinson's disease.
Auteurs : Renato P. Munhoz [Canada] ; Helio A. Teive [Brésil]Source :
- Arquivos de neuro-psiquiatria [ 1678-4227 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- physiology : Postural Balance.
- physiopathology : Parkinson Disease.
- Accidental Falls, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Neurologic Examination, Risk Factors, Severity of Illness Index.
Abstract
Postural instability (PI) and falls are major sources of disability in Parkinson's disease (PD). Our objectives were to evaluate the correlation between the pull-test (PT) scores and falls. Patients underwent a standardized data collection including demographic, clinical data, and the UPDRS scores for falls and the PT. Cases with scores >1 for falls were considered frequent fallers. 264 patients were included with mean age 67.6±10 years, mean age of onset 59.1±10.7 years. Comparison between PT scores versus the proportion of frequent fallers and the mean score of the UPDRS for falls showed that for each increase in the PT score, both parameters were significantly worse, with positive linear relationship. For any abnormal PT score, sensibility and negative predictive value were excellent; specificity and positive predictive value improved with worse PT scores. In conclusion, the PT provides important and reliable information regarding PI and the risk of falls in PD.
PubMed: 25003398
Affiliations:
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Le document en format XML
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Teive</name><affiliation wicri:level="2"><nlm:affiliation>Unidade de Desordens do Movimento, Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Unidade de Desordens do Movimento, Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR</wicri:regionArea><placeName><region type="state">Paraná (État)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25003398</idno><idno type="pmid">25003398</idno><idno type="wicri:Area/PubMed/Corpus">000699</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000699</idno><idno type="wicri:Area/PubMed/Curation">000699</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000699</idno><idno type="wicri:Area/PubMed/Checkpoint">000699</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000699</idno><idno type="wicri:Area/Ncbi/Merge">001822</idno><idno type="wicri:Area/Ncbi/Curation">001822</idno><idno type="wicri:Area/Ncbi/Checkpoint">001822</idno><idno type="wicri:Area/Main/Merge">000958</idno><idno type="wicri:Area/Main/Curation">000956</idno><idno type="wicri:Area/Main/Exploration">000956</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pull test performance and correlation with falls risk in Parkinson's disease.</title><author><name sortKey="Munhoz, Renato P" sort="Munhoz, Renato P" uniqKey="Munhoz R" first="Renato P" last="Munhoz">Renato P. Munhoz</name><affiliation wicri:level="4"><nlm:affiliation>Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Teive, Helio A" sort="Teive, Helio A" uniqKey="Teive H" first="Helio A" last="Teive">Helio A. Teive</name><affiliation wicri:level="2"><nlm:affiliation>Unidade de Desordens do Movimento, Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Unidade de Desordens do Movimento, Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR</wicri:regionArea><placeName><region type="state">Paraná (État)</region></placeName></affiliation></author></analytic><series><title level="j">Arquivos de neuro-psiquiatria</title><idno type="eISSN">1678-4227</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (physiopathology)</term><term>Postural Balance (physiology)</term><term>Risk Factors</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Risk Factors</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postural instability (PI) and falls are major sources of disability in Parkinson's disease (PD). Our objectives were to evaluate the correlation between the pull-test (PT) scores and falls. Patients underwent a standardized data collection including demographic, clinical data, and the UPDRS scores for falls and the PT. Cases with scores >1 for falls were considered frequent fallers. 264 patients were included with mean age 67.6±10 years, mean age of onset 59.1±10.7 years. Comparison between PT scores versus the proportion of frequent fallers and the mean score of the UPDRS for falls showed that for each increase in the PT score, both parameters were significantly worse, with positive linear relationship. For any abnormal PT score, sensibility and negative predictive value were excellent; specificity and positive predictive value improved with worse PT scores. In conclusion, the PT provides important and reliable information regarding PI and the risk of falls in PD.</div></front></TEI><affiliations><list><country><li>Brésil</li><li>Canada</li></country><region><li>Ontario</li><li>Paraná (État)</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Munhoz, Renato P" sort="Munhoz, Renato P" uniqKey="Munhoz R" first="Renato P" last="Munhoz">Renato P. Munhoz</name></region></country><country name="Brésil"><region name="Paraná (État)"><name sortKey="Teive, Helio A" sort="Teive, Helio A" uniqKey="Teive H" first="Helio A" last="Teive">Helio A. Teive</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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