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Impaired awareness of movement disorders in Parkinson's disease.

Identifieur interne : 000040 ( Ncbi/Merge ); précédent : 000039; suivant : 000041

Impaired awareness of movement disorders in Parkinson's disease.

Auteurs : Martina Amanzio [Italie] ; Silvia Monteverdi ; Alessandra Giordano ; Paola Soliveri ; Paola Filippi ; Giuliano Geminiani

Source :

RBID : pubmed:19914762

English descriptors

Abstract

This study analyzed the presence of awareness of movement disorders (dyskinesias and hypokinesias) in 25 patients with Parkinson's disease (PD) and motor fluctuations (dyskinesias, wearing off, on-off fluctuations). Of the few studies that have dealt with this topic, none have analyzed the differences in the awareness of motor deficits by comparing the on and off states using motor scales and an extensive battery of tests to assess cognitive and behavioral functioning.

DOI: 10.1016/j.bandc.2009.10.011
PubMed: 19914762

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pubmed:19914762

Le document en format XML

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<title xml:lang="en">Impaired awareness of movement disorders in Parkinson's disease.</title>
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<name sortKey="Amanzio, Martina" sort="Amanzio, Martina" uniqKey="Amanzio M" first="Martina" last="Amanzio">Martina Amanzio</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Psychology, University of Torino, Via Verdi 10, 10123 Torino, Italy; Neuroscience Institute of Turin, NIT, University of Torino, Italy. amanzio@psych.unito.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Psychology, University of Torino, Via Verdi 10, 10123 Torino, Italy; Neuroscience Institute of Turin, NIT, University of Torino</wicri:regionArea>
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<name sortKey="Monteverdi, Silvia" sort="Monteverdi, Silvia" uniqKey="Monteverdi S" first="Silvia" last="Monteverdi">Silvia Monteverdi</name>
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<name sortKey="Giordano, Alessandra" sort="Giordano, Alessandra" uniqKey="Giordano A" first="Alessandra" last="Giordano">Alessandra Giordano</name>
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<name sortKey="Soliveri, Paola" sort="Soliveri, Paola" uniqKey="Soliveri P" first="Paola" last="Soliveri">Paola Soliveri</name>
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<name sortKey="Filippi, Paola" sort="Filippi, Paola" uniqKey="Filippi P" first="Paola" last="Filippi">Paola Filippi</name>
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<name sortKey="Geminiani, Giuliano" sort="Geminiani, Giuliano" uniqKey="Geminiani G" first="Giuliano" last="Geminiani">Giuliano Geminiani</name>
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<term>Adult</term>
<term>Aged</term>
<term>Agnosia (complications)</term>
<term>Agnosia (diagnosis)</term>
<term>Agnosia (psychology)</term>
<term>Analysis of Variance</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Awareness</term>
<term>Female</term>
<term>Humans</term>
<term>Hypokinesia (etiology)</term>
<term>Hypokinesia (psychology)</term>
<term>Levodopa (therapeutic use)</term>
<term>Middle Aged</term>
<term>Movement Disorders (classification)</term>
<term>Movement Disorders (complications)</term>
<term>Movement Disorders (psychology)</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (psychology)</term>
<term>Self Concept</term>
<term>Statistics, Nonparametric</term>
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<term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<term>Movement Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Agnosia</term>
<term>Movement Disorders</term>
<term>Parkinson Disease</term>
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<term>Agnosia</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
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<term>Hypokinesia</term>
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<term>Agnosia</term>
<term>Hypokinesia</term>
<term>Movement Disorders</term>
<term>Parkinson Disease</term>
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<term>Aged</term>
<term>Analysis of Variance</term>
<term>Awareness</term>
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<term>Humans</term>
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<div type="abstract" xml:lang="en">This study analyzed the presence of awareness of movement disorders (dyskinesias and hypokinesias) in 25 patients with Parkinson's disease (PD) and motor fluctuations (dyskinesias, wearing off, on-off fluctuations). Of the few studies that have dealt with this topic, none have analyzed the differences in the awareness of motor deficits by comparing the on and off states using motor scales and an extensive battery of tests to assess cognitive and behavioral functioning.</div>
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<DateCreated>
<Year>2010</Year>
<Month>03</Month>
<Day>03</Day>
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<DateCompleted>
<Year>2010</Year>
<Month>06</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1090-2147</ISSN>
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<Volume>72</Volume>
<Issue>3</Issue>
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<Month>Apr</Month>
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<Title>Brain and cognition</Title>
<ISOAbbreviation>Brain Cogn</ISOAbbreviation>
</Journal>
<ArticleTitle>Impaired awareness of movement disorders in Parkinson's disease.</ArticleTitle>
<Pagination>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This study analyzed the presence of awareness of movement disorders (dyskinesias and hypokinesias) in 25 patients with Parkinson's disease (PD) and motor fluctuations (dyskinesias, wearing off, on-off fluctuations). Of the few studies that have dealt with this topic, none have analyzed the differences in the awareness of motor deficits by comparing the on and off states using motor scales and an extensive battery of tests to assess cognitive and behavioral functioning.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">PD patients were compared on three different scales that we have devised to measure awareness of movement disorders: Global Awareness of Movement (GAM) Disorders, dyskinesia/hypo-bradykinesia rating scales.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data showed that PD patients had greater awareness and psychological suffering in the off state than in the on state. In particular, they were troubled by motor disabilities related to hypokinesias and had mood-related symptoms and a perception of disability in activities of daily living. Interestingly, patients only showed a selective reduction of awareness of movement disorders associated with executive functions and related to dyskinesias in the on state, compared to a preserved awareness of hypokinesias in the off state. On the contrary, no association with executive functions was found in the off state.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our findings suggest that the dopaminergic overstimulation of mesocorticolimbic pathways may cause a dysfunction of prefrontal-subcortical connections related to the impaired insight.</AbstractText>
<CopyrightInformation>Copyright 2009 Elsevier Inc. All rights reserved.</CopyrightInformation>
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