Functional capacity of Brazilian patients with Parkinson's disease (PD): relationship between clinical characteristics and disease severity.
Identifieur interne : 000146 ( Main/Exploration ); précédent : 000145; suivant : 000147Functional capacity of Brazilian patients with Parkinson's disease (PD): relationship between clinical characteristics and disease severity.
Auteurs : Fabio A. Barbieri [Brésil] ; Natalia M. Rinaldi ; Paulo Cezar R. Santos ; Ellen Lirani-Silva ; Rodrigo Vit Rio ; Cláudia Teixeira-Arroyo ; Florindo Stella ; Lilian Teresa B. GobbiSource :
- Archives of gerontology and geriatrics [ 1872-6976 ]
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (psychologie), Adulte d'âge moyen (MeSH), Aptitudes motrices (physiologie), Brésil (épidémiologie), Femelle (MeSH), Flexibilité (physiologie), Force musculaire (physiologie), Humains (MeSH), Indice de gravité de la maladie (MeSH), Maladie de Parkinson (physiopathologie), Maladie de Parkinson (psychologie), Mâle (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Tests neuropsychologiques (MeSH), Échelles d'évaluation en psychiatrie (MeSH), Équilibre postural (physiologie).
- MESH :
- physiologie : Aptitudes motrices, Flexibilité, Force musculaire, Équilibre postural.
- physiopathologie : Maladie de Parkinson.
- psychologie : Activités de la vie quotidienne, Maladie de Parkinson.
- épidémiologie : Brésil.
- Adulte d'âge moyen, Femelle, Humains, Indice de gravité de la maladie, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Tests neuropsychologiques, Échelles d'évaluation en psychiatrie.
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Activities of Daily Living (psychology), Aged (MeSH), Aged, 80 and over (MeSH), Brazil (epidemiology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Motor Skills (physiology), Muscle Strength (physiology), Neuropsychological Tests (MeSH), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Pliability (physiology), Postural Balance (physiology), Psychiatric Status Rating Scales (MeSH), Severity of Illness Index (MeSH).
- MESH :
- geographic , epidemiology : Brazil.
- physiology : Motor Skills, Muscle Strength, Pliability, Postural Balance.
- physiopathology : Parkinson Disease.
- psychology : Activities of Daily Living, Parkinson Disease.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Severity of Illness Index.
Abstract
The present study had three objectives: (a) to characterize the functional capacity of patients with PD, (b) to assess the relationship between the physical fitness components of functional capacity with clinical characteristics and disease severity, and (c) to compare the physical fitness components of functional capacity with clinical characteristics according to disease severity. The study included 54 patients with idiopathic PD who were distributed into two groups according to PD severity: unilateral group (n=35); and bilateral group (n=19). All patients underwent psychiatric assessment by means of the Hoehn and Yahr (HY) staging of PD, the Unified Parkinson's Disease Rating Scale (UPDRS), the Hospital Anxiety and Depression Scale (HADS-A and HADS-D, respectively), and The Mini-Mental State Examination (MMSE). The physical fitness components of functional capacity were evaluated over a 2-day period, using recommendations by the American Alliance for Health, Physical Education, Recreation and Dance, and the Berg Balance Scale (BBS). Pearson correlation coefficients and multiple regressions were calculated to test the correlation between functional capacity and clinical characteristics, and to predict clinical scores from physical performance, respectively. Clinical variables and physical component data were compared between groups using analysis of variance to determine the effects of disease severity. Patients with advanced disease showed low levels of functional capacity. Interestingly, patients with good functional capacity in one of the physical fitness components also showed good capacities in the other components. Disease severity is a major factor affecting functional capacity and clinical characteristics. Medical providers should take disease severity into consideration when prescribing physical activity for PD patients, since the relationship between functional capacity and clinical characteristics is dependent on disease severity.
DOI: 10.1016/j.archger.2011.07.008
PubMed: 21963176
Affiliations:
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Le document en format XML
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The study included 54 patients with idiopathic PD who were distributed into two groups according to PD severity: unilateral group (n=35); and bilateral group (n=19). All patients underwent psychiatric assessment by means of the Hoehn and Yahr (HY) staging of PD, the Unified Parkinson's Disease Rating Scale (UPDRS), the Hospital Anxiety and Depression Scale (HADS-A and HADS-D, respectively), and The Mini-Mental State Examination (MMSE). The physical fitness components of functional capacity were evaluated over a 2-day period, using recommendations by the American Alliance for Health, Physical Education, Recreation and Dance, and the Berg Balance Scale (BBS). Pearson correlation coefficients and multiple regressions were calculated to test the correlation between functional capacity and clinical characteristics, and to predict clinical scores from physical performance, respectively. Clinical variables and physical component data were compared between groups using analysis of variance to determine the effects of disease severity. Patients with advanced disease showed low levels of functional capacity. Interestingly, patients with good functional capacity in one of the physical fitness components also showed good capacities in the other components. Disease severity is a major factor affecting functional capacity and clinical characteristics. Medical providers should take disease severity into consideration when prescribing physical activity for PD patients, since the relationship between functional capacity and clinical characteristics is dependent on disease severity.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region></list><tree><noCountry><name sortKey="Gobbi, Lilian Teresa B" sort="Gobbi, Lilian Teresa B" uniqKey="Gobbi L" first="Lilian Teresa B" last="Gobbi">Lilian Teresa B. Gobbi</name><name sortKey="Lirani Silva, Ellen" sort="Lirani Silva, Ellen" uniqKey="Lirani Silva E" first="Ellen" last="Lirani-Silva">Ellen Lirani-Silva</name><name sortKey="Rinaldi, Natalia M" sort="Rinaldi, Natalia M" uniqKey="Rinaldi N" first="Natalia M" last="Rinaldi">Natalia M. Rinaldi</name><name sortKey="Santos, Paulo Cezar R" sort="Santos, Paulo Cezar R" uniqKey="Santos P" first="Paulo Cezar R" last="Santos">Paulo Cezar R. Santos</name><name sortKey="Stella, Florindo" sort="Stella, Florindo" uniqKey="Stella F" first="Florindo" last="Stella">Florindo Stella</name><name sortKey="Teixeira Arroyo, Claudia" sort="Teixeira Arroyo, Claudia" uniqKey="Teixeira Arroyo C" first="Cláudia" last="Teixeira-Arroyo">Cláudia Teixeira-Arroyo</name><name sortKey="Vit Rio, Rodrigo" sort="Vit Rio, Rodrigo" uniqKey="Vit Rio R" first="Rodrigo" last="Vit Rio">Rodrigo Vit Rio</name></noCountry><country name="Brésil"><region name="État de São Paulo"><name sortKey="Barbieri, Fabio A" sort="Barbieri, Fabio A" uniqKey="Barbieri F" first="Fabio A" last="Barbieri">Fabio A. Barbieri</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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