MovDisordV3, Main, Exploration, bibRecord, 000F34

Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease

Identifieur interne : 000F34 ( Main/Exploration ); précédent : 000F33; suivant : 000F35

Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease

Auteurs : Keiichiro Terayama [Japon] ; Ryuji Sakakibara [Japon] ; Akihiro Ogawa [Japon] ; Hiroyuki Haruta [Japon] ; Takashi Akiba [Japon] ; Takeki Nagao [Japon] ; Osamu Takahashi [Japon] ; Megumi Sugiyama [Japon] ; Akihiko Tateno [Japon] ; Fuyuki Tateno [Japon] ; Masashi Yano [Japon] ; Masahiko Kishi [Japon] ; Yohei Tsuyusaki [Japon] ; Tomoyuki Uchiyama [Japon] ; Tatsuya Yamamoto [Japon]

Source :

Movement disorders [ 0885-3185 ] ; 2012.

RBID : Pascal:13-0063581

Descripteurs français

Pascal (Inist)
- Trouble moteur, Maladie de Parkinson, Vessie hyperactive, Pathologie du système nerveux, Contractilité, Vessie urinaire.

English descriptors

KwdEn :
- Contractility, Motor system disorder, Nervous system diseases, Overactive bladder, Parkinson disease, Urinary bladder.

Abstract

Limited attention has been paid to the relationship between urinary symptoms or urodynamic findings and motor disorders in Parkinson's disease (PD). We aimed to correlate pressure-flow urodynamic parameters with video-gait analysis parameters in PD. We recruited 41 patients with PD (25 men and 16 women; age, 70.6 ± 8.5 years; H & Y motor grading: 2 [range, 1-3]; disease duration: 4 years [range, 1-7]; taking levodopa 300 mg/day [range, 100-400]). All patients underwent pressure-flow urodynamics (parameters: first sensation, bladder capacity, detrusor overactivity [noted in 24 patients], and Watts factor [WF]) and video-gait analysis (parameters: time and number of strides for 5-m gait [simple task] and time for timed up and go [complex task]). Statistical analysis was made by Mann-Whitney's U-test for analyzing the relation between detrusor over-activity and gait as well as Spearman's rank-correlation coefficient test for analyzing the relation between the remaining parameters and gait. We found no relation between filling-phase urodynamics (detrusor overactivity, first sensation, and bladder capacity) and video-gait analysis parameters. By contrast, we found a significant relation between voiding-phase urodynamics (WF, reflecting detrusor power) and all three video-gait analysis parameters (reflecting lower-half bradykinesia and loss of postural reflex) in our PD patients (P < 0.01). The close relation between the WF and motor disorders in the present study suggests that, though clinically mild, a weak detrusor in PD might have a central origin. We should follow postvoid residual volume carefully in PD patients with advanced gait disorder, because postvoid residual volume might increase in such patients. (.

Affiliations:

Japon

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease</title>
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<author><name sortKey="Tateno, Fuyuki" sort="Tateno, Fuyuki" uniqKey="Tateno F" first="Fuyuki" last="Tateno">Fuyuki Tateno</name>
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<author><name sortKey="Uchiyama, Tomoyuki" sort="Uchiyama, Tomoyuki" uniqKey="Uchiyama T" first="Tomoyuki" last="Uchiyama">Tomoyuki Uchiyama</name>
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<author><name sortKey="Yamamoto, Tatsuya" sort="Yamamoto, Tatsuya" uniqKey="Yamamoto T" first="Tatsuya" last="Yamamoto">Tatsuya Yamamoto</name>
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<term>Motor system disorder</term>
<term>Nervous system diseases</term>
<term>Overactive bladder</term>
<term>Parkinson disease</term>
<term>Urinary bladder</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Trouble moteur</term>
<term>Maladie de Parkinson</term>
<term>Vessie hyperactive</term>
<term>Pathologie du   système nerveux</term>
<term>Contractilité</term>
<term>Vessie urinaire</term>
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<front><div type="abstract" xml:lang="en">Limited attention has been paid to the relationship between urinary symptoms or urodynamic findings and motor disorders in Parkinson's disease (PD). We aimed to correlate pressure-flow urodynamic parameters with video-gait analysis parameters in PD. We recruited 41 patients with PD (25 men and 16 women; age, 70.6 ± 8.5 years; H & Y motor grading: 2 [range, 1-3]; disease duration: 4 years [range, 1-7]; taking levodopa 300 mg/day [range, 100-400]). All patients underwent pressure-flow urodynamics (parameters: first sensation, bladder capacity, detrusor overactivity [noted in 24 patients], and Watts factor [WF]) and video-gait analysis (parameters: time and number of strides for 5-m gait [simple task] and time for timed up and go [complex task]). Statistical analysis was made by Mann-Whitney's U-test for analyzing the relation between detrusor over-activity and gait as well as Spearman's rank-correlation coefficient test for analyzing the relation between the remaining parameters and gait. We found no relation between filling-phase urodynamics (detrusor overactivity, first sensation, and bladder capacity) and video-gait analysis parameters. By contrast, we found a significant relation between voiding-phase urodynamics (WF, reflecting detrusor power) and all three video-gait analysis parameters (reflecting lower-half bradykinesia and loss of postural reflex) in our PD patients (P < 0.01). The close relation between the WF and motor disorders in the present study suggests that, though clinically mild, a weak detrusor in PD might have a central origin. We should follow postvoid residual volume carefully in PD patients with advanced gait disorder, because postvoid residual volume might increase in such patients. (.</div>
</front>
</TEI>
<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Terayama, Keiichiro" sort="Terayama, Keiichiro" uniqKey="Terayama K" first="Keiichiro" last="Terayama">Keiichiro Terayama</name>
</noRegion>
<name sortKey="Akiba, Takashi" sort="Akiba, Takashi" uniqKey="Akiba T" first="Takashi" last="Akiba">Takashi Akiba</name>
<name sortKey="Haruta, Hiroyuki" sort="Haruta, Hiroyuki" uniqKey="Haruta H" first="Hiroyuki" last="Haruta">Hiroyuki Haruta</name>
<name sortKey="Kishi, Masahiko" sort="Kishi, Masahiko" uniqKey="Kishi M" first="Masahiko" last="Kishi">Masahiko Kishi</name>
<name sortKey="Nagao, Takeki" sort="Nagao, Takeki" uniqKey="Nagao T" first="Takeki" last="Nagao">Takeki Nagao</name>
<name sortKey="Ogawa, Akihiro" sort="Ogawa, Akihiro" uniqKey="Ogawa A" first="Akihiro" last="Ogawa">Akihiro Ogawa</name>
<name sortKey="Sakakibara, Ryuji" sort="Sakakibara, Ryuji" uniqKey="Sakakibara R" first="Ryuji" last="Sakakibara">Ryuji Sakakibara</name>
<name sortKey="Sugiyama, Megumi" sort="Sugiyama, Megumi" uniqKey="Sugiyama M" first="Megumi" last="Sugiyama">Megumi Sugiyama</name>
<name sortKey="Takahashi, Osamu" sort="Takahashi, Osamu" uniqKey="Takahashi O" first="Osamu" last="Takahashi">Osamu Takahashi</name>
<name sortKey="Tateno, Akihiko" sort="Tateno, Akihiko" uniqKey="Tateno A" first="Akihiko" last="Tateno">Akihiko Tateno</name>
<name sortKey="Tateno, Fuyuki" sort="Tateno, Fuyuki" uniqKey="Tateno F" first="Fuyuki" last="Tateno">Fuyuki Tateno</name>
<name sortKey="Tsuyusaki, Yohei" sort="Tsuyusaki, Yohei" uniqKey="Tsuyusaki Y" first="Yohei" last="Tsuyusaki">Yohei Tsuyusaki</name>
<name sortKey="Uchiyama, Tomoyuki" sort="Uchiyama, Tomoyuki" uniqKey="Uchiyama T" first="Tomoyuki" last="Uchiyama">Tomoyuki Uchiyama</name>
<name sortKey="Yamamoto, Tatsuya" sort="Yamamoto, Tatsuya" uniqKey="Yamamoto T" first="Tatsuya" last="Yamamoto">Tatsuya Yamamoto</name>
<name sortKey="Yano, Masashi" sort="Yano, Masashi" uniqKey="Yano M" first="Masashi" last="Yano">Masashi Yano</name>
</country>
</tree>
</affiliations>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease

Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease

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