MovDisordV3, Main, Exploration, bibRecord, 002A60

Push and Release Test Predicts Better Parkinson Fallers and Nonfallers than the Pull Test : Comparison in OFF and ON Medication States

Identifieur interne : 002A60 ( Main/Exploration ); précédent : 002A59; suivant : 002A61

Push and Release Test Predicts Better Parkinson Fallers and Nonfallers than the Pull Test : Comparison in OFF and ON Medication States

Auteurs : Peter Valkovic [Slovaquie] ; Hana Brozova [République tchèque] ; Kai Bötzel [Allemagne] ; Evzen Ruzicka [République tchèque] ; Jan Benetin [Slovaquie]

Source :

Movement disorders [ 0885-3185 ] ; 2008.

RBID : Pascal:08-0417082

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Libération, Test comparaison, Chimiothérapie, Instabilité.

English descriptors

KwdEn :
- Chemotherapy, Comparison test, Instability, Nervous system diseases, Parkinson disease, Release.

Abstract

The aim of this study was to compare the Pull Test-Retropusion Test and the Push and Release Test (P&R) as regards their ability to predict Parkinson (PD) fallers and nonfallers in relation to their medication state. Eighty-two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their "OFF" and "ON" medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the "area under the receiver operating characteristics curve" (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. Both clinical tests are valid and relatively equivalent when assessing patients in their OFF medication state; however, the P&R Test is more accurate than the Pull Test in the ON state. This indicates that it is more widely applicable in clinical practice.

Affiliations:

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Le document en format XML

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<author><name sortKey="Valkovic, Peter" sort="Valkovic, Peter" uniqKey="Valkovic P" first="Peter" last="Valkovic">Peter Valkovic</name>
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<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Institute of Normal and Pathological Physiology, Slovak Academy of Sciences</s1>
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<author><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brozova">Hana Brozova</name>
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<author><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brozova">Hana Brozova</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, 1st Medical Faculty, Charles University</s1>
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<author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name>
<affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Neurology, Ludwig-Maximilians University</s1>
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<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, 1st Medical Faculty, Charles University</s1>
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<term>Release</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
<term>Pathologie du   système nerveux</term>
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<term>Instabilité</term>
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<front><div type="abstract" xml:lang="en">The aim of this study was to compare the Pull Test-Retropusion Test and the Push and Release Test (P&R) as regards their ability to predict Parkinson (PD) fallers and nonfallers in relation to their medication state. Eighty-two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their "OFF" and "ON" medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the "area under the receiver operating characteristics curve" (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. Both clinical tests are valid and relatively equivalent when assessing patients in their OFF medication state; however, the P&R Test is more accurate than the Pull Test in the ON state. This indicates that it is more widely applicable in clinical practice.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
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<li>Slovaquie</li>
</country>
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<li>District de Haute-Bavière</li>
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<tree><country name="Slovaquie"><noRegion><name sortKey="Valkovic, Peter" sort="Valkovic, Peter" uniqKey="Valkovic P" first="Peter" last="Valkovic">Peter Valkovic</name>
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<name sortKey="Valkovic, Peter" sort="Valkovic, Peter" uniqKey="Valkovic P" first="Peter" last="Valkovic">Peter Valkovic</name>
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<country name="République tchèque"><region name="Bohême centrale"><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brozova">Hana Brozova</name>
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<country name="Allemagne"><region name="Bavière"><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Push and Release Test Predicts Better Parkinson Fallers and Nonfallers than the Pull Test : Comparison in OFF and ON Medication States

Push and Release Test Predicts Better Parkinson Fallers and Nonfallers than the Pull Test : Comparison in OFF and ON Medication States

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri