Push-and-release test predicts Parkinson fallers and nonfallers better than the pull test: comparison in OFF and ON medication states.
Identifieur interne : 002149 ( Ncbi/Curation ); précédent : 002148; suivant : 002150Push-and-release test predicts Parkinson fallers and nonfallers better than the pull test: comparison in OFF and ON medication states.
Auteurs : Peter Valkovic ; Hana Brozová ; Kai Bötzel ; Evzen Růzicka ; Ján BenetinSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Aged, Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Ataxia (diagnosis), Ataxia (drug therapy), Ataxia (etiology), Diagnostic Techniques, Neurological, Female, Humans, Levodopa (pharmacology), Levodopa (therapeutic use), Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Postural Balance (drug effects), Predictive Value of Tests, Risk, Sensitivity and Specificity, Severity of Illness Index.
- MESH :
- chemical , pharmacology : Antiparkinson Agents, Levodopa.
- complications : Parkinson Disease.
- diagnosis : Ataxia.
- drug effects : Postural Balance.
- drug therapy : Ataxia, Parkinson Disease.
- etiology : Ataxia.
- physiopathology : Parkinson Disease.
- prevention & control : Accidental Falls.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- Aged, Diagnostic Techniques, Neurological, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Risk, Sensitivity and Specificity, Severity of Illness Index.
Abstract
The aim of this study was to compare the Pull Test--Retropulsion 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.
DOI: 10.1002/mds.22131
PubMed: 18512752
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Peter Valkovic<affiliation><nlm:affiliation>2nd Department of Neurology, School of Medicine, Comenius University, Bratislava, Slovak Republic. Peter.Valkovic@gmail.com</nlm:affiliation><wicri:noCountry code="subField">Slovak Republic</wicri:noCountry></affiliation>Le document en format XML
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Peter.Valkovic@gmail.com</nlm:affiliation><wicri:noCountry code="subField">Slovak Republic</wicri:noCountry></affiliation></author><author><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brozová">Hana Brozová</name></author><author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name></author><author><name sortKey="Ruzicka, Evzen" sort="Ruzicka, Evzen" uniqKey="Ruzicka E" first="Evzen" last="Růzicka">Evzen Růzicka</name></author><author><name sortKey="Benetin, Jan" sort="Benetin, Jan" uniqKey="Benetin J" first="Ján" last="Benetin">Ján Benetin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.22131</idno><idno type="RBID">pubmed:18512752</idno><idno type="pmid">18512752</idno><idno type="wicri:Area/PubMed/Corpus">002214</idno><idno type="wicri:Area/PubMed/Curation">002214</idno><idno type="wicri:Area/PubMed/Checkpoint">002114</idno><idno type="wicri:Area/Ncbi/Merge">002149</idno><idno type="wicri:Area/Ncbi/Curation">002149</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Push-and-release test predicts Parkinson fallers and nonfallers better than the pull test: comparison in OFF and ON medication states.</title><author><name sortKey="Valkovic, Peter" sort="Valkovic, Peter" uniqKey="Valkovic P" first="Peter" last="Valkovic">Peter Valkovic</name><affiliation><nlm:affiliation>2nd Department of Neurology, School of Medicine, Comenius University, Bratislava, Slovak Republic. Peter.Valkovic@gmail.com</nlm:affiliation><wicri:noCountry code="subField">Slovak Republic</wicri:noCountry></affiliation></author><author><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brozová">Hana Brozová</name></author><author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name></author><author><name sortKey="Ruzicka, Evzen" sort="Ruzicka, Evzen" uniqKey="Ruzicka E" first="Evzen" last="Růzicka">Evzen Růzicka</name></author><author><name sortKey="Benetin, Jan" sort="Benetin, Jan" uniqKey="Benetin J" first="Ján" last="Benetin">Ján Benetin</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Aged</term><term>Antiparkinson Agents (pharmacology)</term><term>Antiparkinson Agents (therapeutic use)</term><term>Ataxia (diagnosis)</term><term>Ataxia (drug therapy)</term><term>Ataxia (etiology)</term><term>Diagnostic Techniques, Neurological</term><term>Female</term><term>Humans</term><term>Levodopa (pharmacology)</term><term>Levodopa (therapeutic use)</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (physiopathology)</term><term>Postural Balance (drug effects)</term><term>Predictive Value of Tests</term><term>Risk</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Ataxia</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Ataxia</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Ataxia</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Diagnostic Techniques, Neurological</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Risk</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to compare the Pull Test--Retropulsion 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></record>Pour manipuler ce document sous Unix (Dilib)
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