Distribution of Motor Impairment Influences Quality of Life in Parkinson's Disease
Identifieur interne : 001289 ( PascalFrancis/Checkpoint ); précédent : 001288; suivant : 001290Distribution of Motor Impairment Influences Quality of Life in Parkinson's Disease
Auteurs : Kim C. Stewart [États-Unis] ; Hubert H. Fernandez [États-Unis] ; Michael S. Okun [États-Unis] ; Charles E. Jacobson [États-Unis] ; Chris J. Hass [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
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Abstract
We evaluated the relationship between upper extremity (UE) and lower extremity (LE) motor impairments in Parkinson's disease (PD) to overall disability and quality of life (QoL) measures. A total of 639 patients who were diagnosed with idiopathic PD were administered the Unified Parkinson's Disease Rating Scale (UPDRS), QoL, activities of daily living (ADL), and behavioral scales. Composite UE and LE scores from the motor section of the UPDRS were correlated with ADL, QoL, and behavioral measurement scores while controlling for disease duration. Patients with greater UE and LE motor impairments had lower QoL scores. However, LE impairments had a greater influence than UE impairments across all QoL measures.
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Stewart</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Applied Physiology and Kinesiology, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Fernandez, Hubert H" sort="Fernandez, Hubert H" uniqKey="Fernandez H" first="Hubert H." last="Fernandez">Hubert H. Fernandez</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Movement Disorders Center, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. Okun</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Movement Disorders Center, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Jacobson, Charles E" sort="Jacobson, Charles E" uniqKey="Jacobson C" first="Charles E." last="Jacobson">Charles E. Jacobson</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Hass, Chris J" sort="Hass, Chris J" uniqKey="Hass C" first="Chris J." last="Hass">Chris J. Hass</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Applied Physiology and Kinesiology, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Movement Disorders Center, University of Florida</s1><s2>Gainesville, Florida</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Lower extremity</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Quality of life</term><term>Upper extremity</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Qualité de vie</term><term>Extrémité supérieure</term><term>Extrémité inférieure</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We evaluated the relationship between upper extremity (UE) and lower extremity (LE) motor impairments in Parkinson's disease (PD) to overall disability and quality of life (QoL) measures. A total of 639 patients who were diagnosed with idiopathic PD were administered the Unified Parkinson's Disease Rating Scale (UPDRS), QoL, activities of daily living (ADL), and behavioral scales. Composite UE and LE scores from the motor section of the UPDRS were correlated with ADL, QoL, and behavioral measurement scores while controlling for disease duration. Patients with greater UE and LE motor impairments had lower QoL scores. 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Stewart</name></region><name sortKey="Fernandez, Hubert H" sort="Fernandez, Hubert H" uniqKey="Fernandez H" first="Hubert H." last="Fernandez">Hubert H. Fernandez</name><name sortKey="Fernandez, Hubert H" sort="Fernandez, Hubert H" uniqKey="Fernandez H" first="Hubert H." last="Fernandez">Hubert H. Fernandez</name><name sortKey="Hass, Chris J" sort="Hass, Chris J" uniqKey="Hass C" first="Chris J." last="Hass">Chris J. Hass</name><name sortKey="Hass, Chris J" sort="Hass, Chris J" uniqKey="Hass C" first="Chris J." last="Hass">Chris J. Hass</name><name sortKey="Jacobson, Charles E" sort="Jacobson, Charles E" uniqKey="Jacobson C" first="Charles E." last="Jacobson">Charles E. Jacobson</name><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. Okun</name><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S." last="Okun">Michael S. 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