Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease
Identifieur interne : 000021 ( PascalFrancis/Corpus ); précédent : 000020; suivant : 000022Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease
Auteurs : Keiichiro Terayama ; Ryuji Sakakibara ; Akihiro Ogawa ; Hiroyuki Haruta ; Takashi Akiba ; Takeki Nagao ; Osamu Takahashi ; Megumi Sugiyama ; Akihiko Tateno ; Fuyuki Tateno ; Masashi Yano ; Masahiko Kishi ; Yohei Tsuyusaki ; Tomoyuki Uchiyama ; Tatsuya YamamotoSource :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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. (.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 13-0063581 INIST |
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ET : | Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease |
AU : | TERAYAMA (Keiichiro); SAKAKIBARA (Ryuji); OGAWA (Akihiro); HARUTA (Hiroyuki); AKIBA (Takashi); NAGAO (Takeki); TAKAHASHI (Osamu); SUGIYAMA (Megumi); TATENO (Akihiko); TATENO (Fuyuki); YANO (Masashi); KISHI (Masahiko); TSUYUSAKI (Yohei); UCHIYAMA (Tomoyuki); YAMAMOTO (Tatsuya) |
AF : | Rehabilitation Unit, Sakura Medical Center, Toho University/Sakura/Japon (1 aut., 3 aut., 4 aut., 5 aut.); Neurology, Internal Medicine, Sakura Medical Center, Toho University/Sakura/Japon (2 aut., 9 aut., 10 aut., 12 aut., 13 aut.); Neurosurgery, Sakura Medical Center, Toho University/Sakura/Japon (6 aut.); Clinical Physiology Unit, Sakura Medical Center, Toho University/Sakura/Japon (7 aut., 8 aut.); Urology, Sakura Medical Center, Toho University/Sakura/Japon (11 aut.); Neurology, Chiba University/Chiba/Japon (14 aut., 15 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 14; Pp. 1775-1780; Bibl. 39 ref. |
LA : | Anglais |
EA : | 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. (. |
CC : | 002B17; 002B17G |
FD : | Trouble moteur; Maladie de Parkinson; Vessie hyperactive; Pathologie du système nerveux; Contractilité; Vessie urinaire |
FG : | Trouble neurologique; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Appareil urinaire; Pathologie de l'appareil urinaire; Pathologie de la vessie; Pathologie des voies urinaires |
ED : | Motor system disorder; Parkinson disease; Overactive bladder; Nervous system diseases; Contractility; Urinary bladder |
EG : | Neurological disorder; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Urinary system; Urinary system disease; Bladder disease; Urinary tract disease |
SD : | Trastorno motor; Parkinson enfermedad; Vejiga hiperactiva; Sistema nervioso patología; Contractilidad; Vejiga |
LO : | INIST-20953.354000503000040150 |
ID : | 13-0063581 |
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Pascal:13-0063581Le document en format XML
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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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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease</title>
<author><name sortKey="Terayama, Keiichiro" sort="Terayama, Keiichiro" uniqKey="Terayama K" first="Keiichiro" last="Terayama">Keiichiro Terayama</name>
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<author><name sortKey="Sakakibara, Ryuji" sort="Sakakibara, Ryuji" uniqKey="Sakakibara R" first="Ryuji" last="Sakakibara">Ryuji Sakakibara</name>
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<author><name sortKey="Ogawa, Akihiro" sort="Ogawa, Akihiro" uniqKey="Ogawa A" first="Akihiro" last="Ogawa">Akihiro Ogawa</name>
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<author><name sortKey="Haruta, Hiroyuki" sort="Haruta, Hiroyuki" uniqKey="Haruta H" first="Hiroyuki" last="Haruta">Hiroyuki Haruta</name>
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<author><name sortKey="Akiba, Takashi" sort="Akiba, Takashi" uniqKey="Akiba T" first="Takashi" last="Akiba">Takashi Akiba</name>
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<author><name sortKey="Nagao, Takeki" sort="Nagao, Takeki" uniqKey="Nagao T" first="Takeki" last="Nagao">Takeki Nagao</name>
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<author><name sortKey="Takahashi, Osamu" sort="Takahashi, Osamu" uniqKey="Takahashi O" first="Osamu" last="Takahashi">Osamu Takahashi</name>
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<author><name sortKey="Sugiyama, Megumi" sort="Sugiyama, Megumi" uniqKey="Sugiyama M" first="Megumi" last="Sugiyama">Megumi Sugiyama</name>
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<author><name sortKey="Tateno, Akihiko" sort="Tateno, Akihiko" uniqKey="Tateno A" first="Akihiko" last="Tateno">Akihiko Tateno</name>
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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="Yano, Masashi" sort="Yano, Masashi" uniqKey="Yano M" first="Masashi" last="Yano">Masashi Yano</name>
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<author><name sortKey="Kishi, Masahiko" sort="Kishi, Masahiko" uniqKey="Kishi M" first="Masahiko" last="Kishi">Masahiko Kishi</name>
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<author><name sortKey="Tsuyusaki, Yohei" sort="Tsuyusaki, Yohei" uniqKey="Tsuyusaki Y" first="Yohei" last="Tsuyusaki">Yohei Tsuyusaki</name>
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<author><name sortKey="Uchiyama, Tomoyuki" sort="Uchiyama, Tomoyuki" uniqKey="Uchiyama T" first="Tomoyuki" last="Uchiyama">Tomoyuki Uchiyama</name>
<affiliation><inist:fA14 i1="06"><s1>Neurology, Chiba University</s1>
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<s3>JPN</s3>
<sZ>14 aut.</sZ>
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<author><name sortKey="Yamamoto, Tatsuya" sort="Yamamoto, Tatsuya" uniqKey="Yamamoto T" first="Tatsuya" last="Yamamoto">Tatsuya Yamamoto</name>
<affiliation><inist:fA14 i1="06"><s1>Neurology, Chiba University</s1>
<s2>Chiba</s2>
<s3>JPN</s3>
<sZ>14 aut.</sZ>
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<series><title level="j" type="main">Movement disorders</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Contractility</term>
<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>
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<fA08 i1="01" i2="1" l="ENG"><s1>Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>TERAYAMA (Keiichiro)</s1>
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<fA11 i1="02" i2="1"><s1>SAKAKIBARA (Ryuji)</s1>
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<fA11 i1="03" i2="1"><s1>OGAWA (Akihiro)</s1>
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<sZ>11 aut.</sZ>
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<sZ>15 aut.</sZ>
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<s5>01</s5>
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<s5>01</s5>
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<s5>09</s5>
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<s5>09</s5>
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<s5>10</s5>
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<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Vejiga</s0>
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<s5>38</s5>
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<s5>38</s5>
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<s5>39</s5>
</fC07>
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<s5>39</s5>
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<s5>39</s5>
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<fC07 i1="03" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
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<s5>41</s5>
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<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0>
<s5>42</s5>
</fC07>
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<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>42</s5>
</fC07>
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<s5>43</s5>
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<s5>43</s5>
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<s5>44</s5>
</fC07>
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<s5>44</s5>
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<s5>44</s5>
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<s5>45</s5>
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<fC07 i1="08" i2="X" l="ENG"><s0>Bladder disease</s0>
<s5>45</s5>
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<fC07 i1="08" i2="X" l="SPA"><s0>Vejiga patología</s0>
<s5>45</s5>
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<s5>46</s5>
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<server><NO>PASCAL 13-0063581 INIST</NO>
<ET>Weak Detrusor Contractility Correlates With Motor Disorders in Parkinson's Disease</ET>
<AU>TERAYAMA (Keiichiro); SAKAKIBARA (Ryuji); OGAWA (Akihiro); HARUTA (Hiroyuki); AKIBA (Takashi); NAGAO (Takeki); TAKAHASHI (Osamu); SUGIYAMA (Megumi); TATENO (Akihiko); TATENO (Fuyuki); YANO (Masashi); KISHI (Masahiko); TSUYUSAKI (Yohei); UCHIYAMA (Tomoyuki); YAMAMOTO (Tatsuya)</AU>
<AF>Rehabilitation Unit, Sakura Medical Center, Toho University/Sakura/Japon (1 aut., 3 aut., 4 aut., 5 aut.); Neurology, Internal Medicine, Sakura Medical Center, Toho University/Sakura/Japon (2 aut., 9 aut., 10 aut., 12 aut., 13 aut.); Neurosurgery, Sakura Medical Center, Toho University/Sakura/Japon (6 aut.); Clinical Physiology Unit, Sakura Medical Center, Toho University/Sakura/Japon (7 aut., 8 aut.); Urology, Sakura Medical Center, Toho University/Sakura/Japon (11 aut.); Neurology, Chiba University/Chiba/Japon (14 aut., 15 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 14; Pp. 1775-1780; Bibl. 39 ref.</SO>
<LA>Anglais</LA>
<EA>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. (.</EA>
<CC>002B17; 002B17G</CC>
<FD>Trouble moteur; Maladie de Parkinson; Vessie hyperactive; Pathologie du système nerveux; Contractilité; Vessie urinaire</FD>
<FG>Trouble neurologique; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Appareil urinaire; Pathologie de l'appareil urinaire; Pathologie de la vessie; Pathologie des voies urinaires</FG>
<ED>Motor system disorder; Parkinson disease; Overactive bladder; Nervous system diseases; Contractility; Urinary bladder</ED>
<EG>Neurological disorder; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Urinary system; Urinary system disease; Bladder disease; Urinary tract disease</EG>
<SD>Trastorno motor; Parkinson enfermedad; Vejiga hiperactiva; Sistema nervioso patología; Contractilidad; Vejiga</SD>
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