Motor Complications in Parkinson's Disease: Ten Year Follow-Up Study
Identifieur interne : 000784 ( PascalFrancis/Corpus ); précédent : 000783; suivant : 000785Motor Complications in Parkinson's Disease: Ten Year Follow-Up Study
Auteurs : Iria Cabo Lopez ; Pedro J. Garcia Ruiz ; Silvia Vázquez Fernandez Del Pozo ; Vicenta Sanchez BernardosSource :
- Movement disorders [ 0885-3185 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Parkinson's disease (PD) can be symptomatically controlled with standard treatments; however, after a few years, this response typically declines and most patients develop motor complications. We carried out a prospective practice-based study to evaluate the evolution appearance and evolution of motor complications in 64 de novo PD patients over 5 years and in 38 PD patients over 10 years. We studied untreated patients from initial assessment at basal conditions and evaluated every 6 months thereafter with treatment (levodopa versus other drugs). The follow-up assessments were performed with the Unified Parkinson's Disease Rating Scale (UPDRS). At each assessment, patients were monitored regarding the development of dyskinesias, motor fluctuations, freezing, loss of postural reflexes, and cognitive impairment. We observed a significant improvement in UPDRS scores during the first year, then a progressive decline, more evident after the third year. Motor complications increased after the third year, and at the end of the survey (tenth year); drug-induced dyskinesias and motor fluctuations were experienced (71.1 and 94.7%, respectively). After the first decade, many complications arose from the non-levodopa-responsive features of the disease (cognitive impairment was present in 52.6% and gait freezing in 71.1 %). Initial medication may influence medium-term complications but not long-term problems. Most long-term disabling problems of PD were related to non-levodopa-responsive features.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 11-0065110 INIST |
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ET : | Motor Complications in Parkinson's Disease: Ten Year Follow-Up Study |
AU : | CABO LOPEZ (Iria); GARCIA RUIZ (Pedro J.); FERNANDEZ DEL POZO (Silvia Vázquez); SANCHEZ BERNARDOS (Vicenta) |
AF : | Department of Neurology, Fundación Jiménez Díaz/Madrid/Espagne (1 aut., 2 aut., 4 aut.); Universidad Autónoma de Madrid (UAM)/Espagne (1 aut., 2 aut.); CIBERNED/Espagne (1 aut., 2 aut.); Department of Epidemiology, Fundación Jiménez Díaz/Madrid/Espagne (3 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 16; Pp. 2735-2739; Bibl. 21 ref. |
LA : | Anglais |
EA : | Parkinson's disease (PD) can be symptomatically controlled with standard treatments; however, after a few years, this response typically declines and most patients develop motor complications. We carried out a prospective practice-based study to evaluate the evolution appearance and evolution of motor complications in 64 de novo PD patients over 5 years and in 38 PD patients over 10 years. We studied untreated patients from initial assessment at basal conditions and evaluated every 6 months thereafter with treatment (levodopa versus other drugs). The follow-up assessments were performed with the Unified Parkinson's Disease Rating Scale (UPDRS). At each assessment, patients were monitored regarding the development of dyskinesias, motor fluctuations, freezing, loss of postural reflexes, and cognitive impairment. We observed a significant improvement in UPDRS scores during the first year, then a progressive decline, more evident after the third year. Motor complications increased after the third year, and at the end of the survey (tenth year); drug-induced dyskinesias and motor fluctuations were experienced (71.1 and 94.7%, respectively). After the first decade, many complications arose from the non-levodopa-responsive features of the disease (cognitive impairment was present in 52.6% and gait freezing in 71.1 %). Initial medication may influence medium-term complications but not long-term problems. Most long-term disabling problems of PD were related to non-levodopa-responsive features. |
CC : | 002B17; 002B17G |
FD : | Maladie de Parkinson; Dyskinésie; Pathologie du système nerveux; Complication; Etude longitudinale; Fluctuation; Prospective |
FG : | Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Mouvement involontaire; Trouble neurologique |
ED : | Parkinson disease; Dyskinesia; Nervous system diseases; Complication; Follow up study; Fluctuations; Prospective |
EG : | Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder |
SD : | Parkinson enfermedad; Disquinesia; Sistema nervioso patología; Complicación; Estudio longitudinal; Fluctuación; Prospectiva |
LO : | INIST-20953.354000193512620060 |
ID : | 11-0065110 |
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Pascal:11-0065110Le document en format XML
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<server><NO>PASCAL 11-0065110 INIST</NO>
<ET>Motor Complications in Parkinson's Disease: Ten Year Follow-Up Study</ET>
<AU>CABO LOPEZ (Iria); GARCIA RUIZ (Pedro J.); FERNANDEZ DEL POZO (Silvia Vázquez); SANCHEZ BERNARDOS (Vicenta)</AU>
<AF>Department of Neurology, Fundación Jiménez Díaz/Madrid/Espagne (1 aut., 2 aut., 4 aut.); Universidad Autónoma de Madrid (UAM)/Espagne (1 aut., 2 aut.); CIBERNED/Espagne (1 aut., 2 aut.); Department of Epidemiology, Fundación Jiménez Díaz/Madrid/Espagne (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 16; Pp. 2735-2739; Bibl. 21 ref.</SO>
<LA>Anglais</LA>
<EA>Parkinson's disease (PD) can be symptomatically controlled with standard treatments; however, after a few years, this response typically declines and most patients develop motor complications. We carried out a prospective practice-based study to evaluate the evolution appearance and evolution of motor complications in 64 de novo PD patients over 5 years and in 38 PD patients over 10 years. We studied untreated patients from initial assessment at basal conditions and evaluated every 6 months thereafter with treatment (levodopa versus other drugs). The follow-up assessments were performed with the Unified Parkinson's Disease Rating Scale (UPDRS). At each assessment, patients were monitored regarding the development of dyskinesias, motor fluctuations, freezing, loss of postural reflexes, and cognitive impairment. We observed a significant improvement in UPDRS scores during the first year, then a progressive decline, more evident after the third year. Motor complications increased after the third year, and at the end of the survey (tenth year); drug-induced dyskinesias and motor fluctuations were experienced (71.1 and 94.7%, respectively). After the first decade, many complications arose from the non-levodopa-responsive features of the disease (cognitive impairment was present in 52.6% and gait freezing in 71.1 %). Initial medication may influence medium-term complications but not long-term problems. Most long-term disabling problems of PD were related to non-levodopa-responsive features.</EA>
<CC>002B17; 002B17G</CC>
<FD>Maladie de Parkinson; Dyskinésie; Pathologie du système nerveux; Complication; Etude longitudinale; Fluctuation; Prospective</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Mouvement involontaire; Trouble neurologique</FG>
<ED>Parkinson disease; Dyskinesia; Nervous system diseases; Complication; Follow up study; Fluctuations; Prospective</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Involuntary movement; Neurological disorder</EG>
<SD>Parkinson enfermedad; Disquinesia; Sistema nervioso patología; Complicación; Estudio longitudinal; Fluctuación; Prospectiva</SD>
<LO>INIST-20953.354000193512620060</LO>
<ID>11-0065110</ID>
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