Movement Disorders (revue)

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Motor Complications in Parkinson's Disease: Ten Year Follow-Up Study

Identifieur interne : 000784 ( PascalFrancis/Corpus ); précédent : 000783; suivant : 000785

Motor 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 Bernardos

Source :

RBID : Pascal:11-0065110

Descripteurs français

English descriptors

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.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 25
A06       @2 16
A08 01  1  ENG  @1 Motor Complications in Parkinson's Disease: Ten Year Follow-Up Study
A11 01  1    @1 CABO LOPEZ (Iria)
A11 02  1    @1 GARCIA RUIZ (Pedro J.)
A11 03  1    @1 FERNANDEZ DEL POZO (Silvia Vázquez)
A11 04  1    @1 SANCHEZ BERNARDOS (Vicenta)
A14 01      @1 Department of Neurology, Fundación Jiménez Díaz @2 Madrid @3 ESP @Z 1 aut. @Z 2 aut. @Z 4 aut.
A14 02      @1 Universidad Autónoma de Madrid (UAM) @3 ESP @Z 1 aut. @Z 2 aut.
A14 03      @1 CIBERNED @3 ESP @Z 1 aut. @Z 2 aut.
A14 04      @1 Department of Epidemiology, Fundación Jiménez Díaz @2 Madrid @3 ESP @Z 3 aut.
A20       @1 2735-2739
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000193512620060
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
A45       @0 21 ref.
A47 01  1    @0 11-0065110
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Dyskinésie @5 02
C03 02  X  ENG  @0 Dyskinesia @5 02
C03 02  X  SPA  @0 Disquinesia @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Complication @5 09
C03 04  X  ENG  @0 Complication @5 09
C03 04  X  SPA  @0 Complicación @5 09
C03 05  X  FRE  @0 Etude longitudinale @5 10
C03 05  X  ENG  @0 Follow up study @5 10
C03 05  X  SPA  @0 Estudio longitudinal @5 10
C03 06  X  FRE  @0 Fluctuation @5 11
C03 06  X  ENG  @0 Fluctuations @5 11
C03 06  X  SPA  @0 Fluctuación @5 11
C03 07  X  FRE  @0 Prospective @5 12
C03 07  X  ENG  @0 Prospective @5 12
C03 07  X  SPA  @0 Prospectiva @5 12
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
C07 05  X  FRE  @0 Mouvement involontaire @5 42
C07 05  X  ENG  @0 Involuntary movement @5 42
C07 05  X  SPA  @0 Movimiento involuntario @5 42
C07 06  X  FRE  @0 Trouble neurologique @5 43
C07 06  X  ENG  @0 Neurological disorder @5 43
C07 06  X  SPA  @0 Trastorno neurológico @5 43
N21       @1 045
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 11-0065110 INIST
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

Links to Exploration step

Pascal:11-0065110

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<div type="abstract" xml:lang="en">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.</div>
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<fC03 i1="03" i2="X" l="ENG">
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<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>03</s5>
</fC03>
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<s0>Complication</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Complication</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Complicación</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Etude longitudinale</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Follow up study</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Estudio longitudinal</s0>
<s5>10</s5>
</fC03>
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<s0>Fluctuation</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Fluctuations</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Fluctuación</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Prospective</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Prospective</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Prospectiva</s0>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
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<s0>Encéfalo patología</s0>
<s5>37</s5>
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<s0>Syndrome extrapyramidal</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>045</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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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>
</server>
</inist>
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