Movement Disorders (revue)

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Laterality, region, and type of motor dysfunction correlate with cognitive impairment in Parkinson's disease

Identifieur interne : 001503 ( PascalFrancis/Curation ); précédent : 001502; suivant : 001504

Laterality, region, and type of motor dysfunction correlate with cognitive impairment in Parkinson's disease

Auteurs : Lindsy N. Williams [États-Unis] ; Paul Seignourel [États-Unis] ; Gregory P. Crucian [États-Unis] ; Michael S. Okun [États-Unis] ; Ramon L. Rodriguez [États-Unis] ; Frank M. Skidmore [États-Unis] ; Paul S. Foster [États-Unis] ; Charles E. Iv Jacobson [États-Unis] ; Janet Romrell [États-Unis] ; Dawn Bowers [États-Unis] ; Hubert H. Fernandez [États-Unis]

Source :

RBID : Pascal:07-0133234

Descripteurs français

English descriptors

Abstract

We studied the relationship between two screening cognitive measures and off motor Unified Parkinson's Disease Rating Scale (UPDRS) scores in 108 Parkinson's disease patients. Multiple regressions were conducted to examine the UPDRS subscores' unique contributions to cognitive function. When including bradykinesia, rigidity, and postural/gait instability subscores, only bradykinesia predicted Mini Mental Status Examination (MMSE), normalized β = -0.57, t(104) # -3.31, P < 0.01, and Dementia Rating Scale-2 (DRS-2), normalized β # -0.45, t(104) = -2.55, P < 0.05. Tremor was not included in the regression analyses because it did not correlate with cognitive function. When including axial and appendicular subscores, only the axial subscore predicted MMSE, normalized β= -0.39, t(105) = -3.19, P < 0.01, and DRS-2 scores, normalized β= - 0.40, t(106) = -3.28, P < 0.01. When including left-sided and right-sided subscores, only the right-sided symptoms predicted DRS-2 scores, normalized β= - 0.28, t(105) = -2.45, P < 0.05, and showed a trend toward predicting MMSE scores, normalized β= - 0.22, t(105) = -1.95, P = 0.054. We therefore found that right-sided symptoms (for laterality), axial symptoms (for region), and bradykinesia (for type of symptoms) were thebest predictors of cognitive function.
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A08 01  1  ENG  @1 Laterality, region, and type of motor dysfunction correlate with cognitive impairment in Parkinson's disease
A11 01  1    @1 WILLIAMS (Lindsy N.)
A11 02  1    @1 SEIGNOUREL (Paul)
A11 03  1    @1 CRUCIAN (Gregory P.)
A11 04  1    @1 OKUN (Michael S.)
A11 05  1    @1 RODRIGUEZ (Ramon L.)
A11 06  1    @1 SKIDMORE (Frank M.)
A11 07  1    @1 FOSTER (Paul S.)
A11 08  1    @1 JACOBSON (Charles E. IV)
A11 09  1    @1 ROMRELL (Janet)
A11 10  1    @1 BOWERS (Dawn)
A11 11  1    @1 FERNANDEZ (Hubert H.)
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C01 01    ENG  @0 We studied the relationship between two screening cognitive measures and off motor Unified Parkinson's Disease Rating Scale (UPDRS) scores in 108 Parkinson's disease patients. Multiple regressions were conducted to examine the UPDRS subscores' unique contributions to cognitive function. When including bradykinesia, rigidity, and postural/gait instability subscores, only bradykinesia predicted Mini Mental Status Examination (MMSE), normalized β = -0.57, t(104) # -3.31, P < 0.01, and Dementia Rating Scale-2 (DRS-2), normalized β # -0.45, t(104) = -2.55, P < 0.05. Tremor was not included in the regression analyses because it did not correlate with cognitive function. When including axial and appendicular subscores, only the axial subscore predicted MMSE, normalized β= -0.39, t(105) = -3.19, P < 0.01, and DRS-2 scores, normalized β= - 0.40, t(106) = -3.28, P < 0.01. When including left-sided and right-sided subscores, only the right-sided symptoms predicted DRS-2 scores, normalized β= - 0.28, t(105) = -2.45, P < 0.05, and showed a trend toward predicting MMSE scores, normalized β= - 0.22, t(105) = -1.95, P = 0.054. We therefore found that right-sided symptoms (for laterality), axial symptoms (for region), and bradykinesia (for type of symptoms) were thebest predictors of cognitive function.
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C03 01  X  FRE  @0 Système nerveux pathologie @5 01
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C03 02  X  FRE  @0 Trouble cognition @5 02
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C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Extrapyramidal syndrome @5 38
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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
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N21       @1 085
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Pascal:07-0133234

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<term>Cognition</term>
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<term>Dementia</term>
<term>Instability</term>
<term>Laterality</term>
<term>Nervous system diseases</term>
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<div type="abstract" xml:lang="en">We studied the relationship between two screening cognitive measures and off motor Unified Parkinson's Disease Rating Scale (UPDRS) scores in 108 Parkinson's disease patients. Multiple regressions were conducted to examine the UPDRS subscores' unique contributions to cognitive function. When including bradykinesia, rigidity, and postural/gait instability subscores, only bradykinesia predicted Mini Mental Status Examination (MMSE), normalized β = -0.57, t(104) # -3.31, P < 0.01, and Dementia Rating Scale-2 (DRS-2), normalized β # -0.45, t(104) = -2.55, P < 0.05. Tremor was not included in the regression analyses because it did not correlate with cognitive function. When including axial and appendicular subscores, only the axial subscore predicted MMSE, normalized β= -0.39, t(105) = -3.19, P < 0.01, and DRS-2 scores, normalized β= - 0.40, t(106) = -3.28, P < 0.01. When including left-sided and right-sided subscores, only the right-sided symptoms predicted DRS-2 scores, normalized β= - 0.28, t(105) = -2.45, P < 0.05, and showed a trend toward predicting MMSE scores, normalized β= - 0.22, t(105) = -1.95, P = 0.054. We therefore found that right-sided symptoms (for laterality), axial symptoms (for region), and bradykinesia (for type of symptoms) were thebest predictors of cognitive function.</div>
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