Movement Disorders (revue)

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UPDRS activity of daily living score as a marker of Parkinson's disease progression.

Identifieur interne : 001B16 ( PubMed/Checkpoint ); précédent : 001B15; suivant : 001B17

UPDRS activity of daily living score as a marker of Parkinson's disease progression.

Auteurs : Madaline B. Harrison [États-Unis] ; Scott A. Wylie ; Robert C. Frysinger ; James T. Patrie ; Diane S. Huss ; Lillian J. Currie ; G Frederick Wooten

Source :

RBID : pubmed:18951537

English descriptors

Abstract

The activities of daily living (ADL) subscore of the Unified Parkinson's Disease Rating Scale (UPDRS) captures the impact of Parkinson's disease (PD) on daily function and may be less affected than other subsections by variability associated with drug cycle and motor fluctuations. We examined UPDRS mentation, ADL and motor subscores in 888 patients with idiopathic PD. Multiple linear regression analyses determined the association between disease duration and UPDRS subscores as a function of medication status at examination and in a subset of patients with multiple examinations. Independent of medication status and across cross-sectional and longitudinal analyses, ADL subscores showed a stronger and more stable association with disease duration than other UPDRS subscores after adjusting for age of disease onset. The association between disease duration and the motor subscore depended on medication status. The strong association between ADL subscore and disease duration in PD suggests that this measure may serve as a better marker of disease progression than signs and symptoms assessed in other UPDRS sections.

DOI: 10.1002/mds.22335
PubMed: 18951537


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pubmed:18951537

Le document en format XML

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<term>Antiparkinson Agents (therapeutic use)</term>
<term>Cross-Sectional Studies</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Psychomotor Performance</term>
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<div type="abstract" xml:lang="en">The activities of daily living (ADL) subscore of the Unified Parkinson's Disease Rating Scale (UPDRS) captures the impact of Parkinson's disease (PD) on daily function and may be less affected than other subsections by variability associated with drug cycle and motor fluctuations. We examined UPDRS mentation, ADL and motor subscores in 888 patients with idiopathic PD. Multiple linear regression analyses determined the association between disease duration and UPDRS subscores as a function of medication status at examination and in a subset of patients with multiple examinations. Independent of medication status and across cross-sectional and longitudinal analyses, ADL subscores showed a stronger and more stable association with disease duration than other UPDRS subscores after adjusting for age of disease onset. The association between disease duration and the motor subscore depended on medication status. The strong association between ADL subscore and disease duration in PD suggests that this measure may serve as a better marker of disease progression than signs and symptoms assessed in other UPDRS sections.</div>
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<RefSource>Arch Neurol. 2001 Oct;58(10):1611-5</RefSource>
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<RefSource>Mov Disord. 2002 Mar;17(2):283-8</RefSource>
<PMID Version="1">11921113</PMID>
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<RefSource>Mov Disord. 1994 Jan;9(1):76-83</RefSource>
<PMID Version="1">8139608</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Mov Disord. 1996 Mar;11(2):185-92</RefSource>
<PMID Version="1">8684390</PMID>
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<RefSource>Mov Disord. 1998 Jul;13(4):633-6</RefSource>
<PMID Version="1">9686766</PMID>
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<RefSource>Arch Neurol. 1999 Mar;56(3):334-7</RefSource>
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<RefSource>Nat Clin Pract Neurol. 2009 Mar;5(3):130-1</RefSource>
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