Nonmotor fluctuations in Parkinson's disease: Frequent and disabling
Identifieur interne : 003489 ( Main/Exploration ); précédent : 003488; suivant : 003490Nonmotor fluctuations in Parkinson's disease: Frequent and disabling
Auteurs : T. Witjas [France] ; E. Kaphan [France] ; J. P. Azulay [France] ; O. Blin [France] ; M. Ceccaldi [France] ; J. Pouget [France] ; M. Poncet [France] ; A. Ali Cherif [France]Source :
- Neurology [ 0028-3878 ] ; 2002.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Autonomic Nervous System Diseases (epidemiology), Autonomic Nervous System Diseases (physiopathology), Autonomic Nervous System Diseases (psychology), Chi-Square Distribution, Cognition Disorders (epidemiology), Cognition Disorders (physiopathology), Cognition Disorders (psychology), Female, Fluctuations, Frequency, Handicap, Human, Humans, Male, Middle Aged, Parkinson Disease (epidemiology), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson disease, Prospective Studies, Questionnaire, Sensation Disorders (epidemiology), Sensation Disorders (physiopathology), Sensation Disorders (psychology), Statistics, Nonparametric, Surveys and Questionnaires, Symptomatology.
- MESH :
- epidemiology : Autonomic Nervous System Diseases, Cognition Disorders, Parkinson Disease, Sensation Disorders.
- physiopathology : Autonomic Nervous System Diseases, Cognition Disorders, Parkinson Disease, Sensation Disorders.
- psychology : Autonomic Nervous System Diseases, Cognition Disorders, Parkinson Disease, Sensation Disorders.
- Aged, Chi-Square Distribution, Female, Humans, Male, Middle Aged, Prospective Studies, Statistics, Nonparametric, Surveys and Questionnaires.
Abstract
Objective: To assess the frequency and disability caused by nonmotor fluctuations (NMF) in PD. Methods: A structured questionnaire was administered to 50 patients with PD with motor fluctuations (MF), focused on 54 nonmotor symptoms classified in three subgroups: 26 dysautonomic, 21 cognitive and psychiatric, and seven pain/sensory NMF. The link between each NMF and the motor state was determined. Patients were asked to grade their disability from 0 (no disability) to 4 (maximum discomfort) and to specify which kind of fluctuation subgroup (motor or nonmotor) was the most incapacitating. A statistical analysis was performed to determine the frequency of each NMF and to determine whether the level of disability resulting from NMF could be correlated to the main characteristics of the population. Results: All patients had had at least one type of NMF, most of which were associated with the "off" state. Anxiety (66%), drenching sweats (64%), slowness of thinking (58%), fatigue (56%), and akathisia (54%) were the most frequent NMF. Some symptoms such as anxiety or dyspnea correlated with a greater level of disability. The total number of NMF was found to be correlated with the motor disability. Incapacity resulting from the dysautonomic fluctuations was also significantly correlated with levodopa treatment. Surprisingly, 28% of the patients stated that NMF involved a greater degree of disability than MF. Conclusion: Nonmotor fluctuations are frequent and debilitating in PD.
Affiliations:
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Le document en format XML
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<term>Autonomic Nervous System Diseases (epidemiology)</term>
<term>Autonomic Nervous System Diseases (physiopathology)</term>
<term>Autonomic Nervous System Diseases (psychology)</term>
<term>Chi-Square Distribution</term>
<term>Cognition Disorders (epidemiology)</term>
<term>Cognition Disorders (physiopathology)</term>
<term>Cognition Disorders (psychology)</term>
<term>Female</term>
<term>Fluctuations</term>
<term>Frequency</term>
<term>Handicap</term>
<term>Human</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Parkinson disease</term>
<term>Prospective Studies</term>
<term>Questionnaire</term>
<term>Sensation Disorders (epidemiology)</term>
<term>Sensation Disorders (physiopathology)</term>
<term>Sensation Disorders (psychology)</term>
<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Autonomic Nervous System Diseases</term>
<term>Cognition Disorders</term>
<term>Parkinson Disease</term>
<term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Autonomic Nervous System Diseases</term>
<term>Cognition Disorders</term>
<term>Parkinson Disease</term>
<term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Autonomic Nervous System Diseases</term>
<term>Cognition Disorders</term>
<term>Parkinson Disease</term>
<term>Sensation Disorders</term>
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<term>Chi-Square Distribution</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
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<term>Fluctuation</term>
<term>Handicap</term>
<term>Symptomatologie</term>
<term>Fréquence</term>
<term>Homme</term>
<term>Questionnaire</term>
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<front><div type="abstract" xml:lang="en">Objective: To assess the frequency and disability caused by nonmotor fluctuations (NMF) in PD. Methods: A structured questionnaire was administered to 50 patients with PD with motor fluctuations (MF), focused on 54 nonmotor symptoms classified in three subgroups: 26 dysautonomic, 21 cognitive and psychiatric, and seven pain/sensory NMF. The link between each NMF and the motor state was determined. Patients were asked to grade their disability from 0 (no disability) to 4 (maximum discomfort) and to specify which kind of fluctuation subgroup (motor or nonmotor) was the most incapacitating. A statistical analysis was performed to determine the frequency of each NMF and to determine whether the level of disability resulting from NMF could be correlated to the main characteristics of the population. Results: All patients had had at least one type of NMF, most of which were associated with the "off" state. Anxiety (66%), drenching sweats (64%), slowness of thinking (58%), fatigue (56%), and akathisia (54%) were the most frequent NMF. Some symptoms such as anxiety or dyspnea correlated with a greater level of disability. The total number of NMF was found to be correlated with the motor disability. Incapacity resulting from the dysautonomic fluctuations was also significantly correlated with levodopa treatment. Surprisingly, 28% of the patients stated that NMF involved a greater degree of disability than MF. Conclusion: Nonmotor fluctuations are frequent and debilitating in PD.</div>
</front>
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<name sortKey="Azulay, J P" sort="Azulay, J P" uniqKey="Azulay J" first="J. P." last="Azulay">J. P. Azulay</name>
<name sortKey="Blin, O" sort="Blin, O" uniqKey="Blin O" first="O." last="Blin">O. Blin</name>
<name sortKey="Ceccaldi, M" sort="Ceccaldi, M" uniqKey="Ceccaldi M" first="M." last="Ceccaldi">M. Ceccaldi</name>
<name sortKey="Kaphan, E" sort="Kaphan, E" uniqKey="Kaphan E" first="E." last="Kaphan">E. Kaphan</name>
<name sortKey="Poncet, M" sort="Poncet, M" uniqKey="Poncet M" first="M." last="Poncet">M. Poncet</name>
<name sortKey="Pouget, J" sort="Pouget, J" uniqKey="Pouget J" first="J." last="Pouget">J. Pouget</name>
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