La maladie de Parkinson en France (serveur d'exploration)

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Impact of the motor complications of Parkinson's disease on the quality of life.

Identifieur interne : 000466 ( Ncbi/Checkpoint ); précédent : 000465; suivant : 000467

Impact of the motor complications of Parkinson's disease on the quality of life.

Auteurs : Stéphane Chapuis [France] ; Lemlih Ouchchane ; Olivier Metz ; Laurent Gerbaud ; Franck Durif

Source :

RBID : pubmed:15384126

English descriptors

Abstract

The impact of motor complications of Parkinson's disease (PD), especially levodopa-induced dyskinesias, on quality of life (QL) was studied in 143 patients with PD. All were evaluated on the Hoehn and Yahr (H&Y) scale, and the Motor part of the Unified Parkinson's Disease Rating Scale (UPDRS). Motor complications were analyzed using the UPDRS Parts IV(A) and IV(B) and the Abnormal Involuntary Movement Scale. A specific Parkinson's disease quality of life questionnaire (39-item version, PDQ-39) was used. Motor complications significantly worsened the PDQ-39 Summary Index (PDQ-SI) of patients with PD. The dimensions of Mobility, Activities of Daily Living, Stigma, and Communication were the most strongly affected. "Peak dose" dyskinesia decreased Mobility, Emotional Well-Being, and Cognition, whereas biphasic dyskinesia affected Mobility, Stigma, Communication, and Activities of Daily Living. Morning akinesia, end-of-dose fluctuations, and "unpredictable offs" decreased QL on the dimensions of Mobility, Activities of Daily Living, Stigma, and Communication. Nocturnal akinesia led to a deterioration of all dimensions of the PDQ-39. Thus, motor complications and especially nocturnal akinesia and biphasic dyskinesias worsened the QL of PD patients.

DOI: 10.1002/mds.20279
PubMed: 15384126


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pubmed:15384126

Le document en format XML

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<term>Follow-Up Studies</term>
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