Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states
Identifieur interne : 001B34 ( Main/Corpus ); précédent : 001B33; suivant : 001B35Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states
Auteurs : Peter Valkovi ; Hana Brožová ; Kai Bötzel ; Evžen Růži Ka ; Ján BenetinSource :
- Movement Disorders [ 0885-3185 ] ; 2008-07-30.
English descriptors
Abstract
The aim of this study was to compare the Pull Test—Retropusion Test and the Push and Release Test (P&R) as regards their ability to predict Parkinson (PD) fallers and nonfallers in relation to their medication state. Eighty‐two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their “OFF” and “ON” medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the “area under the receiver operating characteristics curve” (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. Both clinical tests are valid and relatively equivalent when assessing patients in their OFF medication state; however, the P&R Test is more accurate than the Pull Test in the ON state. This indicates that it is more widely applicable in clinical practice. © 2008 Movement Disorder Society
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DOI: 10.1002/mds.22131
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ISTEX:4F25984BC406AEF8510B26D66507A8B0046D490CLe document en format XML
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Eighty‐two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their “OFF” and “ON” medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the “area under the receiver operating characteristics curve” (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. 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Eighty‐two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their “OFF” and “ON” medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the “area under the receiver operating characteristics curve” (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. Both clinical tests are valid and relatively equivalent when assessing patients in their OFF medication state; however, the P&R Test is more accurate than the Pull Test in the ON state. This indicates that it is more widely applicable in clinical practice. © 2008 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>falls</term></item><item><term>postural instability</term></item><item><term>push and release test</term></item><item><term>pull test</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-08-17">Received</change><change when="2008-04-15">Registration</change><change when="2008-07-30">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/4F25984BC406AEF8510B26D66507A8B0046D490C/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. 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affiliationRef="#af3"><personName><givenNames>Hana</givenNames><familyName>Brožová</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Kai</givenNames><familyName>Bötzel</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Evžen</givenNames><familyName>Růžička</familyName><degrees>MD, DSc</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Ján</givenNames><familyName>Benetin</familyName><degrees>MD, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="SK" type="organization"><unparsedAffiliation>2nd Department of Neurology, School of Medicine, Comenius University, Bratislava, Slovak Republic</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="SK" type="organization"><unparsedAffiliation>Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovak Republic</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="CZ" type="organization"><unparsedAffiliation>Department of Neurology, 1st Medical Faculty, Charles University, Prague, Czech Republic</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="DE" type="organization"><unparsedAffiliation>Department of Neurology, Ludwig‐Maximilians University, Munich, Germany</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword><keyword xml:id="kwd2">falls</keyword><keyword xml:id="kwd3">postural instability</keyword><keyword xml:id="kwd4">push and release test</keyword><keyword xml:id="kwd5">pull test</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>The aim of this study was to compare the Pull Test—Retropusion Test and the Push and Release Test (P&R) as regards their ability to predict Parkinson (PD) fallers and nonfallers in relation to their medication state. Eighty‐two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their “OFF” and “ON” medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the “area under the receiver operating characteristics curve” (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. Both clinical tests are valid and relatively equivalent when assessing patients in their OFF medication state; however, the P&R Test is more accurate than the Pull Test in the ON state. This indicates that it is more widely applicable in clinical practice. © 2008 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Comparison of Two Balance Tests in PD</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states</title></titleInfo><name type="personal"><namePart type="given">Peter</namePart><namePart type="family">Valkovič</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>2nd Department of Neurology, School of Medicine, Comenius University, Bratislava, Slovak Republic</affiliation><affiliation>Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovak Republic</affiliation><description>Correspondence: 2nd Department of Neurology, School of Medicine, Comenius University, Limbová 5, 83305 Bratislava, Slovakia</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hana</namePart><namePart type="family">Brožová</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, 1st Medical Faculty, Charles University, Prague, Czech Republic</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kai</namePart><namePart type="family">Bötzel</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Ludwig‐Maximilians University, Munich, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Evžen</namePart><namePart type="family">Růžička</namePart><namePart type="termsOfAddress">MD, DSc</namePart><affiliation>Department of Neurology, 1st Medical Faculty, Charles University, Prague, Czech Republic</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ján</namePart><namePart type="family">Benetin</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>2nd Department of Neurology, School of Medicine, Comenius University, Bratislava, Slovak Republic</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2008-07-30</dateIssued><dateCaptured encoding="w3cdtf">2007-08-17</dateCaptured><dateValid encoding="w3cdtf">2008-04-15</dateValid><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">3</extent><extent unit="references">19</extent><extent unit="words">3670</extent></physicalDescription><abstract lang="en">The aim of this study was to compare the Pull Test—Retropusion Test and the Push and Release Test (P&R) as regards their ability to predict Parkinson (PD) fallers and nonfallers in relation to their medication state. Eighty‐two PD patients participated in the study. Fallers (N = 36) and nonfallers (N = 46) were grouped on the basis of their fall history. Fallers were those who had fallen at least once within the last 6 months. The two groups were compared on the basis of the patients' performance in the Pull and the P&R tests, both in their “OFF” and “ON” medication state. The overall accuracy of the classification of PD patients as fallers and nonfallers was determined by means of binomial logistic regression (BLR) and the analysis of the “area under the receiver operating characteristics curve” (AUC). In the OFF medication state, the statistical analysis revealed that the Pull Test was accurate (methods BLR (AUC)) in 85.4% (0.87) of cases and the P&R Test in 86.6% (0.90). In the ON medication state, the Pull Test was only 76.8% (0.78) accurate, while the P&R Test was 87.8% (0.87) accurate. Both clinical tests are valid and relatively equivalent when assessing patients in their OFF medication state; however, the P&R Test is more accurate than the Pull Test in the ON state. This indicates that it is more widely applicable in clinical practice. © 2008 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>falls</topic><topic>postural instability</topic><topic>push and release test</topic><topic>pull test</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>23</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>1453</start><end>1457</end><total>5</total></extent></part></relatedItem><identifier type="istex">4F25984BC406AEF8510B26D66507A8B0046D490C</identifier><identifier type="DOI">10.1002/mds.22131</identifier><identifier type="ArticleID">MDS22131</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2008 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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