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

Identifieur interne : 002889 ( Main/Corpus ); précédent : 002888; suivant : 002890

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

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

Source :

RBID : ISTEX:421E88E8B5E5AB517C9E5E69EDBDDC431764B9EC

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. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.21220

Links to Exploration step

ISTEX:421E88E8B5E5AB517C9E5E69EDBDDC431764B9EC

Le document en format XML

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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. © 2006 Movement Disorder Society</div>
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<abstract 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. © 2006 Movement Disorder Society</abstract>
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