Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states
Identifieur interne : 000C88 ( Main/Exploration ); précédent : 000C87; suivant : 000C89Push 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 [République tchèque] ; Kai Bötzel [Allemagne] ; Evžen Růži Ka [République tchèque] ; 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
Url:
DOI: 10.1002/mds.22131
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states</title><author><name sortKey="Valkovi, Peter" sort="Valkovi, Peter" uniqKey="Valkovi P" first="Peter" last="Valkovi">Peter Valkovi</name></author><author><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brožová">Hana Brožová</name></author><author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name></author><author><name sortKey="Ruzi Ka, Evzen" sort="Ruzi Ka, Evzen" uniqKey="Ruzi Ka E" first="Evžen" last="Růži Ka">Evžen Růži Ka</name></author><author><name sortKey="Benetin, Jan" sort="Benetin, Jan" uniqKey="Benetin J" first="Ján" last="Benetin">Ján Benetin</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4F25984BC406AEF8510B26D66507A8B0046D490C</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1002/mds.22131</idno><idno type="url">https://api.istex.fr/document/4F25984BC406AEF8510B26D66507A8B0046D490C/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001B34</idno><idno type="wicri:Area/Main/Curation">001871</idno><idno type="wicri:Area/Main/Exploration">000C88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states</title><author><name sortKey="Valkovi, Peter" sort="Valkovi, Peter" uniqKey="Valkovi P" first="Peter" last="Valkovi">Peter Valkovi</name><affiliation><wicri:noCountry code="subField">Slovak Republic</wicri:noCountry></affiliation><affiliation><wicri:noCountry code="subField">Slovak Republic</wicri:noCountry></affiliation></author><author><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brožová">Hana Brožová</name><affiliation wicri:level="3"><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Neurology, 1st Medical Faculty, Charles University, Prague</wicri:regionArea><placeName><settlement type="city">Prague</settlement><region type="région" nuts="2">Bohême centrale</region></placeName></affiliation></author><author><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Ludwig‐Maximilians University, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Ruzi Ka, Evzen" sort="Ruzi Ka, Evzen" uniqKey="Ruzi Ka E" first="Evžen" last="Růži Ka">Evžen Růži Ka</name><affiliation wicri:level="3"><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Neurology, 1st Medical Faculty, Charles University, Prague</wicri:regionArea><placeName><settlement type="city">Prague</settlement><region type="région" nuts="2">Bohême centrale</region></placeName></affiliation></author><author><name sortKey="Benetin, Jan" sort="Benetin, Jan" uniqKey="Benetin J" first="Ján" last="Benetin">Ján Benetin</name><affiliation><wicri:noCountry code="subField">Slovak Republic</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-07-30">2008-07-30</date><biblScope unit="volume">23</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1453">1453</biblScope><biblScope unit="page" to="1457">1457</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4F25984BC406AEF8510B26D66507A8B0046D490C</idno><idno type="DOI">10.1002/mds.22131</idno><idno type="ArticleID">MDS22131</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>falls</term><term>postural instability</term><term>pull test</term><term>push and release test</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml: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</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>République tchèque</li></country><region><li>Bavière</li><li>Bohême centrale</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li><li>Prague</li></settlement></list><tree><noCountry><name sortKey="Benetin, Jan" sort="Benetin, Jan" uniqKey="Benetin J" first="Ján" last="Benetin">Ján Benetin</name><name sortKey="Valkovi, Peter" sort="Valkovi, Peter" uniqKey="Valkovi P" first="Peter" last="Valkovi">Peter Valkovi</name></noCountry><country name="République tchèque"><region name="Bohême centrale"><name sortKey="Brozova, Hana" sort="Brozova, Hana" uniqKey="Brozova H" first="Hana" last="Brožová">Hana Brožová</name></region><name sortKey="Ruzi Ka, Evzen" sort="Ruzi Ka, Evzen" uniqKey="Ruzi Ka E" first="Evžen" last="Růži Ka">Evžen Růži Ka</name></country><country name="Allemagne"><region name="Bavière"><name sortKey="Botzel, Kai" sort="Botzel, Kai" uniqKey="Botzel K" first="Kai" last="Bötzel">Kai Bötzel</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C88 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000C88 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:4F25984BC406AEF8510B26D66507A8B0046D490C
|texte= Push and release test predicts better Parkinson fallers and nonfallers than the pull test: Comparison in OFF and ON medication states
}}
| This area was generated with Dilib version V0.6.23. |  |