Serveur d'exploration sur la maladie de Parkinson

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Freezing of gait affects quality of life of peoples with Parkinson's disease beyond its relationships with mobility and gait

Identifieur interne : 001052 ( Main/Exploration ); précédent : 001051; suivant : 001053

Freezing of gait affects quality of life of peoples with Parkinson's disease beyond its relationships with mobility and gait

Auteurs : Orna Moore [Israël] ; Chava Peretz [Israël] ; Nir Giladi [Israël]

Source :

RBID : ISTEX:1437194C2BFDEFBA7C26D44FA86688C4A6C58B4C

English descriptors

Abstract

The aim of this study was to examine the association between freezing of gait (FOG) and quality of life (QoL) in patients with Parkinson's disease (PD). PD patients (n = 118) completed the PDQ‐39 (QoL) and FOG‐Q questionnaires. Disease severity was assessed by the Hoehn and Yahr (H&Y) staging and the Unified Parkinson's Disease Rating Scale (UPDRS). The relations between those parameters were assessed using regression models. 66 men and 52 women (mean age 65.8 ± 10.2 years, UPDRS total score 48.4 ± 17.1, disease duration 8.5 ± 5.8 years, H&Y stage 2.7 ± 0.8) participated. FOG severity had a significant effect on QoL (P < 0.0015), accounting for disease severity assessed by UPDRS. Specifically, FOG severity was correlated with all the dimensions of the PDQ‐39 except for stigma and social support, as follows: with mobility, bodily discomfort, activity of daily living (ADL) (P < 0.005 in all), with emotional, communication, and cognition (P < 0.05 in all). FOG severity (FOG‐Q) was also found to affect a modified PDQ total score, without the mobility aspect (P = 0.0081). FOG should be viewed as a highly important symptom with regard to QoL of PD patients beyond its effect on gait and mobility. On the basis of the present results, special attention should be given to FOG in the treatment of patients with PD. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21659


Affiliations:


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<div type="abstract" xml:lang="en">The aim of this study was to examine the association between freezing of gait (FOG) and quality of life (QoL) in patients with Parkinson's disease (PD). PD patients (n = 118) completed the PDQ‐39 (QoL) and FOG‐Q questionnaires. Disease severity was assessed by the Hoehn and Yahr (H&Y) staging and the Unified Parkinson's Disease Rating Scale (UPDRS). The relations between those parameters were assessed using regression models. 66 men and 52 women (mean age 65.8 ± 10.2 years, UPDRS total score 48.4 ± 17.1, disease duration 8.5 ± 5.8 years, H&Y stage 2.7 ± 0.8) participated. FOG severity had a significant effect on QoL (P < 0.0015), accounting for disease severity assessed by UPDRS. Specifically, FOG severity was correlated with all the dimensions of the PDQ‐39 except for stigma and social support, as follows: with mobility, bodily discomfort, activity of daily living (ADL) (P < 0.005 in all), with emotional, communication, and cognition (P < 0.05 in all). FOG severity (FOG‐Q) was also found to affect a modified PDQ total score, without the mobility aspect (P = 0.0081). FOG should be viewed as a highly important symptom with regard to QoL of PD patients beyond its effect on gait and mobility. On the basis of the present results, special attention should be given to FOG in the treatment of patients with PD. © 2007 Movement Disorder Society</div>
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