Obstructive and restrictive pulmonary dysfunction increases disability in Parkinson disease
Identifieur interne : 002153 ( Main/Exploration ); précédent : 002152; suivant : 002154Obstructive and restrictive pulmonary dysfunction increases disability in Parkinson disease
Auteurs : Magdalena Sabaté [Espagne] ; Manuel Rodriguez [Espagne] ; Eduardo Méndez [Espagne] ; Enrique Enríques [Espagne] ; Isidro Gonzélez [Espagne]Source :
- Archives of Physical Medicine and Rehabilitation [ 0003-9993 ] ; 1995.
Abstract
Objective:: The purpose of this study was to determine in Parkinson disease the impact of pulmonary dysfunction on daily living activities (DLA).Patients:: Extrapyramidal motor impairment, pulmonary dysfunction, and DLA disabilities were studied in 58 Parkinson patients consecutively enrolled in a rehabilitation service at a universal hospital.Main Outcome Measures: Extrapyramidal motor impairments were assessed by the United Parkinson's Disease Rating Scale (IPDRS) and the DLA disabilities by the ipdrs, Hoehn-Yahr, and Schwab-England scales. The pulmonary dysfunctions were assessed by spirometry with flow-volume loops, body plethysmography with lung volumes computation, and maximal inspiratory and expiratory slatic mouth pressures.Results: Parkinson patients showed important modifications of pulmonary function with a decrease in forced vital capacity, forced expiratory volume in the first minute, and arterial Po2, and an increase in residual volume and total airway resistance (RAW). In addition, they showed a high incidence of airway ventilatory obstructions and restrictive dysfunction. The impact of lung disease on daily living activities in Parkinson disease patients was higher in subjects with restrictive pulmonary dysfunctions (Schwab-England test and turning in bed and adjusting bedclothes, walking, falling, and freezing when walking items of UPDRS) and airway obstructions (handling utensils, dressing and hygiene items of UPDRS).Concusions: Airway obstructions or restrictive pulmonary dysfunctions present a high prevalence in Parkinson disease, contributing as a main factor for DLA dysfunctions. The evauation and rehabilitation of respiratory disturbances should be systematically included in the management of these patients.
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DOI: 10.1016/S0003-9993(96)90216-6
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type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:C7928462E5350321AF0BC18EF25C0CA62DE6E90C</idno><date when="1996" year="1996">1996</date><idno type="doi">10.1016/S0003-9993(96)90216-6</idno><idno type="url">https://api.istex.fr/document/C7928462E5350321AF0BC18EF25C0CA62DE6E90C/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000014</idno><idno type="wicri:Area/Main/Curation">000011</idno><idno type="wicri:Area/Main/Exploration">002153</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Obstructive and restrictive pulmonary dysfunction increases disability in Parkinson disease</title><author><name sortKey="Sabate, Magdalena" sort="Sabate, Magdalena" uniqKey="Sabate M" first="Magdalena" last="Sabaté">Magdalena Sabaté</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Service of Physical Medicine and Rehabilitation University Hospital of the Canary Island, Tenerife, Canary 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Méndez</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Physiology, Faculty of Medicine, University of La Laguna, University Hospital of the Canary Island, Tenerife, Canary Islands</wicri:regionArea><wicri:noRegion>Canary Islands</wicri:noRegion></affiliation></author><author><name sortKey="Enriques, Enrique" sort="Enriques, Enrique" uniqKey="Enriques E" first="Enrique" last="Enríques">Enrique Enríques</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Service of Physical Medicine and Rehabilitation University Hospital of the Canary Island, Tenerife, Canary Islands</wicri:regionArea><wicri:noRegion>Canary Islands</wicri:noRegion></affiliation></author><author><name sortKey="Gonzelez, Isidro" sort="Gonzelez, Isidro" uniqKey="Gonzelez I" first="Isidro" last="Gonzélez">Isidro Gonzélez</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Respiratory Division of the Department of Medicine, University Hospital of the Canary Island, Tenerife, Canary Islands</wicri:regionArea><wicri:noRegion>Canary Islands</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Archives of Physical Medicine and Rehabilitation</title><title level="j" type="abbrev">YAPMR</title><idno type="ISSN">0003-9993</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1995">1995</date><biblScope unit="volume">77</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="29">29</biblScope><biblScope unit="page" to="34">34</biblScope></imprint><idno type="ISSN">0003-9993</idno></series><idno type="istex">C7928462E5350321AF0BC18EF25C0CA62DE6E90C</idno><idno type="DOI">10.1016/S0003-9993(96)90216-6</idno><idno type="PII">S0003-9993(96)90216-6</idno><idno type="ArticleID">96902166</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-9993</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective:: The purpose of this study was to determine in Parkinson disease the impact of pulmonary dysfunction on daily living activities (DLA).Patients:: Extrapyramidal motor impairment, pulmonary dysfunction, and DLA disabilities were studied in 58 Parkinson patients consecutively enrolled in a rehabilitation service at a universal hospital.Main Outcome Measures: Extrapyramidal motor impairments were assessed by the United Parkinson's Disease Rating Scale (IPDRS) and the DLA disabilities by the ipdrs, Hoehn-Yahr, and Schwab-England scales. The pulmonary dysfunctions were assessed by spirometry with flow-volume loops, body plethysmography with lung volumes computation, and maximal inspiratory and expiratory slatic mouth pressures.Results: Parkinson patients showed important modifications of pulmonary function with a decrease in forced vital capacity, forced expiratory volume in the first minute, and arterial Po2, and an increase in residual volume and total airway resistance (RAW). In addition, they showed a high incidence of airway ventilatory obstructions and restrictive dysfunction. The impact of lung disease on daily living activities in Parkinson disease patients was higher in subjects with restrictive pulmonary dysfunctions (Schwab-England test and turning in bed and adjusting bedclothes, walking, falling, and freezing when walking items of UPDRS) and airway obstructions (handling utensils, dressing and hygiene items of UPDRS).Concusions: Airway obstructions or restrictive pulmonary dysfunctions present a high prevalence in Parkinson disease, contributing as a main factor for DLA dysfunctions. The evauation and rehabilitation of respiratory disturbances should be systematically included in the management of these patients.</div></front></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Sabate, Magdalena" sort="Sabate, Magdalena" uniqKey="Sabate M" first="Magdalena" last="Sabaté">Magdalena Sabaté</name></noRegion><name sortKey="Enriques, Enrique" sort="Enriques, Enrique" uniqKey="Enriques E" first="Enrique" last="Enríques">Enrique Enríques</name><name sortKey="Gonzelez, Isidro" sort="Gonzelez, Isidro" uniqKey="Gonzelez I" first="Isidro" last="Gonzélez">Isidro Gonzélez</name><name sortKey="Mendez, Eduardo" sort="Mendez, Eduardo" uniqKey="Mendez E" first="Eduardo" last="Méndez">Eduardo Méndez</name><name sortKey="Rodriguez, Manuel" sort="Rodriguez, Manuel" uniqKey="Rodriguez M" first="Manuel" last="Rodriguez">Manuel Rodriguez</name><name sortKey="Rodriguez, Manuel" sort="Rodriguez, Manuel" uniqKey="Rodriguez M" first="Manuel" last="Rodriguez">Manuel Rodriguez</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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