Dementia and functional decline in patients with Parkinson’s disease
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| Format: | Artículo científico |
| Language: | es |
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Associação Neurologia Cognitiva e do Comportamento
2008
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| author | Florindo Stella |
| author_facet | Florindo Stella |
| contents | Dementia and functional decline in patients with Parkinson’s disease Florindo Stella Claudio Eduardo Muller Banzato Elizabeth Maria Aparecida Barasnevicius Quagliato Maura Aparecida Viana Gustavo Christofoletti Medicina dementia Parkinson’s disease functional decline Functional decline in Parkinson’s disease (PD), characterized by reduced ability to carry out activities of daily living, usually results from typical motor impairment and may be aggravated by concomitant cognitive impairment. Objective: To compare the functional decline in Parkinson’s disease between patients with dementia and cognitively preserved patients. Methods: From an original sample composed of 50 patients with a clinical di-agnosis of idiopathic PD seen in a consecutive series, 33 non-depressed patients were selected comprising 13 with dementia and 20 cognitively preserved individuals. All patients enrolled in this study were drawn from a public outpatient clinic, specialized in movement disorders. The clinical stage of PD was determined by the Hoehn & Yahr scale, and the functional capacity was verified using the Unified Parkinson’s Disease Rating Scale UPDRS ADL (subscale II: activities of daily living) and the Schwab & England scale. The two last scales measure the functional degree of independence in activities of daily living. The neuropsychological assessment was performed using The Cambridge Examination for Mental Disorders of the Elderly – CAMCOG, Cognitive Section and the Stroop Color Word Test. Results: As expected, in comparison with cognitively preserved patients, the group with dementia presented significantly lower scores throughout the neuropsychological evaluation. The patients with dementia were found to have a longer period of disease, a more advanced clinical staging according to the Hoehn & Yahr, and greater functional decline according both to the UPDRS ADL and Schwab & England, with statistically sig-nificant difference between the groups. Conclusion: Patients with dementia were at a more advanced clinical stage of Parkinson’s disease and evidenced greater functional decline in comparison with patients without dementia. 2008 artículo científico 1980-5764 https://www.redalyc.org/articulo.oa?id=339529002004 es http://www.redalyc.org/revista.oa?id=3395 Dementia & Neuropsychologia application/pdf Associação Neurologia Cognitiva e do Comportamento Dementia & Neuropsychologia (Brasil) Num.2 Vol.2 |
| format | Artículo científico |
| id | redalyc_339529002004 |
| institution | Redalyc |
| language | es |
| publishDate | 2008 |
| publisher | Associação Neurologia Cognitiva e do Comportamento |
| spellingShingle | Dementia and functional decline in patients with Parkinson’s disease Florindo Stella Medicina dementia Parkinson’s disease functional decline Dementia and functional decline in patients with Parkinson’s disease Florindo Stella Claudio Eduardo Muller Banzato Elizabeth Maria Aparecida Barasnevicius Quagliato Maura Aparecida Viana Gustavo Christofoletti Medicina dementia Parkinson’s disease functional decline Functional decline in Parkinson’s disease (PD), characterized by reduced ability to carry out activities of daily living, usually results from typical motor impairment and may be aggravated by concomitant cognitive impairment. Objective: To compare the functional decline in Parkinson’s disease between patients with dementia and cognitively preserved patients. Methods: From an original sample composed of 50 patients with a clinical di-agnosis of idiopathic PD seen in a consecutive series, 33 non-depressed patients were selected comprising 13 with dementia and 20 cognitively preserved individuals. All patients enrolled in this study were drawn from a public outpatient clinic, specialized in movement disorders. The clinical stage of PD was determined by the Hoehn & Yahr scale, and the functional capacity was verified using the Unified Parkinson’s Disease Rating Scale UPDRS ADL (subscale II: activities of daily living) and the Schwab & England scale. The two last scales measure the functional degree of independence in activities of daily living. The neuropsychological assessment was performed using The Cambridge Examination for Mental Disorders of the Elderly – CAMCOG, Cognitive Section and the Stroop Color Word Test. Results: As expected, in comparison with cognitively preserved patients, the group with dementia presented significantly lower scores throughout the neuropsychological evaluation. The patients with dementia were found to have a longer period of disease, a more advanced clinical staging according to the Hoehn & Yahr, and greater functional decline according both to the UPDRS ADL and Schwab & England, with statistically sig-nificant difference between the groups. Conclusion: Patients with dementia were at a more advanced clinical stage of Parkinson’s disease and evidenced greater functional decline in comparison with patients without dementia. 2008 artículo científico 1980-5764 https://www.redalyc.org/articulo.oa?id=339529002004 es http://www.redalyc.org/revista.oa?id=3395 Dementia & Neuropsychologia application/pdf Associação Neurologia Cognitiva e do Comportamento Dementia & Neuropsychologia (Brasil) Num.2 Vol.2 |
| title | Dementia and functional decline in patients with Parkinson’s disease |
| topic | Medicina dementia Parkinson’s disease functional decline |
| url | https://www.redalyc.org/articulo.oa?id=339529002004 |