Postural Abnormalities in Parkinson's Disease: An Epidemiological and Clinical Multicenter Study.

Parkinson's disease Pisa syndrome anterocollis camptocormia postural abnormalities

Journal

Movement disorders clinical practice
ISSN: 2330-1619
Titre abrégé: Mov Disord Clin Pract
Pays: United States
ID NLM: 101630279

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 25 03 2019
revised: 01 06 2019
accepted: 12 06 2019
entrez: 21 9 2019
pubmed: 21 9 2019
medline: 21 9 2019
Statut: epublish

Résumé

The overall frequency of postural abnormalities (PA) in Parkinson's disease (PD) is unknown. We evaluated the overall prevalence of PA and assessed the association with demographic and clinical variables. For this multicenter, cross-sectional study, consecutive PD outpatients attending 7 tertiary Italian centers were enrolled. Patients were evaluated and compared for the presence of isolated PA such as camptocormia, Pisa syndrome, and anterocollis and for combined forms (ie, camptocormia + Pisa syndrome) together with demographic and clinical variables. Of the total 811 PD patients enrolled, 174 (21.5%; 95% confidence interval [CI], 18.6%-24.3%) presented PA, 144 of which had isolated PA and 30 had combined PA. The prevalence of camptocormia was 11.2% (95% CI, 9%-13.3%), Pisa syndrome 8% (95% CI, 6.2%-9.9%), and anterocollis 6.5% (95% CI, 4.9%-8.3%). Patients with PA were more often male and older with longer disease duration, more advanced disease stage, more severe PD symptoms, a bradykinetic/rigid phenotype, and poorer quality of life. They were initially treated with l PA are frequent and disabling complications in PD, especially in the advanced disease stages.

Identifiants

pubmed: 31538092
doi: 10.1002/mdc3.12810
pii: MDC312810
pmc: PMC6749805
doi:

Types de publication

Journal Article

Langues

eng

Pagination

576-585

Déclaration de conflit d'intérêts

Financial support for the study was provided by the Brain Research Foundation Verona O.N.L.U.S. All authors report no disclosures and no conflict of interests.

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Auteurs

Michele Tinazzi (M)

Neurology Unit, Movement Disorders Division, Department of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona Italy.

Marialuisa Gandolfi (M)

Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona Italy.
Neurorehabilitation Unit Azienda Ospedaliera Universitaria Integrata Verona Italy.

Roberto Ceravolo (R)

Department of Clinical and Experimental Medicine University of Pisa Pisa Italy.

Marianna Capecci (M)

Department of Experimental and Clinical Medicine Neurorehabilitation Clinic, "Politecnica delle Marche" University Ancona Italy.

Elisa Andrenelli (E)

Department of Experimental and Clinical Medicine Neurorehabilitation Clinic, "Politecnica delle Marche" University Ancona Italy.

Maria Gabriella Ceravolo (MG)

Department of Experimental and Clinical Medicine Neurorehabilitation Clinic, "Politecnica delle Marche" University Ancona Italy.

Laura Bonanni (L)

Department of Neuroscience, Imaging and Clinical Sciences University G. d'Annunzio of Chieti-Pescara Chieti-Pescara Italy.

Marco Onofrj (M)

Department of Neuroscience, Imaging and Clinical Sciences University G. d'Annunzio of Chieti-Pescara Chieti-Pescara Italy.

Michela Vitale (M)

Department of Neuroscience, Imaging and Clinical Sciences University G. d'Annunzio of Chieti-Pescara Chieti-Pescara Italy.

Mauro Catalan (M)

Clinical Neurology Unit, Department of Medical, Surgical and Health Services University of Trieste Trieste Italy.

Paola Polverino (P)

Clinical Neurology Unit, Department of Medical, Surgical and Health Services University of Trieste Trieste Italy.

Claudio Bertolotti (C)

Clinical Neurology Unit, Department of Medical, Surgical and Health Services University of Trieste Trieste Italy.

Sonia Mazzucchi (S)

Department of Clinical and Experimental Medicine University of Pisa Pisa Italy.

Sara Giannoni (S)

Department of Clinical and Experimental Medicine University of Pisa Pisa Italy.

Nicola Smania (N)

Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona Italy.
Neurorehabilitation Unit Azienda Ospedaliera Universitaria Integrata Verona Italy.

Stefano Tamburin (S)

Neurology Unit, Movement Disorders Division, Department of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona Italy.

Laura Vacca (L)

University and Institute for Research and Medical Care, Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele Roma Italy.

Fabrizio Stocchi (F)

University and Institute for Research and Medical Care, Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele Roma Italy.

Fabiana G Radicati (FG)

University and Institute for Research and Medical Care, Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele Roma Italy.

Carlo Alberto Artusi (CA)

Department of Neuroscience "Rita Levi Montalcini," University of Torino Torino Italy.

Maurizio Zibetti (M)

Department of Neuroscience "Rita Levi Montalcini," University of Torino Torino Italy.

Leonardo Lopiano (L)

Department of Neuroscience "Rita Levi Montalcini," University of Torino Torino Italy.

Alfonso Fasano (A)

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital University Health Network, Division of Neurology, University of Toronto Toronto Ontario Canada.
Krembil Brain Institute Toronto Ontario Canada.

Christian Geroin (C)

Neurology Unit, Movement Disorders Division, Department of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona Italy.

Classifications MeSH