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Parkinsonian Symptoms, Not Dyskinesia, Negatively Affect Active Life Participation of Dyskinetic Patients with Parkinson’s Disease Cover

Parkinsonian Symptoms, Not Dyskinesia, Negatively Affect Active Life Participation of Dyskinetic Patients with Parkinson’s Disease

Open Access
|Jul 2020

Figures & Tables

Table 1

Characteristics of participants.

CharacteristicsControls (n = 69; 30 females)Group 1 (n = 88; 41 females)
Age (yr): mean ± SD68.1 ± 7.767.5 ± 8.7
MMSE (/30)28.6 ± 1.527.3 ± 2.5
GDS-15 (/15)b1.7 ± 2.03.7 ± 2.8
SF-12-PCS53.1 ± 5.542.0 ± 9.3
SF-12-MCS49.9 ± 7.247.6 ± 8.5
Years since diagnosis10.4 ± 5.5
LEDD (mg)1048.9 ± 520.0a
MDS-UPDRS part III ONb
      Speech1.2 ± 1.0
      Facial expression (3.2)1.6 ± 1.0
      Arms rigidity (3.3)c0.7 ± 0.7
      Legs rigidity (3.3)c1.1 ± 0.8
      Arising from chair (3.9)0.4 ± 0.7
      Gait (3.10)1.1 ± 0.9
      Freezing of gait (3.11)0.3 ± 0.7
      Postural stability (3.12)1.2 ± 1.0
      Posture (3.13)0.8 ± 0.9
      Bradykinesia (3.14)1.0 ± 1.0
      Postural tremor (3.15)c0.4 ± 0.8
      Rest tremor (3.17)c0.2 ± 0.5
MDS-UPDRS part IVb
      Time spent with LID (4.1)1.6 ± 0.9
      Functional impact of LID (4.2)1.7 ± 1.0
Hoehn and Yahr score ONb2.3 ± 0.7

[i] a Missing data for 9 participants.

b Higher score indicates worse functioning.

c Score represent the mean of the left and right extremities.

MDS-UPDRS = Movement Disorder Society-Unified Parkinson’s Disease Rating Scale; SD = Standard deviation, LEDD = Levodopa Equivalent Daily Dose.

Table 2

Results of ANCOVA on activity engagement controlling for age.

Mean (SD) CMean (SD) PStatisticsC – P
IA14.62 (2.45)12.30 (3.32)F(1,154) = 28.19p < 0.001
LDLA18.90 (4.72)15.70 (4.24)F(1,154) = 20.91p < 0.001
HDLA6.09 (2.91)4.54 (2.53)F(1,154) = 16.26p < 0.001
SA11.72 (2.95)11.07 (3.03)F(1,154) = 1.95p = 0.164
ACS Total51.32 (10.43)43.61 (10.58)F(1,154) = 22.95p < 0.001

[i] Bold values indicate statistically significant (α = 0.05); C = Controls; P = Patients; IA = Instrumental activity; LDLA = Low-demand leisure activity; HDLA = High-demand leisure activity; SA = Social activity.

Table 3

Correlations between recorded symptomatology and activity engagement.

LIDBradykinesiaTremorRigidityPostural instabilityCognitionDepression
IA–0.1520.329–0.236–0.029–0.4510.250–0.323
LDLA–0.0600.013–0.1980.080–0.2610.396–0.330
HDLA–0.1310.041–0.2090.051–0.4890.263–0.279
SA–0.1630.209–0.2520.035–0.2010.296–0.389
ACS Total–0.1570.174–0.2820.050–0.3950.386–0.372

[i] Bold values indicate correlation values significantly different from zero after a Benjamini-Hochberg correction for p-values (α = 0.05); IA = Instrumental activity; LDLA = Low-demand leisure activity; HDLA = High-demand leisure activity; SA = Social activity.

Table 4

Affected activities of patients compared to controls.

Mean (SD) CMean (SD) PStatisticsC – P
IA1.36 (1.72)2.78 (2.66)F(1,154) = 18.58p < 0.001
LDLA1.76 (2.15)2.15 (2.57)F(1,154) = 0.54p = 0.464
HDLA1.42 (1.53)2.33 (2.35)F(1,154) = 7.62p = 0.006
SA1.25 (1.49)1.96 (2.02)F(1,154) = 5.51p = 0.020
ACS Total5.47 (5.71)9.22 (8.02)F(1,154) = 9.29p = 0.003

[i] Bold values indicate statistically significant differences (α = 0.05); C = Controls; P = Patients; IA = Instrumental activity; LDLA = Low-demand leisure activity; HDLA = High-demand leisure activity; SA = Social activity.

Table 5

Correlations between recorded symptomatology and affected activities.

LIDBradykinesiaTremorRigidityPostural instabilityCognitionDepression
IA0.188–0.1600.233–0.1000.396–0.2230.262
LDLA0.137–0.2370.257–0.1040.468–0.0670.327
HDLA0.216–0.1220.266–0.0740.272–0.1960.166
SA0.217–0.2150.349–0.0200.393–0.1350.352
ACS Total0.240–0.2070.333–0.0970.448–0.1930.353

[i] Bold values indicate correlation values significantly different from zero after a Benjamini-Hochberg correction for p-values (α = 0.05); IA = Instrumental activity; LDLA = Low-demand leisure activity; HDLA = High-demand leisure activity; SA = Social activity.

Table 6

Comparison of SF-12 scores between groups.

Mean (SD) CMean (SD) PStatisticsC – P
PCS53.09 (5.49)42.00 (9.26)W = 5022p < 0.001
MCS49.92 (7.22)47.60 (8.47)W = 3533p = 0.042

[i] Bold values indicate statistically significant differences (α = 0.05); C = Controls; P = Patients; PCS = physical component summary; MCS = mental component summary.

Table 7

Correlations between recorded symptomatology and health related QoL.

LIDBradykinesiaTremorRigidityPostural instabilityCognitionDepression
PCS–0.2040.136–0.2960.108–0.2950.299–0.294
MCS–0.1930.1240.0970.083–0.1310.161–0.653

[i] Bold values indicate correlation values significantly different from zero after a Benjamini-Hochberg correction for p-values (α = 0.05); PCS = physical component summary; MCS = mental component summary.

DOI: https://doi.org/10.5334/tohm.403 | Journal eISSN: 2160-8288
Language: English
Submitted on: May 20, 2020
Accepted on: May 25, 2020
Published on: Jul 8, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Etienne Goubault, Sarah Bogard, Pierre J. Blanchet, Erwan Bézard, Claude Vincent, Davide Martino, Justyna Sarna, Oury Monchi, Christian Duval, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.