Painful abdominal contractions in patients with Parkinson disease

Kataoka, Hiroshi; Tonomura, Yasuyo; Eura, Nobuyuki; Terashima, Mari; Kawahara, Makoto; Ueno, S.

doi:10.1016/j.jocn.2011.06.026

Cited by 10 publications

(5 citation statements)

References 7 publications

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“…Dystonia can cause an abnormal posture in any body part, which is similar to camptocormia in terms of abnormal spinal flexion that might be the effect of strong abdominal muscle contraction. 80 There are several manoeuvres to alleviate camptocormic symptoms that might be similar to ‘sensory tricks’ that present in dystonia such as standing against a wall or wearing a low-slung backpack. In axial dystonia such as cervical dystonia (CD), previous studies have shown that patients with CD have an internal postural perceptive distortion.…”

Section: Pathogenesis Of Camptocormia In Pdmentioning

confidence: 99%

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Srivanitchapoom

Hallett

2015

J Neurol Neurosurg Psychiatry

132

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Camptocormia is an axial postural deformity characterised by abnormal thoracolumbar spinal flexion. The symptom usually presents while standing, walking or exercising and is alleviated while sitting, lying in a recumbent position, standing against a wall or using walking support. There is no consensus on the degree of thoracolumbar flexion to define camptocormia. However, most authors usually use an arbitrary number of at least 45° flexion of the thoracolumbar spine when the individual is standing or walking. Aetiologies of camptocormia are heterogeneous, and Parkinson’s disease (PD) is one of its many causes. The prevalence of camptocormia in PD ranges from 3% to 18%. Central and peripheral mechanisms might both contribute to its pathogenesis. Although there is no established consensus for treatment of camptocormia in PD, there are non-pharmacological, pharmacological and surgical approaches that can be used.

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Section: Pathogenesis Of Camptocormia In Pdmentioning

confidence: 99%

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Srivanitchapoom

Hallett

2015

J Neurol Neurosurg Psychiatry

132

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“…The abdominal muscle contractions probably contribute to the development of a stooped posture. [37] Long-term levodopa use is associated with the “end-of-dose wearing off” (EODWO) phenomenon, wherein Parkinsonian symptoms return before a patient's next scheduled dose of levodopa. Abdominal pain may be an important wearing off symptom as an early indicator of the development of EODWO in PD patients.…”

Section: Parkinson's Diseasementioning

confidence: 99%

Gastrointestinal dysfunction in idiopathic Parkinsonism: A narrative review

2016

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Currently, gastrointestinal (GI) dysfunctions in Parkinson's disease (PD) are well-recognized problems and are known to be the initial symptoms in the pathological process that eventually results in PD. Many types of PD-associated GI dysfunctions have been identified, including weight loss, nausea, hypersalivation, dysphagia, dyspepsia, abdominal pain, intestinal pseudo-obstruction, constipation, defecatory dysfunction, and small intestinal bacterial overgrowth. These symptoms can influence on other PD symptoms and are the second most significant predictor of the quality of life of these patients. Recognition of GI symptoms requires vigilance on the part of clinicians. Health-care providers should routinely ask direct questions about GI symptoms during office visits so that efforts can be directed at appropriate management of these distressing manifestations. Multiple system atrophy (MSA) and progressive supranuclear palsy are two forms of neurodegenerative Parkinsonism. Symptoms of autonomic dysfunctions such as GI dysfunction are common in patients with parkinsonian disorders. Despite recent progress in the recognition of GI dysfunctions, there are a few reviews on the management of GI dysfunction and GI symptoms in idiopathic Parkinsonism. In this review, the clinical presentation, pathophysiology, and treatment of each GI symptom in PD, MSA, and prostate-specific antigen will be discussed.

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“…49,50 Further support for the dystonic mechanism is offered by our study documenting that hypertrophy of the rectus abdominis on CT was evident in patients with PD who had palpable abdominal muscle contractions probably contributing to the development of a stooped posture. 51 Several clinical aspects (negative EMG results, negative sensory trick testing, and lack of positive effects of the botulinum toxin treatment) argue against this assumption. Camptocormia can be a rare pharmacologic side effect of dopaminergic agonists, antipsychotics, antiepileptics, and cholinesterase inhibitors/ anticholinergics.…”

Section: Overlaps With Camptocormiamentioning

confidence: 99%

Recent advancements in lateral trunk flexion in Parkinson disease

Kataoka

Sugie

2019

Neur Clin Pract

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Purpose of reviewUnderstanding the pathophysiologic underpinnings of lateral trunk flexion (LTF) in Parkinson disease (PD) has been growing. Adjusting antiparkinsonian medications, botulinum toxin, or surgical intervention has been found efficacious in some patients. Nevertheless, these treatments remain limited, often resulting in inadequate outcomes. We review patients with LTF with PD, including recent advancements in treatment and neuroimaging examination.Recent findingsThe basal ganglia system is a major contributing factor to LTF, and the therapeutic intervention also targets the basal ganglia system, including dystonic contraction. The perceptions of the postural verticality or spatial cognition of the correct body orientation promote the severity of LTF or result in a chronic condition with irreversible structural deformities.ConclusionThe combination of pharmacologic interventions with nonpharmacologic interventions, such as rehabilitation, might be needed to manage LTF, and the initiation of these treatments should be started as early as possible.

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Painful abdominal contractions in patients with Parkinson disease

Cited by 10 publications

References 7 publications

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Gastrointestinal dysfunction in idiopathic Parkinsonism: A narrative review

Recent advancements in lateral trunk flexion in Parkinson disease

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