The Relations Between Non-motor Symptoms and Motor Symptoms in Parkinson Disease

Criciotoiu, Oana; Stanca, Diana; Glăvan, Daniela; Bondari, Simona; Mălin, Ramona Denise; Ciolofan, Mircea Sorin; Bunescu, Marius Gabriel; Romanescu, Florin Marius; Schenker, Michael; Georgescu, Ovidiu Stefan; Dragomir, Manuela; Gheorman, Victor; Gheorman, Veronica; Gheonea, Dan Ionuţ

doi:10.37358/rc.19.7.7398

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…With this study, we are attempting to address the following problems. Analysis of the effect of early rehabilitation program and how we to quantify the results is needed, because the evolution of the spasticity [ 13 ] is uncertain. The second problem is the impact of the adaptive mechanisms that are developed for motor compensatory strategy.…”

Section: Introductionmentioning

confidence: 99%

Plantar Pressure and Contact Area Measurement of Foot Abnormalities in Stroke Rehabilitation

et al. 2021

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Background: Evaluation of plantar pressure in stroke patients is a parameter that could be used for monitoring and comparing how the timing of starting a rehabilitation program effects patient improvement. Methods: We performed the following clinical and functional evaluations: initial moment (T1), intermediate (T2), and final evaluation at one year (T3). At T1 we studied 100 stroke patients in two groups, A and B (each 50 patients). The first group, A, started rehabilitation in the first three months after having a stroke, and group B started after three months from the time of stroke. Due to the impediments observed during rehabilitation, we made biomechanic evaluation for two lots, I and II (each 25 patients). Assessment of the patient was carried out by clinical (neurologic examination), functional (using the Tinetti Functional Gait Assessment Test for classifying the gait), and biomechanical evaluation (maximal plantar pressure (Pmax), contact area (CA), and pressure distribution (COP)). Results: The Tinetti scale for gait had the following scores: for group A, from 1.34 at the initial moment (T1) to 10.64 at final evaluation (T3), and for group B, 3.08 at initial moment (T1) to 9 at final evaluation (T3). Distribution of COP in the left hemiparesis was uneven at T1 but evolved after rehabilitation. The right hemiparesis had uniform COP distribution even at T1, explained by motor dominance on the right side. CA and Pmax for lot I increased more than 100%, meaning that there is a possibility for favorable improvement if the patients start the rehabilitation program in the first three months after stroke. For lot II, increases of the parameters were less than lot I. Discussions: The recovery potential is higher for patients with right hemiparesis. Biomechanic evaluation showed diversity regarding compensatory mechanisms for the paretic and nonparetic lower limb. Conclusions: CA and Pmax are relevant assessments for evaluating the effects on timing of starting a rehabilitation program after a stroke.

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Section: Introductionmentioning

confidence: 99%

Plantar Pressure and Contact Area Measurement of Foot Abnormalities in Stroke Rehabilitation

et al. 2021

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Effects of Different Tonic, Isometric and Isometric/Vibratory Strength Training Programs on Motor Symptomatology in People with Parkinson’s Disease: Study Protocol for a Randomized Trial

Andrades-Ramírez,

Ulloa-Díaz,

Guede-Rojas

et al. 2024

Applied Sciences

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Background: The Chilean population has experienced increased longevity in recent decades, leading to an increased incidence of and mortality from neurodegenerative diseases such as Parkinson’s disease (PD). PD is a chronic degenerative condition that affects the central nervous system. The main objective of this research is to evaluate the effect of 12-week programs of tonic, isometric, and isometric/vibratory muscular strength training while controlling the manipulation of the intensity variable on motor and non-motor symptomatology in PD patients. The secondary objective is to assess the levels of muscular strength in PD patients and their relationship with motor and non-motor symptomatology. Methods: A parallel-group, randomized trial will randomly assign (n = 34) people of both sexes with Parkinson’s disease between stages I–III Hoehn and Yahr (H&Y), aged between 50 and 70 years to one of the experimental groups, in which they will undergo a total of 24 strength training sessions during 12 weeks. During the intervention period, the participants will be advised not to undertake additional exercise programs, to avoid substances that may disrupt metabolism and circadian cycles, and to maintain their medication regimen. The primary or motor evaluation of rest tremor will be performed with an accelerometer (Actigraphy), balance with the Mini-BESTest balance test, gait speed with the Ten Meters Walk Test, and non-motor symptomatology through anxiety, depression (MDS-UPDRS), and quality of life (PDQ-39) questionnaires. The Secondary evaluation of muscle strength will be performed with a functional electromechanical dynamometer. Discussion: Established as a hypothesis is that manipulating intensity variables in 12-week tonic, isometric, and isometric/vibratory muscle strength training programs has an effect on motor and non-motor symptomatology in people with Parkinson’s disease. The research will establish the extent to which controlled muscular strength training has an effect on relevant factors related to motor and non-motor symptomatology.

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Parkinson’s Disease in Romania: A Scoping Review

et al. 2021

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Parkinson’s disease (PD) is a significant cause of disability, with a fast-growing prevalence. This review summarizes the epidemiological and clinical data, research on the diagnostic approaches and the interventions available in the Eastern European country of Romania. This scoping review follows the recommendations on the scoping review methodology by Joanna Briggs Institute. We searched four databases (up to 27 January 2021). The data of eligible studies were extracted in standardized forms. We identified 149 unique studies from 1133 records, with 11 epidemiological studies, 52 studies investigating clinical aspects of PD, 35 studies on diagnostic tools, and 51 intervention studies. A narrative synthesis is provided and placed in a historical context. Our review revealed a considerable increase in the Romanian research on PD in the latest 15 years, which largely follows international trends. However, we also identified several research gaps that provide useful information for policymakers, public health specialists, and clinicians.

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The Relations Between Non-motor Symptoms and Motor Symptoms in Parkinson Disease

Cited by 3 publications

References 13 publications

Plantar Pressure and Contact Area Measurement of Foot Abnormalities in Stroke Rehabilitation

Plantar Pressure and Contact Area Measurement of Foot Abnormalities in Stroke Rehabilitation

Effects of Different Tonic, Isometric and Isometric/Vibratory Strength Training Programs on Motor Symptomatology in People with Parkinson’s Disease: Study Protocol for a Randomized Trial

Parkinson’s Disease in Romania: A Scoping Review

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