Pull test performance and correlation with falls risk in Parkinson?s disease

Detalhes bibliográficos
Autor(a) principal: Munhoz,Renato P.
Data de Publicação: 2014
Outros Autores: Teive,Helio A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800587
Resumo: Postural instability (PI) and falls are major sources of disability in Parkinson’s disease (PD). Our objectives were to evaluate the correlation between the pull-test (PT) scores and falls. Patients underwent a standardized data collection including demographic, clinical data, and the UPDRS scores for falls and the PT. Cases with scores >1 for falls were considered frequent fallers. 264 patients were included with mean age 67.6±10 years, mean age of onset 59.1±10.7 years. Comparison between PT scores versus the proportion of frequent fallers and the mean score of the UPDRS for falls showed that for each increase in the PT score, both parameters were significantly worse, with positive linear relationship. For any abnormal PT score, sensibility and negative predictive value were excellent; specificity and positive predictive value improved with worse PT scores. In conclusion, the PT provides important and reliable information regarding PI and the risk of falls in PD.
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spelling Pull test performance and correlation with falls risk in Parkinson?s diseaseParkinson?s diseasepull testpostural instabilityfallsPostural instability (PI) and falls are major sources of disability in Parkinson’s disease (PD). Our objectives were to evaluate the correlation between the pull-test (PT) scores and falls. Patients underwent a standardized data collection including demographic, clinical data, and the UPDRS scores for falls and the PT. Cases with scores >1 for falls were considered frequent fallers. 264 patients were included with mean age 67.6±10 years, mean age of onset 59.1±10.7 years. Comparison between PT scores versus the proportion of frequent fallers and the mean score of the UPDRS for falls showed that for each increase in the PT score, both parameters were significantly worse, with positive linear relationship. For any abnormal PT score, sensibility and negative predictive value were excellent; specificity and positive predictive value improved with worse PT scores. In conclusion, the PT provides important and reliable information regarding PI and the risk of falls in PD.Academia Brasileira de Neurologia - ABNEURO2014-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800587Arquivos de Neuro-Psiquiatria v.72 n.8 2014reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20140082info:eu-repo/semantics/openAccessMunhoz,Renato P.Teive,Helio A.eng2014-08-01T00:00:00Zoai:scielo:S0004-282X2014000800587Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2014-08-01T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Pull test performance and correlation with falls risk in Parkinson?s disease
title Pull test performance and correlation with falls risk in Parkinson?s disease
spellingShingle Pull test performance and correlation with falls risk in Parkinson?s disease
Munhoz,Renato P.
Parkinson?s disease
pull test
postural instability
falls
title_short Pull test performance and correlation with falls risk in Parkinson?s disease
title_full Pull test performance and correlation with falls risk in Parkinson?s disease
title_fullStr Pull test performance and correlation with falls risk in Parkinson?s disease
title_full_unstemmed Pull test performance and correlation with falls risk in Parkinson?s disease
title_sort Pull test performance and correlation with falls risk in Parkinson?s disease
author Munhoz,Renato P.
author_facet Munhoz,Renato P.
Teive,Helio A.
author_role author
author2 Teive,Helio A.
author2_role author
dc.contributor.author.fl_str_mv Munhoz,Renato P.
Teive,Helio A.
dc.subject.por.fl_str_mv Parkinson?s disease
pull test
postural instability
falls
topic Parkinson?s disease
pull test
postural instability
falls
description Postural instability (PI) and falls are major sources of disability in Parkinson’s disease (PD). Our objectives were to evaluate the correlation between the pull-test (PT) scores and falls. Patients underwent a standardized data collection including demographic, clinical data, and the UPDRS scores for falls and the PT. Cases with scores >1 for falls were considered frequent fallers. 264 patients were included with mean age 67.6±10 years, mean age of onset 59.1±10.7 years. Comparison between PT scores versus the proportion of frequent fallers and the mean score of the UPDRS for falls showed that for each increase in the PT score, both parameters were significantly worse, with positive linear relationship. For any abnormal PT score, sensibility and negative predictive value were excellent; specificity and positive predictive value improved with worse PT scores. In conclusion, the PT provides important and reliable information regarding PI and the risk of falls in PD.
publishDate 2014
dc.date.none.fl_str_mv 2014-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800587
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0004-282X20140082
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.72 n.8 2014
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
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instname_str Academia Brasileira de Neurologia
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reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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