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Measuring participation in individuals with Parkinson disease : relationships with disease severity, quality of life, and mobility

DUNCAN RP; EARHART GM
DISABIL REHABIL , 2011, vol. 33, n° 15-16, p. 1440-1446
Doc n°: 154845
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2010.533245
Descripteurs : AF5 - PARKINSON, JF - QUALITE DE VIE

Our aims were to: (1) describe participation in people with Parkinson
disease (PD), (2) evaluate the relationship between quality of life and
participation and (3) determine the mobliity measures which are predictive of
participation. METHODS: Participants with idiopathic PD (n = 62) were tested off
medication for participation (Activity Card Sort), quality of life (PDQ-39),
disease severity (MDS-UPDRS) and mobility (Berg Balance Scale, Five Time Sit to
Stand (FTSTS), Six Minute Walk, forward walking velocity, dual-task walking
velocity and Freezing of Gait Questionnaire (FOGQ)). Relationships of all
variables to participation were examined using Pearson correlations. Subsequent
regression analysis was employed to determine the mobility measures which best
predicted the participation. RESULTS: Participants with PD retained, on average,
78.3% (SD = 15.6%) of total activities. Participation was negatively correlated
with all PDQ-39 domains (r range -0.36 to -0.78, all p < 0.005) with the mobility
domain having the strongest correlation. All mobility measures were significantly
correlated with participation, with the final regression model including only
FTSTS and FOGQ which combined explained 37% of the variance in participation.
CONCLUSIONS: Participation is highly related to mobility-related QOL and may be
most impacted by ability to stand up from a chair and freezing of gait in those
with PD.

Langue : ANGLAIS

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