Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease
- Autores
- Pérez Lloret, Santiago; Rossi, Malco Damián; Cardinali, Daniel Pedro; Merello, Marcelo Jorge
- Año de publicación
- 2010
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Background: There is growing interest in developing inexpensive and objective motor fluctuation evaluation methods for Parkinson's disease (PD). Objectives: We aim to compare activity level in the off state, on state, and dyskinetic periods as evaluated either by a physician during a levodopa challenge or by a 72-hr onoff diary self-evaluation in the ambulatory setting. Finally, the effect of daily activities on motor activity in PD and healthy controls was further explored. Methods: The study was conducted in three consecutive phases. For phase I, in which the on state, off state, and dyskinesia were evaluated using actigraphy, recordings were made during standard acute levodopa challenge in nine dyskinetic PD patients. For phase II, a different set of 16 dyskinetic PD patients was monitored in the ambulatory setting for 72 consecutive hours by actigraphy and a standardized onoff diary. For phase III, 62 PD patients and 14 age- and sex-matched healthy controls wore an actigraph and completed a daily activities diary for 7 days. Results: No differences in activity level between on state and off state during the acute levodopa challenge (phase I) or the 72-hr ambulatory period (phase II) were found. Activity during dyskinesia periods was significantly higher than during on state periods without dyskinesia (p < .01). During the third phase, dyskinetic PD patients and healthy controls showed higher actigraphy-measured activity as compared to de novo, stable, or fluctuating PD (p < .0001), which remained unaltered by daily activities performed during the study period. Tremor UPDRS scores did not correlate with activity level. Conclusions: These results confirm the lack of specificity of simple wrist-worn actigraphy and further suggest it may be suitable for dyskinesia assessment but not for on state and off state evaluation. Copyright © 2010 Informa Healthcare USA, Inc.
Fil: Pérez Lloret, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Rossi, Malco Damián. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Cardinali, Daniel Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Merello, Marcelo Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina - Materia
-
Actigraphy
Dyskinesia
Motor Fluctuations
Parkinson'S Disease - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/53664
Ver los metadatos del registro completo
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Actigraphic evaluation of motor fluctuations in patients with Parkinson's diseasePérez Lloret, SantiagoRossi, Malco DamiánCardinali, Daniel PedroMerello, Marcelo JorgeActigraphyDyskinesiaMotor FluctuationsParkinson'S Diseasehttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background: There is growing interest in developing inexpensive and objective motor fluctuation evaluation methods for Parkinson's disease (PD). Objectives: We aim to compare activity level in the off state, on state, and dyskinetic periods as evaluated either by a physician during a levodopa challenge or by a 72-hr onoff diary self-evaluation in the ambulatory setting. Finally, the effect of daily activities on motor activity in PD and healthy controls was further explored. Methods: The study was conducted in three consecutive phases. For phase I, in which the on state, off state, and dyskinesia were evaluated using actigraphy, recordings were made during standard acute levodopa challenge in nine dyskinetic PD patients. For phase II, a different set of 16 dyskinetic PD patients was monitored in the ambulatory setting for 72 consecutive hours by actigraphy and a standardized onoff diary. For phase III, 62 PD patients and 14 age- and sex-matched healthy controls wore an actigraph and completed a daily activities diary for 7 days. Results: No differences in activity level between on state and off state during the acute levodopa challenge (phase I) or the 72-hr ambulatory period (phase II) were found. Activity during dyskinesia periods was significantly higher than during on state periods without dyskinesia (p < .01). During the third phase, dyskinetic PD patients and healthy controls showed higher actigraphy-measured activity as compared to de novo, stable, or fluctuating PD (p < .0001), which remained unaltered by daily activities performed during the study period. Tremor UPDRS scores did not correlate with activity level. Conclusions: These results confirm the lack of specificity of simple wrist-worn actigraphy and further suggest it may be suitable for dyskinesia assessment but not for on state and off state evaluation. Copyright © 2010 Informa Healthcare USA, Inc.Fil: Pérez Lloret, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina. Universidad de Buenos Aires. Facultad de Medicina; ArgentinaFil: Rossi, Malco Damián. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina. Universidad de Buenos Aires. Facultad de Medicina; ArgentinaFil: Cardinali, Daniel Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina; ArgentinaFil: Merello, Marcelo Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; ArgentinaTaylor & Francis Ltd2010-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/53664Pérez Lloret, Santiago; Rossi, Malco Damián; Cardinali, Daniel Pedro; Merello, Marcelo Jorge; Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease; Taylor & Francis Ltd; The International Journal Of Neuroscience.; 120; 2; 2-2010; 137-1430020-7454CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.3109/00207450903139663info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/abs/10.3109/00207450903139663?journalCode=ines20info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:34:03Zoai:ri.conicet.gov.ar:11336/53664instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:34:03.431CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
title |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
spellingShingle |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease Pérez Lloret, Santiago Actigraphy Dyskinesia Motor Fluctuations Parkinson'S Disease |
title_short |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
title_full |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
title_fullStr |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
title_full_unstemmed |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
title_sort |
Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease |
dc.creator.none.fl_str_mv |
Pérez Lloret, Santiago Rossi, Malco Damián Cardinali, Daniel Pedro Merello, Marcelo Jorge |
author |
Pérez Lloret, Santiago |
author_facet |
Pérez Lloret, Santiago Rossi, Malco Damián Cardinali, Daniel Pedro Merello, Marcelo Jorge |
author_role |
author |
author2 |
Rossi, Malco Damián Cardinali, Daniel Pedro Merello, Marcelo Jorge |
author2_role |
author author author |
dc.subject.none.fl_str_mv |
Actigraphy Dyskinesia Motor Fluctuations Parkinson'S Disease |
topic |
Actigraphy Dyskinesia Motor Fluctuations Parkinson'S Disease |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Background: There is growing interest in developing inexpensive and objective motor fluctuation evaluation methods for Parkinson's disease (PD). Objectives: We aim to compare activity level in the off state, on state, and dyskinetic periods as evaluated either by a physician during a levodopa challenge or by a 72-hr onoff diary self-evaluation in the ambulatory setting. Finally, the effect of daily activities on motor activity in PD and healthy controls was further explored. Methods: The study was conducted in three consecutive phases. For phase I, in which the on state, off state, and dyskinesia were evaluated using actigraphy, recordings were made during standard acute levodopa challenge in nine dyskinetic PD patients. For phase II, a different set of 16 dyskinetic PD patients was monitored in the ambulatory setting for 72 consecutive hours by actigraphy and a standardized onoff diary. For phase III, 62 PD patients and 14 age- and sex-matched healthy controls wore an actigraph and completed a daily activities diary for 7 days. Results: No differences in activity level between on state and off state during the acute levodopa challenge (phase I) or the 72-hr ambulatory period (phase II) were found. Activity during dyskinesia periods was significantly higher than during on state periods without dyskinesia (p < .01). During the third phase, dyskinetic PD patients and healthy controls showed higher actigraphy-measured activity as compared to de novo, stable, or fluctuating PD (p < .0001), which remained unaltered by daily activities performed during the study period. Tremor UPDRS scores did not correlate with activity level. Conclusions: These results confirm the lack of specificity of simple wrist-worn actigraphy and further suggest it may be suitable for dyskinesia assessment but not for on state and off state evaluation. Copyright © 2010 Informa Healthcare USA, Inc. Fil: Pérez Lloret, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina Fil: Rossi, Malco Damián. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina Fil: Cardinali, Daniel Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina Fil: Merello, Marcelo Jorge. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina |
description |
Background: There is growing interest in developing inexpensive and objective motor fluctuation evaluation methods for Parkinson's disease (PD). Objectives: We aim to compare activity level in the off state, on state, and dyskinetic periods as evaluated either by a physician during a levodopa challenge or by a 72-hr onoff diary self-evaluation in the ambulatory setting. Finally, the effect of daily activities on motor activity in PD and healthy controls was further explored. Methods: The study was conducted in three consecutive phases. For phase I, in which the on state, off state, and dyskinesia were evaluated using actigraphy, recordings were made during standard acute levodopa challenge in nine dyskinetic PD patients. For phase II, a different set of 16 dyskinetic PD patients was monitored in the ambulatory setting for 72 consecutive hours by actigraphy and a standardized onoff diary. For phase III, 62 PD patients and 14 age- and sex-matched healthy controls wore an actigraph and completed a daily activities diary for 7 days. Results: No differences in activity level between on state and off state during the acute levodopa challenge (phase I) or the 72-hr ambulatory period (phase II) were found. Activity during dyskinesia periods was significantly higher than during on state periods without dyskinesia (p < .01). During the third phase, dyskinetic PD patients and healthy controls showed higher actigraphy-measured activity as compared to de novo, stable, or fluctuating PD (p < .0001), which remained unaltered by daily activities performed during the study period. Tremor UPDRS scores did not correlate with activity level. Conclusions: These results confirm the lack of specificity of simple wrist-worn actigraphy and further suggest it may be suitable for dyskinesia assessment but not for on state and off state evaluation. Copyright © 2010 Informa Healthcare USA, Inc. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-02 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/53664 Pérez Lloret, Santiago; Rossi, Malco Damián; Cardinali, Daniel Pedro; Merello, Marcelo Jorge; Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease; Taylor & Francis Ltd; The International Journal Of Neuroscience.; 120; 2; 2-2010; 137-143 0020-7454 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/53664 |
identifier_str_mv |
Pérez Lloret, Santiago; Rossi, Malco Damián; Cardinali, Daniel Pedro; Merello, Marcelo Jorge; Actigraphic evaluation of motor fluctuations in patients with Parkinson's disease; Taylor & Francis Ltd; The International Journal Of Neuroscience.; 120; 2; 2-2010; 137-143 0020-7454 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/doi/10.3109/00207450903139663 info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/abs/10.3109/00207450903139663?journalCode=ines20 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Taylor & Francis Ltd |
publisher.none.fl_str_mv |
Taylor & Francis Ltd |
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reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
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dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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