Characterization of patients with Parkinson's disease

Authors

Keywords:

Parkinson disease, neurologic manifestations, upper extremity, musculoskeletal system

Abstract

Introduction: Parkinson's disease (PD) is a complex degenerative process of the central nervous system of insidious progressive start and slow development, that the extrapyramidal is consequence of an idiopathic lesion in the system.
Objective: to characterize patients diagnosed with Parkinson's disease at Cifuentes municipality from October 2013 to October 2019.
Methods: a descriptive, cross-sectional, observational study was carried out in the health areas of Cifuentes from October 2013 to October 2019. The study population consisted of 34 patients, the population coincides with the study sample.
Results: the age group from 61 to 70 was the most affected, and the masculine sex. Rest tremor was the main clinical manifestation, being present at the 91,17 % of the patients. A relationship was found between the outcomes PD severity, tremor, dexterity, fatigue and pain with the functionality variables.
Conclusions: patients between 61 and 70 years of age and male have a higher risk of developing Parkinson's disease, ages over 60 is one of the most important predisposing factor. These refer to resting tremor as the main clinical manifestation, being diagnosed in mild stage mainly. The initial drug therapy with levodopa and carbidopa constitutes the first line of treatment. The presence of alterations musculoskeletal in a group of people with diagnosis of EP it has influence negatively in the levels of functional independence.

Downloads

Download data is not yet available.

Author Biographies

Lázaro Aurelio Vázquez Gómez, Hospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro”

Especialista en I Grado en Neurología. Profesor Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Liovesky Madrigal Mora, Hospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro”

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Inmunología.

Ana María Mederos Herrera, Hospital Provincial Pediátrico Universitario “José Luis Miranda”

Especialista en I Grado en Neonatología

Yanet Valdés Morales, Hospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro”

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Radiología.

References

1. Simón Pérez E, Aguilera Pacheco OR, Núñez Lahera I, Colina Avila E. Síntomas no motores en pacientes con enfermedad de Parkinson. MEDISAN [Internet]. 2017 [citado 15/05/2019];21(6):681-687. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017000600006

2. Pérez de la Torre RA, Calderón Vallejo A, Morales Briceño H, Gallardo Ceja D, Carrera Pineda R, Guinto Balazar G, et al. Estimulación cerebral profunda. Resultados preliminares. Rev Med Inst Mex Seguro Soc [Internet]. 2016 [citado 15/05/2019];54(2):124-131. Disponible en: http://revistamedica.imss.gob.mx/editorial/index.php/revista_medica/article/view/551

3. Díaz Hung ML. Ética en las neurociencias. La investigación con células madre en la enfermedad de Parkinson. Panorama. Cuba Salud [Internet]. 2019 [citado 19/09/2019];14(1):68-76. Disponible en: http://www.revpanorama.sld.cu/index.php/panorama/article/view/858

4. Carrillo García F. Protocolo diagnóstico de la enfermedad de Parkinson y otros parkinsonismos. Med. Program Form Méd Continua Acreditada [Internet]. 2019 [citado 19/09/2019];12(73):4313-15. Disponible en: https://www.sciencedirect.com/science/article/pii/S0304541219300472. https://doi.org/10.1016/j.med.2019.03.006

5. Navarta-Sánchez MV, Caparrós N, Ursúa Sesma ME, Díaz de Cerio Ayesa S, Riverol M, Portillo MC. Estrategias psicosociales para fortalecer el afrontamiento de la enfermedad de Parkinson: perspectiva de pacientes, familiares y profesionales sociosanitarios. Aten Prim [Internet]. 2017 [citado 15/05/2019];49(4):214-223. Disponible en: https://www.sciencedirect.com/science/article/pii/S0212656716302086

6. Cabrera Escobar D, González Valdés L. Atención estomatológica integral a los pacientes con enfermedad de Parkinson. Medicentro Electrónica [Internet]. 2018 Abr-Jun [citado 19/09/2019];22(2):152-154. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432018000200007

7. Mesa Valiente R, Pérez Pérez Y, Turro Mesa LN, Turro Caró E. Conducta terapéutica en ancianos con enfermedad de Parkinson. MEDISAN [Internet]. 2018 Jul-Ago [citado 19/09/2019];22(7):614-629. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192018000700614

8. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadística de Salud. Anuario Estadístico de Salud 2018. [Internet]. La Habana: MINSAP; 2019 [citado 22/03/2019]. Disponible en: http://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2018-ed-2019.pdf

9. Martinez Martin P, Rodriguez Blazquez C, Alvarez Sanchez M, Arakaki T, Bergareche Yarza A, Chade A, et al. Expanded and independent validation of the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). J Neurol [Internet]. 2013 [citado 22/03/2019];260(1):228-36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22865238/. https://doi.org/10.1007/s00415-012-6624-1.

10. Fahn S, Tolosa E, Concepcion M. Clinical Rating Scale for Tremor. In: Jankovic J, Tolosa E, editors. Parkinson’s disease and movement disorders. 2nd ed. Baltimore: Williams and Wilkins; 1993. p 271-80.

11. Chen CC, Granger CV, Peimer CA, Moy OJ, Wald S. Manual Ability Measure (MAM-16): a preliminary report on a new patient-centred and task-oriented outcome measure of hand function. J Hand Surg Br [Internet]. 2005 [citado 15/05/2019];30(2):207-16. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15757777/. https://doi.org/10.1016/j.jhsb.2004.12.005

12. De Vries NM, Staal JB, Olde Rikkert MG, Nijhuis-van der Sanden MW. Evaluative frailty index for physical activity (EFIP): a reliable and valid instrument to measure changes in level of frailty. Phys Ther [Internet]. 2013 [citado 15/05/2019];93(4):551-61. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23224216/. https://doi.org/10.2522/ptj.20120127

13. Rodríguez Violante M, Cervantes Arriaga A, Morales Briceño H, Neri Nani G, Estrada Bellmann I, Millán Cepeda MR, et al. Estudio multicéntrico de evaluación de la sintomatología no motora a través de la Escala unificada de la enfermedad de Parkinson de la Sociedad de Trastornos del Movimiento (MDS-UPDRS). Rev Neirocien (Mex) [Internet]. 2014 [citado 15/05/2019];15(4):201-208. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=51746

14. Hill BD, Barkemeyer CA, Jones GN, Santa Maria MP, Browndyke JN. Validation of the Coin Rotation Task: A Simple, Inexpensive, and Convenient Screening Tool for Impaired Psychomotor Processing Speed. Neurologist [Internet]. 2010 [citado 15/05/2019];16(4):249–53. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3696196/. https://dx.doi.org/10.1097/NRL.0b013e3181b1d5b0.

15. Herlofson K, Larsen JP. Measuring fatigue in patients with Parkinson's disease - the Fatigue Severity Scale. Eur J Neurol [Internet]. 2002 [citado 15/05/2019];9(6):595-600. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12453074/. https://doi.org/10.1046/j.1468-1331.2002.00444.x

16. Teodoro T, Edwards MJ, Isaacs JD. A unifying theory for cognitive abnormalities in functional neurological disorders, fibromyalgia and chronic fatigue syndrome: systematic review. J Neurol Neurosurg Psychiatry [Internet]. 2018 Dec [citado 15/05/2019];89(12):1308-19. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288708/. https://dx.doi.org/10.1136/jnnp-2017-317823

17. Simón Pérez E, Aguilera Pacheco OR, Núñez Lahera I, Colina Avila E. Síntomas no motores en pacientes con enfermedad de Parkinson. MEDISAN [Internet]. 2017 Jun [citado 15/05/2019];21(6):681-687. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S102930192017000600006&lng=es

18. Rodríguez Violante M, Villar Velarde A, Valencia Ramos C, Cervantes Arriaga A. Características epidemiológicas de pacientes con enfermedad de Parkinson de un hospital de referencia en México. Arch Neurocien (Mex) [Internet]. 2011 [citado 15/05/2019];16(2):64-68. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=32554

19. Diazgranados Sánchez JA, Chan Guevara L, Gómez Betancourt LF, Lozano Arango AF, Ramirez M. Descripción de la población de pacientes con enfermedad de Parkinson en un centro médico neurológico en la ciudad de Cali, Colombia. Acta Neurol Colomb [Internet]. 2011 [citado 15/05/2019];27(4):205-210. Disponible en: www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-87482011000400003

20. Cervantes Arriaga A, Rodríguez Violante M, López Ruiz M, Estrada Bellmann I, Zúñiga Ramírez C, Otero Cerdeira E, et al. Factores asociados con la selección de pramipexol de liberación prolongada versus liberación inmediata en pacientes con enfermedad de Parkinson. Rev Mex Neuroci [Internet]. 2013 [citado 15/05/2019];14(2):76-80. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=45385

21. Ariza-Serrano LM, Guerrero-Vega J, Ortíz P, Moreno-Lopez CL. Caracterización de pacientes con enfermedad de Parkinson en un centro de referencia de la ciudad de Bogotá, Colombia. Acta Neurol Colomb [Internet]. 2016 [citado 15/05/2019];32(3):203-208. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-87482016000300004

22. Silva de Lima AL, Evers LJW, Hahn T, de Vries NM, Daeschler M, Boroojerdi B, et al. Impact of motor fluctuations on real-life gait in Parkinson's patients. Gait Posture [Internet]. 2018 [citado 15/05/2019];62:388-94. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29627498/. https://doi.org/10.1016/j.gaitpost.2018.03.045

23. Garcin B. Motor functional neurological disorders: An update. Rev Neurol (Paris) [Internet]. 2018 [citado 15/05/2019];174(4):203-11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29609961/. https://doi.org/10.1016/j.neurol.2017.11.003

24. Ehlen F, Schindlbeck K, Nobis L, Maier A, Klostermann F. Relationships between activity and well-being in people with parkinson's disease. Brain Behav [Internet]. 2018 [citado 15/05/2019];8(5):e00976. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943736/. https://dx.doi.org/10.1002/brb3.976

25. Liu CJ, Marie D, Fredrick A, Bertram J, Utley K, Fess EE. Predicting hand function in older adults: evaluations of grip strength, arm curl strength, and manual dexterity. Aging Clin Exp Res [Internet]. 2017 [citado 15/05/2019];29(4):753-60. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27577988/. https://doi.org/10.1007/s40520-016-0628-0

26. Oki T, Pirker W, Geißler A, Haubenberger D, Hilbert M, Hoellinger I, et al. Finger dexterity deficits in Parkinson's disease and somatosensory cortical dysfunction. Parkinsonism Relat Disord [Internet]. 2015 [citado 15/05/2019];21(3):259-65. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25596880/. https://doi.org/10.1016/j.parkreldis.2014.12.025

27. Sung S, Vijiaratnam N, Wan Chi Chan D, Farrell M, Evans AH. Pain sensitivity in Parkinson's disease: Systematic review and meta-analysis. Parkinsonism Relat Disord [Internet]. 2018 [citado 15/05/2019];48:17-27. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29398491/. https://doi.org/10.1016/j.parkreldis.2017.12.031

28. Sung S, Vijiaratnam N, Wan Chi Chan D, Farrell M, Evans AH. Parkinson disease: A systemic review of pain sensitivities and its association with clinical pain and response to dopaminergic stimulation. J Neurol Sci [Internet]. 2018 [citado 15/05/2019];395:172-206. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30401469/. https://doi.org/10.1016/j.jns.2018.10.013

Published

2021-07-22

How to Cite

1.
Vázquez Gómez LA, Madrigal Mora L, Mederos Herrera AM, Valdés Morales Y. Characterization of patients with Parkinson’s disease. Acta Méd Centro [Internet]. 2021 Jul. 22 [cited 2025 Jul. 1];15(3):401-12. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1337

Issue

Section

Original Articles