TY - JOUR PY - 2021// TI - Impact of motor subtype on non-motor symptoms and fall-related features in patients with early Parkinson's disease JO - Geriatrics and gerontology international A1 - Kwon, Kyum-Yil A1 - Lee, Eun Ji A1 - Lee, Mina A1 - Ju, Hyunjin A1 - Im, Kayeong SP - ePub EP - ePub VL - ePub IS - ePub N2 - AIM: Clinical implications for motor phenotypes of Parkinson's disease (PD) remain to be further elucidated, particularly at the early stages of the disease. We aimed to compare the non-motor and fall-related features between tremor-dominant (TD) and postural instability-gait difficulty (PIGD) subtypes in patients with early PD.

METHODS: PD was categorized into TD, intermediate and PIGD types, according to the literature. Not only motor symptoms, but also non-motor symptoms for global cognition, depression, anxiety, fatigue and dysautonomia, were measured in detail. In addition, fall-related features, including a previous history of falls, fear of fall measurement and gait freezing were assessed.

RESULTS: In patients with early PD (disease duration no more than 5 years), 35 patients with TD-type PD and 31 patients with PIGD-type PD were finally evaluated for the study. Compared with the TD group, the PIGD group showed higher fatigue, gastrointestinal dysfunction and fall-related parameter scores. Moreover, the PIGD scores were significantly correlated with all of those symptoms.

CONCLUSIONS: Our findings suggest that PIGD is significantly linked to fatigue, gastrointestinal dysfunction and fall-related features during the early stages of PD. Geriatr Gerontol Int ••; ••: ••-•• Geriatr Gerontol Int 2021; ••: ••-••.

Language: en

LA - en SN - 1444-1586 UR - http://dx.doi.org/10.1111/ggi.14156 ID - ref1 ER -