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Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial
Background: Self-reported clinical worsening by people with Parkinson's disease (PD) during social distancing may be aggravated in Brazil, where the e/tele-health system is precarious. Objectives: This study aims to investigate self-reported changes in motor and non-motor aspects during social...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362931/ https://www.ncbi.nlm.nih.gov/pubmed/34393984 http://dx.doi.org/10.3389/fneur.2021.708433 |
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author | Silva-Batista, Carla Coelho, Daniel Boari Júnior, Renato Campos Freire Almeida, Lorena Rosa Guimarães, Adriana Nóbrega, Katia Cirilo Costa Machado Sanchez, Hugo Lindquist, Ana Raquel Rodrigues Israel, Vera Lúcia Kanegusuku, Hélcio Guimarães, Rachel Beckmann Bosaipo, Nayanne Barbosa, Richelma Correa, Clynton Lourenço Finatto, Maria José Mendes, Felipe Augusto dos Santos Piemonte, Maria Elisa Pimentel |
author_facet | Silva-Batista, Carla Coelho, Daniel Boari Júnior, Renato Campos Freire Almeida, Lorena Rosa Guimarães, Adriana Nóbrega, Katia Cirilo Costa Machado Sanchez, Hugo Lindquist, Ana Raquel Rodrigues Israel, Vera Lúcia Kanegusuku, Hélcio Guimarães, Rachel Beckmann Bosaipo, Nayanne Barbosa, Richelma Correa, Clynton Lourenço Finatto, Maria José Mendes, Felipe Augusto dos Santos Piemonte, Maria Elisa Pimentel |
author_sort | Silva-Batista, Carla |
collection | PubMed |
description | Background: Self-reported clinical worsening by people with Parkinson's disease (PD) during social distancing may be aggravated in Brazil, where the e/tele-health system is precarious. Objectives: This study aims to investigate self-reported changes in motor and non-motor aspects during social distancing in people with PD living in Brazil and to investigate the factors that might explain these changes. Methods: In this multicenter cross-sectional trial, 478 people with a diagnosis of idiopathic PD (mean age = 67, SD = 9.5; 167 female) were recruited from 14 centers distributed throughout the five geographical regions of Brazil. The evaluators from each center applied a questionnaire by telephone, which included questions (previous and current period of social distancing) about the motor and non-motor experiences of daily living, quality of life, daily routine, and physical activity volume. Results: Self-reported clinical worsening in non-motor and motor aspects of daily life experiences (Movement Disorder Society-Unified PD Rating Scale—parts IB and II—emotional and mental health, and fear of falling) and in the quality of life was observed. Only 31% of the participants reported a guided home-based physical activity with distance supervision. Perceived changes in the quality of life, freezing of gait, decreased physical activity volume, daily routine, and fear of falling explained the self-reported clinical worsening (P < 0.05). Conclusions: Self-reported clinical worsening in people with PD living in Brazil during social distancing can also be aggravated by the precarious e/tele-health system, as perception of decreased physical activity volume and impoverishment in daily routine were some of the explanatory factors. Considering the multifaceted worsening, the implementation of a remote multi-professional support for these people is urgent. |
format | Online Article Text |
id | pubmed-8362931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-83629312021-08-14 Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial Silva-Batista, Carla Coelho, Daniel Boari Júnior, Renato Campos Freire Almeida, Lorena Rosa Guimarães, Adriana Nóbrega, Katia Cirilo Costa Machado Sanchez, Hugo Lindquist, Ana Raquel Rodrigues Israel, Vera Lúcia Kanegusuku, Hélcio Guimarães, Rachel Beckmann Bosaipo, Nayanne Barbosa, Richelma Correa, Clynton Lourenço Finatto, Maria José Mendes, Felipe Augusto dos Santos Piemonte, Maria Elisa Pimentel Front Neurol Neurology Background: Self-reported clinical worsening by people with Parkinson's disease (PD) during social distancing may be aggravated in Brazil, where the e/tele-health system is precarious. Objectives: This study aims to investigate self-reported changes in motor and non-motor aspects during social distancing in people with PD living in Brazil and to investigate the factors that might explain these changes. Methods: In this multicenter cross-sectional trial, 478 people with a diagnosis of idiopathic PD (mean age = 67, SD = 9.5; 167 female) were recruited from 14 centers distributed throughout the five geographical regions of Brazil. The evaluators from each center applied a questionnaire by telephone, which included questions (previous and current period of social distancing) about the motor and non-motor experiences of daily living, quality of life, daily routine, and physical activity volume. Results: Self-reported clinical worsening in non-motor and motor aspects of daily life experiences (Movement Disorder Society-Unified PD Rating Scale—parts IB and II—emotional and mental health, and fear of falling) and in the quality of life was observed. Only 31% of the participants reported a guided home-based physical activity with distance supervision. Perceived changes in the quality of life, freezing of gait, decreased physical activity volume, daily routine, and fear of falling explained the self-reported clinical worsening (P < 0.05). Conclusions: Self-reported clinical worsening in people with PD living in Brazil during social distancing can also be aggravated by the precarious e/tele-health system, as perception of decreased physical activity volume and impoverishment in daily routine were some of the explanatory factors. Considering the multifaceted worsening, the implementation of a remote multi-professional support for these people is urgent. Frontiers Media S.A. 2021-07-30 /pmc/articles/PMC8362931/ /pubmed/34393984 http://dx.doi.org/10.3389/fneur.2021.708433 Text en Copyright © 2021 Silva-Batista, Coelho, Júnior, Almeida, Guimarães, Nóbrega, Machado Sanchez, Lindquist, Israel, Kanegusuku, Guimarães, Beckmann Bosaipo, Barbosa, Correa, Finatto, Mendes and Piemonte. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Silva-Batista, Carla Coelho, Daniel Boari Júnior, Renato Campos Freire Almeida, Lorena Rosa Guimarães, Adriana Nóbrega, Katia Cirilo Costa Machado Sanchez, Hugo Lindquist, Ana Raquel Rodrigues Israel, Vera Lúcia Kanegusuku, Hélcio Guimarães, Rachel Beckmann Bosaipo, Nayanne Barbosa, Richelma Correa, Clynton Lourenço Finatto, Maria José Mendes, Felipe Augusto dos Santos Piemonte, Maria Elisa Pimentel Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |
title | Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |
title_full | Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |
title_fullStr | Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |
title_full_unstemmed | Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |
title_short | Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson's Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |
title_sort | multidimensional factors can explain the clinical worsening in people with parkinson's disease during the covid-19 pandemic: a multicenter cross-sectional trial |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362931/ https://www.ncbi.nlm.nih.gov/pubmed/34393984 http://dx.doi.org/10.3389/fneur.2021.708433 |
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