2021, Number 3
Caracterización de los pacientes con enfermedad de Parkinson
Language: Spanish
References: 28
Page: 401-412
PDF size: 476.40 Kb.
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.
REFERENCES
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
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
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
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.
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: Acta Médica del Centro / Vol. 15 No. 3 Julio-Septiembre 2021
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
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
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.
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
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
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
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
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
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
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
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
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
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
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