Weak detrusor contractility correlates with motor disorders in Parkinson's disease

2012 ◽  
Vol 27 (14) ◽  
pp. 1775-1780 ◽  
Author(s):  
Keiichiro Terayama ◽  
Ryuji Sakakibara ◽  
Akihiro Ogawa ◽  
Hiroyuki Haruta ◽  
Takashi Akiba ◽  
...  
Sensors ◽  
2015 ◽  
Vol 15 (9) ◽  
pp. 21710-21745 ◽  
Author(s):  
Qi Oung ◽  
Hariharan Muthusamy ◽  
Hoi Lee ◽  
Shafriza Basah ◽  
Sazali Yaacob ◽  
...  

2011 ◽  
Vol 10 (7) ◽  
pp. 777-791 ◽  
Author(s):  
Massimo Pierucci ◽  
Salvatore Galati ◽  
Mario Valentino ◽  
Vincenzo Di Matteo ◽  
Arcangelo Benigno ◽  
...  

2011 ◽  
Vol 14 (24) ◽  
pp. 1109-1116 ◽  
Author(s):  
Maryam Jafar Sameri ◽  
Alireza Sarkaki ◽  
Yaghoub Farbood ◽  
Seyed Mohammad Taghi Mansouri

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Clara Rodriguez-Sabate ◽  
Ingrid Morales ◽  
Ricardo Puertas-Avendaño ◽  
Manuel Rodriguez

Abstract The closed-loop cortico-subcortical pathways of basal ganglia have been extensively used to describe the physiology of these centres and to justify the functional disorders of basal ganglia diseases. This approach justifies some experimental and clinical data but not others, and furthermore, it does not include a number of subcortical circuits that may produce a more complex basal ganglia dynamic than that expected for closed-loop linear networks. This work studied the functional connectivity of the main regions of the basal ganglia motor circuit with magnetic resonance imaging and a new method (functional profile method), which can analyse the multiple covariant activity of human basal ganglia. The functional profile method identified the most frequent covariant functional status (profiles) of the basal ganglia motor circuit, ordering them according to their relative frequency and identifying the most frequent successions between profiles (profile transitions). The functional profile method classified profiles as input profiles that accept the information coming from other networks, output profiles involved in the output of processed information to other networks and highly interconnected internal profiles that accept transitions from input profiles and send transitions to output profiles. Profile transitions showed a previously unobserved functional dynamic of human basal ganglia, suggesting that the basal ganglia motor circuit may work as a dynamic multiple covariance network. The number of internal profiles and internal transitions showed a striking decrease in patients with Parkinson’s disease, a fact not observed for input and output profiles. This suggests that basal ganglia of patients with Parkinson’s disease respond to requirements coming from other neuronal networks, but because the internal processing of information is drastically weakened, its response will be insufficient and perhaps also self-defeating. These marked effects were found in patients with few motor disorders, suggesting that the functional profile method may be an early procedure to detect the first stages of the Parkinson’s disease when the motor disorders are not very evident. The multiple covariance activity found presents a complementary point of view to the cortico-subcortical closed-loop model of basal ganglia. The functional profile method may be easily applied to other brain networks, and it may provide additional explanations for the clinical manifestations of other basal ganglia disorders.


Author(s):  
I.V. Didoha

Summary. Purpose of the study: to assess the effect of motor disorders on the quality of life of elderly patients with comobility of Parkinson's disease and frailty and to evaluate the effectiveness of their correction by means of physical therapy. Material and methods. 57 elderly people with diagnosed Parkinson's disease in combination with frailty were examined. They were divided into two groups: 1 (practiced according to the principles of polyclinic rehabilitation) and 2 (practiced according to a developed program of physical therapy, which was created from the point of view of a patient-centric model of rehabilitation, taking into account the specifics of each polymorbid state with the use of functional training, massage, ergotherapy, correction food). In the course of physical therapy, we consistently achieved individual short- and long-term goals of rehabilitation in the SMART format. The effectiveness of the program was assessed by the dynamics of the MDS Unified Parkinson's Disease Rating Scale, Schwab-England, PDQ-39.  Results. The examined persons were found to have significant motor disorders, deterioration in the activity of everyday life and everyday activity and, as a consequence, a decrease in the quality of life. The developed program of physical therapy, created from the point of view of a patient-centric model of rehabilitation with the use of functional training, therapeutic exercises, massage, ergotherapy, nutrition correction, revealed a statistically significant better effect on the indicators of motor functions, the state of daily and household activity and the quality of life in comparison with the general polyclinic program. for all studied indicators (p <0.05). Findings. Elderly patients with comorbidity of Parkinson's disease and senile asthenia require the development of individual programs of physical therapy, taking into account and correcting the specificity of each disease, which increases the overall effectiveness of rehabilitation.


2019 ◽  
Author(s):  
Solomiia Bandrivska

Parkinson's disease (PD) - is a chronic progressive degenerative disease of the central nervous system, the main clinical manifestations of which are hypokinesia, rigidity, resting tremor, postural disorders, which as the disease progresses grow and eventually lead to immobility of patients [Stok V. N., Fedorova N.V., 1997, Jahno N.N., 1995]. Modern anti parkinson therapy is mainly symptomatic and, apparently, does not affect the current degeneration process. Therefore, even with the optimal treatment today, disability of the patient is inevitable in the future. In addition to classical motor disorders, the cause of disability can be a wide range of non-motor disorders (mental , vegetative , sensory).


2021 ◽  
Author(s):  
He Qian ◽  
Ning Wang ◽  
Xinyue Pan ◽  
Yahui Guo

It is determined that microbiota-gut-brain axis is involved in the pathogenesis of Parkinson's Disease (PD) and may be the potential target for developing the therapeutic treatments for PD. Chicoric acid (CA) is a kind of natural polyphenolic acid compounds which are recognized as promising agents against neurodegenerative disease. Here, we investigated the influence of CA on microbiota-gut-brain axis in 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine (MPTP) mice. The results demonstrated that oral pretreatments of CA significantly prevented the MPTP-indued motor disorders, death of nigrostriatal dopaminergic neurons and reduction in striatal neurotrophins. Sequencing results of 16S rRNA indicated the microbial dysbiosis occurred in MPTP mice, whereas CA exerted a remarkable impact on microbial diversity and microbiota compositions, as well as SCFAs production. Besides, CA pretreatment alleviated gliosis-mediated neuroinflammation and gut inflammation by suppressing TLR4/MyD88/NF-?5;B signaling cascade, along with preventing the colonic hyperpermeability. To conclude, CA prevented MPTP-induced neuroinflammation and neuronal degenerative processes through signaling multiple pathways of microbiota-gut-brain axis.


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