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Urodynamic and gait analyses in multiple system atrophy.
Tsuchiya, Akari; Terayama, Keiichiro; Sakakibara, Ryuji; Panicker, Jalesh; Tateno, Fuyuki; Aiba, Yosuke; Haruta, Hiroyuki; Akiba, Takashi; Ogawa, Akihiro; Shimizu, Ayami; Takahashi, Osamu; Yamamoto, Tatsuya; Uchiyama, Tomoyuki; Suzuki, Hiroyoshi; Yano, Masashi.
Afiliación
  • Tsuchiya A; Rehabilitation Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Terayama K; Rehabilitation Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Sakakibara R; Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan. Electronic address: sakakibara@sakura.med.toho-u.ac.jp.
  • Panicker J; Uro-Neurology, the National Hospital for Neurology and Neurosurgery and UCL Institute of Neurology, Queen Square, London, United Kingdom.
  • Tateno F; Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
  • Aiba Y; Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
  • Haruta H; Rehabilitation Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Akiba T; Rehabilitation Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Ogawa A; Rehabilitation Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Shimizu A; Clinical Physiology Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Takahashi O; Clinical Physiology Unit, Sakura Medical Center, Toho University, Sakura, Japan.
  • Yamamoto T; Neurology, Chiba Prefectural University of Health Sciences, Chiba, Japan.
  • Uchiyama T; Neurology, International University of Health and Welfare, Narita, Japan.
  • Suzuki H; Urology, Sakura Medical Center, Toho University, Sakura, Japan.
  • Yano M; Urology, Sakura Medical Center, Toho University, Sakura, Japan.
J Neurol Sci ; 411: 116676, 2020 Apr 15.
Article en En | MEDLINE | ID: mdl-32001376
BACKGROUND: Limited attention has been paid to the relationship between bladder dysfunction and motor disorder in multiple system atrophy (MSA). OBJECTIVE: We aimed to correlate pressure-flow urodynamic parameters with video-gait analysis parameters in MSA. METHODS: We recruited 34 patients with MSA: 20 men, 14 women; age 64.0 + - 7.9 years; disease duration 2 years (1-4 years). Nineteen cases had the cerebellar form, and 15 had the parkinsonian form; the patients were taking levodopa 300 mg/day (100-400 mg). All patients underwent pressure-flow urodynamics (parameters: detrusor overactivity [noted in 72%] and Watts factor) and video-gait analysis (parameters: time and the number of strides taken to walk 5 m (simple task) and time for timed up and go (complex task). Statistical analysis was done using Student's t-test to analyze the relation between detrusor overactivity and gait, and Spearman's rank correlation coefficient test to analyze the relation between the remaining parameters and gait. RESULTS: We found no relation between filling-phase urodynamics (detrusor overactivity) and video-gait analysis parameters. Also, we found no relation between voiding-phase urodynamics (Watts factor, reflecting detrusor power) and all three video-gait analysis parameters in our MSA patients. CONCLUSION: The fact that neither detrusor overactivity nor the Watts factor was related with motor disorders in the present study suggests that bladder dysfunction occurs independently from motor disorder in MSA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urodinámica / Atrofia de Múltiples Sistemas Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurol Sci Año: 2020 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urodinámica / Atrofia de Múltiples Sistemas Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurol Sci Año: 2020 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos