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(Parkinson's) Patients Say Loss of Balance is Most Troubling Symptom (AAN 2004)
MD Virtual University E-Move Newsletter
Monday, May 24, 2004    Issue 20        VOLUME 1 ISSUE 20

E-MOVE reports from the American Academy of Neurology, San Francisco April 25-30, 2004. Page (A), session (S) and
poster (P) numbers are from Neurology 2004;62(7), Suppl 5

What symptoms are most troubling to patients with Parkinson’s disease?
EA Malecki, CG Vaughan, KE Anderson, PS Fishman, SG Reich, WJ Weiner, LM Shulman
P01.072, A50-51

Ninety-nine PD patients with mean Hoehn & Yahr stage of 2.2 completed a questionnaire regarding which symptoms were the
most troubling, which they would target if they could design a drug, and which symptoms are not thought of as part of
PD.

Symptoms with a mean rating above 2 (on a scale of 1-3) included loss of balance, trouble speaking, loss of memory and
confusion, unpredictable periods when symptoms worsen, slowness or shuffling while walking, loss of fine movement, and
tremor. Symptoms chosen by at least 20% of patients to target for treatment included loss of balance (35%), tremor
(35%), loss of memory and confusion (26%), and slowness or shuffling (25%). Symptoms not identified as part of PD
included urinary problems (62%), “aching, uncontrollable sensations” (60%), anxiety (59%), sexual problems (57%), and
constipation (57%).

The authors noted, “Symptoms that threaten independence were identified as the most troubling symptoms…of note, most of
these symptoms are poorly responsive to pharmacological agents.”

SOURCE: WE MOVE
http://tinyurl.com/yqu55

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