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Early Impairment of Chopsticks Skills in Parkinsonism Suggests Progressive Supranuclear Palsy
- Source :
- Journal of Clinical Neurology (Seoul, Korea)
- Publication Year :
- 2019
-
Abstract
- BACKGROUND AND PURPOSE Chopsticks are a primary eating utensil in East Asia, but systematic assessments of chopsticks skills in parkinsonian disorders is lacking. We aimed to identify any differences in chopsticks skills in the early stages of Parkinson's disease (PD) and atypical parkinsonism (AP), including progressive supranuclear palsy (PSP), multiple system atrophy (MSA), and corticobasal syndrome (CBS). METHODS We consecutively recruited 111 patients with PD and 74 with AP (40 with PSP, 30 with MSA, and 4 with CBS) who were in a drug-naive state. The motor and cognitive functions of the patients were evaluated using a standardized protocol. Everyday chopsticks skills were evaluated using a chopsticks questionnaire developed in-house. The chopsticks skills test (CST) involved counting the number of pills that the subject was able to carry using chopsticks between two dishes separated by 20 cm within 20 seconds. RESULTS Patient responses to the questionnaire indicating poor chopsticks skills ("I cannot pick up some of the food items" or "I cannot use chopsticks anymore") were present in 23.0% of AP patients and 30% of PSP patients, compared to only 5.6% of PD patients [odd ratio (OR)=5.07 and OR=7.29, p≤0.001 in both]. The performance in the CST was worse in PSP than in PD (p
- Subjects :
- medicine.medical_specialty
Neurology
Activities of daily living
Progressive supranuclear palsy
03 medical and health sciences
0302 clinical medicine
Atrophy
Physical medicine and rehabilitation
Rating scale
medicine
030212 general & internal medicine
Motor skill
business.industry
Parkinsonism
Cognition
progressive supranuclear palsy
medicine.disease
chopsticks
Parkinson disease
atypical parkinsonism
Original Article
Neurology (clinical)
business
activities of daily living
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 17386586
- Volume :
- 16
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of clinical neurology (Seoul, Korea)
- Accession number :
- edsair.doi.dedup.....1ac3becc94b9d6f899d6555dfa7a96ea