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Improved self‐perceived performance for continence problems in patients with Parkinson's disease after deep brain stimulation
Author(s) -
Nakamura Kumiko,
Yamanaka Yoshitaka,
Higuchi Yoshinori,
Hirano Shigeki,
Kuroiwa Ryota,
Abe Midori,
Murata Astushi,
Iwadate Yasuo,
Kuwabara Satoshi,
Yamamoto Tatsuya
Publication year - 2019
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12247
Subject(s) - medicine , parkinson's disease , quality of life (healthcare) , deep brain stimulation , gait , physical therapy , physical medicine and rehabilitation , activities of daily living , disease , patient satisfaction , surgery , nursing
Background Deep brain stimulation ( DBS ) is known to improve motor complications in patients with Parkinson's disease ( PD ); however, we lack information on how it changes self‐perceived performance for activities of daily living. Aim We assessed the degree of change in self‐perceived performance for activities of daily living after DBS . Method We applied the Canadian Occupational Performance Measure ( COPM ) in 21 patients with PD who underwent DBS before and 1 year after surgery and examined the relationship among the COPM score, motor and cognitive functions, and health‐related quality of life ( HRQoL ). Results Patients prioritized continence problems, gait, and household work. Self‐perceived performance satisfaction (5.46→8.38, P = 0.02) and execution (5.85→8.88, P = 0.01) for continence problems improved significantly after surgery. Self‐perceived performance satisfaction for gait tended to improve after surgery. Self‐perceived performance for household work did not change after surgery. Self‐perceived performance for continence problems negatively correlated with PD questionnaire ( PDQ ‐39; r = −0.827, P = 0.007) before surgery and Mini‐Mental State Examination ( MMSE ; r = −0.918, P = 0.028) after surgery. Conclusion The self‐perceived performance for continence problems improved significantly after DBS and was associated with HRQoL before surgery and MMSE after surgery.