The Impact of Parkinson’s Disease on General and Specific Motor Aptitudes: A Study of Older Brazilian Adults

Abstract

This study investigated motor aptitude in older adults with and without Parkinson's disease (PD) to further specify known motor-related changes of PD. We divided 671 older adults (23.5% male; M_age = 69.6, SD = 6.6 years) into a Parkinson's Disease Group (PDG) and a non-Parkinson's Disease Group (NPG) and assessed their general motor aptitude (GMA) and their specific motor aptitudes (in Coordinative, Proprioceptive, and Perceptive domains) using the Motor Scale for Older Adults. We used the chi-squared tests and logistic regression to identify and affirm an associations between PD and motor aptitude, we found that most adults without PD showed normal motor aptitude (GMA: 80.7%; Proprioceptive: 82.3%; Perceptive: 81.4%) except for the Coordinative skills, for which 56.4% of these participants had motor impairment. Most partipants with PD showed motor impairments (GMA: 94.7%; Coordinative: 97.4%; Proprioceptive: 97.4%), except in the Perceptive domain, for which 68.4% of participants with PD showed normal aptitude. There were significant associations between PD and GMA (OR = 127.6), Coordinative motor skills (OR = 48.0), and Proprioceptive skills (OR = 204.4), even after the model was adjusted for gender and age. Our use of the Motor Scale for Older Adults in contrasting groups of older Brazilian adults provides further specificity to the motor aptitude characteristics of older adults with PD.

Keywords

ageing Parkinson’s disease motor skills psychomotor performance

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References

Abraham

Hart

Dickstein

Hackney

M. E.

(2019). Will you draw me a pelvis?” Dynamic neuro-cognitive imagery improves pelvic schema and graphic-metric representation in people with Parkinson’s Disease: A randomized controlled trial. Complementary Therapies in Medicine, 43, 28–35. https://doi.org/10.1016/j.ctim.2018.11.020

Armstrong

M. J.

Okun

M. S.

(2020). Diagnosis and treatment of Parkinson disease: A review. Jama, 323(6), 548–560. https://doi.org/10.1001/jama.2019.22360

Balestrino

Schapira

A. H. V.

(2020). Parkinson disease. European Journal of Neurology, 27(1), 27–42. https://doi.org/10.1111/ene.14108

Buchman

A. S.

Wilson

R. S.

James

B. D.

Boyle

P. A.

Bennett

D. A.

(2014). Total daily activity declines more rapidly with increasing age in older adults. Archives of Gerontology and Geriatrics, 58(1), 74–79. https://doi.org/10.1016/j.archger.2013.08.001

Clark

B. C.

Taylor

J. L.

(2011). Age-related changes in motor cortical properties and voluntary activation of skeletal muscle. Current Aging Science, 4(3), 192–199. https://doi.org/10.2174/1874609811104030192

Coelho-Junior

H. J.

Uchida

M. C.

Gonçalves

I. O.

Calvani

Rodrigues

Picca

Onder

Landi

Bernabei

Marzetti

(2021). Age-and gender-related changes in physical function in community-dwelling Brazilian adults aged 50 to 102 years. Journal of Geriatric Physical Therapy, 44(2), e123–e131. https://doi.org/10.1519/jpt.0000000000000246

Dadar

Gee

Shuaib

Duchesne

Camicioli

(2020). Cognitive and motor correlates of grey and white matter pathology in Parkinson’s disease. NeuroImage: Clinical, 27, 102353. https://doi.org/10.1016/j.nicl.2020.102353

Del Rey

N. L. G.

Quiroga-Varela

Garbayo

Carballo-Carbajal

Fernández-Santiago

Monje

M. H. G.

Trigo-Damas

Blanco-Prieto

M. J.

Blesa

(2018). Advances in Parkinson’s Disease: 200 years later. Frontiers in Neuroanatomy, 12(113), 1–14. https://doi.org/10.3389/fnana.2018.00113

Fernie

B. A.

Spada

M. M.

Brown

R. G.

(2019). Motor fluctuations and psychological distress in Parkinson’s disease. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 38(6), 518–526. https://doi.org/10.1037/hea0000736

10.

Ferrucci

Levine

M. E.

Kuo

P.-L.

Simonsick

E. M.

(2018). Time and the metrics of aging. Circulation Research, 123(7), 740–744. https://doi.org/10.1161/CIRCRESAHA.118.312816

11.

Folstein

M. F.

Folstein

S. E.

McHugh

P. R.

(1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. https://doi.org/10.1016/0022-3956(75)90026-6

12.

Goetz

C. G.

Poewe

Rascol

Sampaio

Stebbins

G. T.

Counsell

Giladi

Holloway

R. G.

Moore

C. G.

Wenning

G. K.

(2004). Movement disorder society task force report on the Hoehn and Yahr staging scale: Status and recommendations the movement disorder society task force on rating scales for Parkinson’s disease. Movement Disorders, 19(9), 1020–1028. https://doi.org/10.1002/mds.20213

13.

Goetz

C. G.

Tilley

B. C.

Shaftman

S. R.

Stebbins

G. T.

Fahn

Martinez-Martin

Poewe

Sampaio

Stern

M. B.

Dodel

Dubois

Holloway

Jankovic

Kulisevsky

Lang

A. E.

Lees

Leurgans

LeWitt

P. A.

Nyenhuis

LaPelle

(2008). Movement disorder society-sponsored revision of the unified Parkinson’s disease rating scale (MDS-UPDRS): scale presentation and clinimetric testing results. Movement Disorders: Official Journal of the Movement Disorder Society, 23(15), 2129–2170. https://doi.org/10.1002/mds.22340

14.

Goldman

J. G.

Sieg

(2020). Cognitive impairment and dementia in Parkinson disease. Clinics in Geriatric Medicine, 36(2), 365–377. https://doi.org/10.1016/j.cger.2020.01.001

15.

Haaland

K. Y.

Dum

R. P.

Mutha

P. K.

Strick

P. L.

Tröster

A. I.

(2017). The neuropsychology of movement and movement disorders: Neuroanatomical and cognitive considerations. Journal of the International Neuropsychological Society, 23(9–10), 768–777. https://doi.org/10.1017/S1355617717000698

16.

Halperin

Israeli-Korn

Yakubovich

Hassin-Baer

Zaidel

(2021). Self-motion perception in Parkinson’s disease. European Journal of Neuroscience, 53(7), 2376–2387. https://doi.org/10.1111/ejn.14716

17.

Hands

McIntyre

Parker

(2018). The general motor ability hypothesis: An old idea revisited. Perceptual and Motor Skills, 125(2), 213–233. https://doi.org/10.1177/0031512517751750

18.

Honma

Murai

Shima

Yotsumoto

Kuroda

Futamura

Shiromaru

Murakami

Kawamura

(2017). Spatial distortion related to time compression during spatiotemporal production in Parkinson’s disease. Neuropsychologia, 102, 61–69. https://doi.org/10.1016/j.neuropsychologia.2017.06.004

19.

Kawasaki

Mikami

Kamo

Aoki

Ishiguro

Nakamura

Tozawa

Asada

Hiiragi

Yamada

Hirano

Katsuki

(2018). Motor planning error in Parkinson’s disease and its clinical correlates. Plos One, 13(8), 1–10. https://doi.org/10.1371/journal.pone.0202228

20.

Keloth

S. M.

Viswanathan

Jelfs

Arjunan

Raghav

Kumar

(2019). Which gait parameters and walking patterns show the significant differences between Parkinson’s disease and healthy participants? Biosensors, 9(2), 59. https://doi.org/10.3390/bios9020059

21.

Konczak

Corcos

D. M.

Horak

Poizner

Shapiro

Tuite

Volkmann

Maschke

(2009). Proprioception and motor control in Parkinson’s disease. Journal of Motor Behavior, 41(6), 543–552. https://doi.org/10.3200/35-09-002

22.

Lazarotto

Bobbo

G. Z. G.

Siega

da Silva

A. Z.

Iucksch

D. D.

Israel

V. L.

Bento

P. C. B.

(2020). Static and dynamic postural control: Comparison between community old adults and people with Parkinson’s disease. Physiotherapy Research International, 25(3), e1844. https://doi.org/10.1002/pri.1844

23.

Lee

S. H.

Lee

M. J.

Lyoo

C. H.

Cho

Lee

M. S.

(2018). Impaired finger dexterity and nigrostriatal dopamine loss in Parkinson’s disease. Journal of Neural Transmission, 125, 1333–1339. https://doi.org/10.1007/s00702-018-1901-5

24.

Litvan

Aarsland

Adler

C. H.

Goldman

J. G.

Kulisevsky

Mollenhauer

Rodriguez-Oroz

M. C.

Tröster

A. I.

Weintraub

(2011). MDS task force on mild cognitive impairment in Parkinson’s disease: Critical review of PD-MCI. Movement Disorders, 26(10), 1814–1824. https://doi.org/10.1002/mds.23823

25.

Lo Buono

Palmeri

De Salvo

Berenati

Greco

Ciurleo

Sorbera

Cimino

Corallo

Bramanti

Marino

Di Lorenzo

Bonanno

(2021). Anxiety, depression, and quality of life in Parkinson’s disease: The implications of multidisciplinary treatment. Neural Regeneration Research, 16(3), 587–590. https://doi.org/10.4103/1673-5374.293151

26.

Macuglia

G. R.

de Mello Rieder

C. R.

Trentini

L. B.

Hauck Filho

Moraes

A. L.

de Almeida

R. M. M.

(2015). Comprometimento executivo nas fases leve à grave da Doença de Parkinson. Psico, 46(2), 198–207. https://doi.org/10.15448/1980-8623.2015.2.15236

27.

Maidan

Nieuwhof

Bernad-Elazari

Reelick

M. F.

Bloem

B. R.

Giladi

Deutsch

J. E.

Hausdorff

J. M.

Claassen

J. A. H.

Mirelman

(2016). The role of the frontal lobe in complex walking among patients with Parkinson’s disease and healthy older adults: An fNIRS study. Neurorehabilitation and Neural Repair, 30(10), 963–971. https://doi.org/10.1177/1545968316650426

28.

Marrocco

McEwen

B. S.

(2016). Sex in the brain: hormones and sex differences. Dialogues in Clinical Neuroscience, 18(4), 373. https://doi.org/10.31887/DCNS.2016.18.4/jmarrocco

29.

Morley

J. E.

(2018). An overview of cognitive impairment. Clinics in Geriatric Medicine, 34(4), 505. https://doi.org/10.1016/j.cger.2018.06.003

30.

Murman

D. L.

(2012). Early treatment of Parkinson’s disease: Opportunities for managed care. The American Journal of Managed Care, 18(7 Suppl), S183–S188. https://www.ajmc.com/view/a408_12sep_murman_s183to88

31.

Oliveira

Nossa

Mota-Pinto

(2019). Assessing functional capacity and factors determining functional decline in the elderly: A cross-sectional study. Acta Médica Portuguesa, 32(10), 654–660. https://doi.org/10.20344/amp.11974

32.

Opara

Małecki

Małecka

Socha

(2017). Motor assessment in Parkinson`s disease. Annals of Agricultural and Environmental Medicine: AAEM, 24(3), 411–415. https://doi.org/10.5604/12321966.1232774

33.

Pelicioni

P. H. S.

Pereira

M. P.

Lahr

Rodrigues

M. M. L.

de Morais

L. C.

Moraes

Gobbi

L. T. B.

(2019). Motor adjustments during time-constrained sit-to-walk in people with Parkinson’s disease. Experimental Gerontology, 124, 110654. https://doi.org/10.1016/j.exger.2019.110654

34.

Poewe

Seppi

Tanner

C. M.

Halliday

G. M.

Brundin

Volkmann

Schrag

A.-E.

Lang

A. E.

(2017). Parkinson disease. Nature Reviews Disease Primers, 3(1), 1–21. https://doi.org/10.1038/nrdp.2017.13

35.

Postuma

R. B.

Berg

Stern

Poewe

Olanow

C. W.

Oertel

Obeso

Marek

Litvan

Lang

A. E.

(2015). MDS clinical diagnostic criteria for Parkinson’s disease. Movement Disorders, 30(12), 1591–1601. https://doi.org/10.1002/mds.26424

36.

Ren

Y. D.

Chan

J. S. Y.

Yan

J. H.

(2013). Cognitive aging affects motor performance and learning. Geriatrics & Gerontology International, 13(1), 19–27. https://doi.org/10.1111/j.1447-0594.2012.00914.x

37.

Resnick

Boltz

Galik

Holmes

Fix

Zhu

(2020). Gender differences in function, physical activity, falls, medication use, and life satisfaction among residents in assisted living settings. Research in Gerontological Nursing, 13(1), 31–40. https://doi.org/10.3928/19404921-20190930-02

38.

Rosa Neto

(2009). Motor assessment manual for the elderly. Artmed.

39.

Rosa Neto

Sakae

T. M.

Poeta

L. S.

(2011). Validation of motor parameters in elderly. Brazilian Journal of Science and Movement, 19(1), 20–25. https://portalrevistas.ucb.br/index.php/RBCM/article/view/1837

40.

Seidler

R. D.

Bernard

J. A.

Burutolu

T. B.

Fling

B. W.

Gordon

M. T.

Gwin

J. T.

Kwak

Lipps

D. B.

(2010). Motor control and aging: links to age-related brain structural, functional, and biochemical effects. Neuroscience and Biobehavioral Reviews, 34(5), 721–733. https://doi.org/10.1016/j.neubiorev.2009.10.005

41.

Sidoroff

Raccagni

Kaindlstorfer

Eschlboeck

Fanciulli

Granata

Eskofier

Seppi

Poewe

Willeit

(2021). Characterization of gait variability in multiple system atrophy and Parkinson’s disease. Journal of Neurology, 268(5), 1770–1779. https://doi.org/10.1007/s00415-020-10355-y

42.

Smits

E. J.

Tolonen

A. J.

Cluitmans

van Gils

Conway

B. A.

Zietsma

R. C.

Leenders

K. L.

Maurits

N. M.

(2014). Standardized handwriting to assess bradykinesia, micrographia and tremor in Parkinson’s disease. Plos One, 9(5), e97614. https://doi.org/10.1371/journal.pone.0097614

43.

Snider

Lee

Harrington

D. L.

Poizner

(2014). Scaling and coordination deficits during dynamic object manipulation in Parkinson’s disease. Journal of Neurophysiology, 112(2), 300–315. https://doi.org/10.1152/jn.00041.2014

44.

Sperens

Georgiev

Eriksson Domellöf

Forsgren

Hamberg

Hariz

G.-M.

(2020). Activities of daily living in Parkinson’s disease: Time/gender perspective. Acta Neurologica Scandinavica, 141(2), 168–176. https://doi.org/10.1111/ane.13189

45.

Stegemöller

E. L.

Zaman

Uzochukwu

(2019). Repetitive finger movement and circle drawing in persons with Parkinson’s disease. Plos One, 14(9), e0222862. https://doi.org/10.1371/journal.pone.0222862

46.

Stuart

Belluscio

Quinn

J. F.

Mancini

(2019). Pre-frontal cortical activity during walking and turning is reliable and differentiates across young, older adults and people with Parkinson’s disease. Frontiers in Neurology, 10, 536. https://doi.org/10.3389/fneur.2019.00536

47.

Stuart

Vitorio

Morris

Martini

D. N.

Fino

P. C.

Mancini

(2018). Cortical activity during walking and balance tasks in older adults and in people with Parkinson’s disease: a structured review. Maturitas, 113, 53–72. https://doi.org/10.1016/j.maturitas.2018.04.011

48.

Sugiura

(2016). Functional neuroimaging of normal aging: declining brain, adapting brain. Ageing Research Reviews, 30, 61–72. https://doi.org/10.1016/j.arr.2016.02.006

49.

Teasdale

Preston

Waddington

(2017). Proprioception of the ankle is impaired in people with Parkinson’s disease. Movement Disorders Clinical Practice, 4(4), 524–528. https://doi.org/10.1002/mdc3.12464

50.

Vaugoyeau

Viel

Assaiante

Amblard

Azulay

J. P.

(2007). Impaired vertical postural control and proprioceptive integration deficits in Parkinson’s disease. Neuroscience, 146(2), 852–863. https://doi.org/10.1016/j.neuroscience.2007.01.052

51.

Verny

Moyse

Krantic

(2015). Successful cognitive aging: between functional decline and failure of compensatory mechanisms. Biomed Research International, 2015, 367407. https://doi.org/10.1155/2015/367407

52.

Hallett

Chan

(2015). Motor automaticity in Parkinson’s disease. Neurobiology of Disease, 82, 226–234. https://doi.org/10.1016/j.nbd.2015.06.014

53.

Hunt

Bo Foreman

Zhao

Merryweather

(2018). Gait alterations on irregular surface in people with Parkinson’s disease. Clinical Biomechanics, 57, 93–98. https://doi.org/https://doi.org/10.1016/j.clinbiomech.2018.06.013

54.

Zullo

Fleckenstein

Schleip

Hoppe

Wearing

(2020). Structural and functional changes in the coupling of fascial tissue, skeletal muscle, and nerves during aging. Frontiers in Physiology, 11(592), 1–13. https://doi.org/10.3389/fphys.2020.00592

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