investigate who is at risk and to discover possible contributing factors of the development of paratonia in different dementing illnesses
ID
Source
Brief title
Condition
- Muscle disorders
- Dementia and amnestic conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
To assess the presence of paratonia all four limbs will be passively moved in
flexion and extension with the participant in a sitting position. Paratonia is
present when the assessors encounter all following 5 criteria during passive
movement:
* An involuntary variable resistance.
* The degree of resistance varies depending on the speed of movement (e.g. a
low resistance by slow movement and a high resistance by fast movement)
* The resistance to passive movement can be in any direction
* There is no clasp-knife phenomenon.
* The resistance is in 2 movement direction in 1 limb or in 2 different limbs.
Secondary outcome
Timed up and Go test to assess the functional mobility [Podsiadlo et al., 1991]
Qualidem for quality of life assessment [Ettema et al., 2005]
Global deterioration Scale (GDS) and Mini Mental State examination (MMSE) to
assess the severity of the dementia.
Diagnosis of the dementia, the presence of cardio-vascular disease,
m.Parkinson, Diabetes Mellitus and the use of neuroleptic medication will be
obtained from the participants medical dossier.
Background summary
Paratonia, a form of hypertonia, is developing in the course of a dementing
illness. This will probably cause a decline of the quality of life and results
in a grave problem in daily care. Although the prevalence of paratonia is very
high (40% in mild dementia till 100% in severe dementia, unpublished data
Hobbelen and Habraken 2006), no resaerch have been conducted on the
developement and possible contributing factors of paratonia in dementia.
This information can be usefull in the development of an earlier intervention
to prevent the late devastating effect op paratonia
Study objective
investigate who is at risk and to discover possible contributing factors of the
development of paratonia in different dementing illnesses
Study design
longitudinal observational study with a follow-up of 1 year
Study burden and risks
The burden and risk for the participants is very low due to the fact that all
test are very simple and will performed by very experienced assessors
(geriatric physical therapists)
postbus 9101, 229 VPG
6500 HB Nijmegen
Nederland
postbus 9101, 229 VPG
6500 HB Nijmegen
Nederland
Listed location countries
Age
Inclusion criteria
early stage dementie
Exclusion criteria
a current active or progressive pathology that can influence their motor function (i.e. Multiple Sclerosis or Amyotrophic lateral sclerosis ect.).
resistance or reluctance to participate
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL13800.091.06 |