J Mov Disord.
2018 Sep;11(3):133-138. 10.14802/jmd.18022.
Musculoskeletal Problems Affect the Quality of Life of Patients with Parkinson's Disease
- Affiliations
-
- 1Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
- 2Department of Neurology and Movement Disorders Center, Parkinson Study Group, Seoul National University Hospital, Seoul, Korea. brain@snu.ac.kr
- 3Department of Neurology, Ewha Womans University Mokdong Hospital, Seoul, Korea.
- 4Department of Neurology, Eulji General Hospital, Seoul, Korea.
- 5Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
- 6Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Sungnam, Korea.
- KMID: 2438830
- DOI: http://doi.org/10.14802/jmd.18022
Abstract
OBJECTIVE
Musculoskeletal problems are more common in patients with Parkinson's disease (PD) than in normal elderly, but the impact of musculoskeletal problems on health-related quality of life (HRQoL) in patients with PD is unknown.
METHODS
Four hundred consecutive patients with PD were enrolled for the evaluation of musculoskeletal problems and HRQoL. HRQoL was assessed by the 36-Item Short Form Health Survey, which comprised physical health and mental health.
RESULTS
Of the total patients, 265 patients had musculoskeletal problems, and 135 patients did not have musculoskeletal problems. Patients with musculoskeletal problems reported lower levels of HRQoL in terms of physical health than did patients without musculoskeletal problems (p < 0.05). In women, all components of physical health were lower in patients with musculoskeletal problems than in patients without musculoskeletal problems (p < 0.05). Meanwhile, in men, only the bodily pain score of physical health was lower in patients with musculoskeletal problems than in patients without musculoskeletal problems. Mental health and physical health were negatively correlated with depression, Unified Parkinson's Disease Rating Scale I & II scores, and pain severity from musculoskeletal problems, in that order (p < 0.01 for all).
CONCLUSION
These results suggest that musculoskeletal problems in patients with PD affect HRQoL significantly, mainly in terms of physical health rather than mental health and especially in women rather than men. Musculoskeletal problems should not be overlooked in the care of patients with PD.
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