Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.

Parkinson's disease is a progressive neurodegenerative disorder associated with reduced spatial and verbal working memory ability. There are two established motor subtypes of PD, tremor dominant (TD) and postural instability and gait difficulty (PIGD). This study used structural equation modell...

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Main Authors: Andrew R Johnson, Romola S Bucks, Robert T Kane, Meghan G Thomas, Natalie Gasson, Andrea M Loftus
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4807780?pdf=render
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author Andrew R Johnson
Romola S Bucks
Robert T Kane
Meghan G Thomas
Natalie Gasson
Andrea M Loftus
author_facet Andrew R Johnson
Romola S Bucks
Robert T Kane
Meghan G Thomas
Natalie Gasson
Andrea M Loftus
author_sort Andrew R Johnson
collection DOAJ
description Parkinson's disease is a progressive neurodegenerative disorder associated with reduced spatial and verbal working memory ability. There are two established motor subtypes of PD, tremor dominant (TD) and postural instability and gait difficulty (PIGD). This study used structural equation modelling to explore the longitudinal relationship between the two subtypes and working memory assessed at a 2-year follow-up. The study comprised 84 males and 30 females (N = 114), aged between 39 and 85 (M = 64.82, SD = 9.23) with confirmed PD. There was no significant relationship between motor subtype at Time 1 and working memory at Time 2. Postural symptom severity at Time 1 predicted Time 2 spatial working memory for the PIGD subtype (p = .011) but not the TD subtype. Tremor symptoms were not associated with Time 2 working memory in either subtype. Predictive significance of Time 1 postural symptoms only in the PIGD subtype suggests an interaction between symptom dominance (subtype) and symptom severity that future subtyping should consider. This study demonstrates a predictive relationship between postural difficulties and working memory performance assessed at a 2-year follow-up. Establishing physical symptoms as predictors of cognitive change could have significant clinical importance.
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spelling doaj.art-fd9f418aba2d48e8bef51828455924092022-12-22T02:01:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e015253410.1371/journal.pone.0152534Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.Andrew R JohnsonRomola S BucksRobert T KaneMeghan G ThomasNatalie GassonAndrea M LoftusParkinson's disease is a progressive neurodegenerative disorder associated with reduced spatial and verbal working memory ability. There are two established motor subtypes of PD, tremor dominant (TD) and postural instability and gait difficulty (PIGD). This study used structural equation modelling to explore the longitudinal relationship between the two subtypes and working memory assessed at a 2-year follow-up. The study comprised 84 males and 30 females (N = 114), aged between 39 and 85 (M = 64.82, SD = 9.23) with confirmed PD. There was no significant relationship between motor subtype at Time 1 and working memory at Time 2. Postural symptom severity at Time 1 predicted Time 2 spatial working memory for the PIGD subtype (p = .011) but not the TD subtype. Tremor symptoms were not associated with Time 2 working memory in either subtype. Predictive significance of Time 1 postural symptoms only in the PIGD subtype suggests an interaction between symptom dominance (subtype) and symptom severity that future subtyping should consider. This study demonstrates a predictive relationship between postural difficulties and working memory performance assessed at a 2-year follow-up. Establishing physical symptoms as predictors of cognitive change could have significant clinical importance.http://europepmc.org/articles/PMC4807780?pdf=render
spellingShingle Andrew R Johnson
Romola S Bucks
Robert T Kane
Meghan G Thomas
Natalie Gasson
Andrea M Loftus
Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.
PLoS ONE
title Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.
title_full Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.
title_fullStr Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.
title_full_unstemmed Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.
title_short Motor Subtype as a Predictor of Future Working Memory Performance in Idiopathic Parkinson's Disease.
title_sort motor subtype as a predictor of future working memory performance in idiopathic parkinson s disease
url http://europepmc.org/articles/PMC4807780?pdf=render
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