Camptocormia in Japanese patients with Parkinson's disease: a multicenter study

Mov Disord. 2011 Dec;26(14):2567-71. doi: 10.1002/mds.23955. Epub 2011 Sep 27.

Abstract

Objective: The aim of this work was to investigate the prevalence of camptocormia and the clinical characteristics of patients with camptocormia in a large population of PD patients.

Background: Although camptocormia has been recognized as a prominent phenomenon in PD, the previous epidemiological reports were limited, especially in terms of sample size.

Methods: We evaluated 531 PD patients (disease duration: 7.0 ± 5.5 years, mean ± standard deviation). We examined their clinical features and the prevalence of camptocormia.

Results: Camptocormia was detected in 22 patients (4.1%) and found in patients who were older and had more severe motor symptoms and a higher levodopa (L-dopa) dose (P < 0.05), compared to the patients without camptocormia. Patients with camptocormia showed significantly higher frequencies of autonomic symptoms, such as constipation and urinary incontinence (P < 0.05).

Conclusions: Camptocormia is uncommon in PD and is associated with disease severity, higher L-dopa dose and higher frequencies of autonomic symptoms.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antiparkinson Agents / administration & dosage
  • Asian People / statistics & numerical data*
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Humans
  • Japan / epidemiology
  • Levodopa / administration & dosage
  • Male
  • Muscular Atrophy, Spinal / epidemiology*
  • Parkinson Disease / drug therapy
  • Parkinson Disease / epidemiology*
  • Prevalence
  • Severity of Illness Index
  • Spinal Curvatures / epidemiology*

Substances

  • Antiparkinson Agents
  • Levodopa

Supplementary concepts

  • Camptocormia