Cited by 105Parkinson's Disease Mechanisms and TreatmentsBalance, Gait, and Falls PreventionDeep Brain Stimulation and Movement Disorders

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Diurnal effects of motor activity and fatigue in Parkinson's disease.

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van Hilten, J J, Hoogland, G, van der Velde, E A, Middelkoop, H A, Kerkhof, G A, Roos, R A·1993·Journal of Neurology, Neurosurgery & Psychiatry

DOI 10.1136/jnnp.56.8.874PMC PMC1015141

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Abstract

Wrist motor activity was monitored continuously in 65 patients with Parkinson's disease (PD) to assess the influence of disease severity and excessive fatigue on the diurnal motor activity pattern. Mildly or moderately affected PD patients had a similar diurnal pattern to that of 68 healthy controls, with a late morning peak; however, mean levels of motor activity were lower. The most severely affected patients showed an overall flattened diurnal pattern. Results refute the existence of end of day deterioration, but instead suggest a "depressed morning start" in the most severely affected patients with PD. Excessive fatigue was not reported at a particular time of day and did not influence the diurnal motor activity pattern.

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Authors: van Hilten, J. J., Hoogland, G., van der Velde, E. A., Middelkoop, H. A., Kerkhof, G. A., & Roos, R. A.
ORCID: Hoogland, G
Venue: Journal of Neurology, Neurosurgery & Psychiatry
Publisher: BMJ
Published: 1993-08-01
Volume: 56
Issue: 8
Pages: 874-877
ISSN: 0022-3050 (ISSN-L)
DOI: 10.1136/jnnp.56.8.874
PMC: PMC1015141
OpenAlex: W2165510184
Cited by: 105
References: 21
Citations by year: 2026: 1 · 2025: 6 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 10 · 2017: 3 · 2016: 10 · 2015: 5 · 2014: 1 · 2013: 3 · 2012: 4
FWCI: 0.90
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
Keywords: Parkinson's disease, diurnal variation, motor activity, fatigue, wrist kinematics, disease severity, circadian rhythm
MeSH terms: Adult, Aged, Aged, 80 and over, Analysis of Variance, Circadian Rhythm, Fatigue, Female, Humans, Male, Middle Aged, Monitoring, Physiologic, Motor Activity, Parkinson Disease

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Diurnal effects of motor activity and fatigue in Parkinson's disease.

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