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Joint Bone Spine
Volume 73, n° 3
pages 298-302 (mai 2006)
Doi : 10.1016/j.jbspin.2005.05.006
Received : 21 July 2004 ;  accepted : 14 May 2005
Back problems in Parkinson's disease: an underestimated problem

Fabien Etchepare a, , Sylvie Rozenberg a, Tristan Mirault a, Anne-Marie Bonnet b, Colette Lecorre a, Yves Agid b, Pierre Bourgeois a, Bruno Fautrel a
a Department of Rheumatology, Pitié-Salpêtrière Hospital, 47-83 Bld de l'hôpital, 75013 Paris, France 
b Federation of Neurology, Pitié-Salpêtrière Hospital, 75013 Paris, France 

*Corresponding author. Tel.: +33 1 42 17 78 21; fax: +33 1 42 17 78 02.

Study design. - Cross-sectional survey.

Objectives. - To estimate the extent of back pain in Parkinson's disease (PD).

Summary of background data. - PD is a common and disabling condition during the course of which back pain may develop. In contrast, the literature on the epidemiology of back pain in PD is poor.

Methods. - Patients with PD, seen consecutively in a neurology clinic over a period of 4 months, were inquired about back pain through a self-questionnaire and compared to an age- and sex-matched control group of chronically ill patients.

Results. - The study involved 104 parkinsonians (mean age: 67.3 years) who had had PD for an average of 11.6 years, and 100 controls (mean age: 65.8 years) who had chronic heart disease or diabetes for an average of 14.2 years. Sixty-two parkinsonians and 23 controls reported back pain. The prevalence was 59.6% in the parkinsonian group and 23.0% in the control group (P <0.0001). Pain severity was evaluated with a visual analogic scale and averaged 54±23 mm in parkinsonians and 41±19 mm in control (P <0.0001).

Conclusions. - Chronic back pain is quite common in PD. It is responsible for a substantial functional impact and needs more attention to reduce disability of such patients.

The full text of this article is available in PDF format.

Keywords : Back pain, Parkinson's disease

© 2005  Elsevier SAS. All Rights Reserved.
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