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10.3389/fneur.2021.708433 http://scihub22266oqcxt.onion/10.3389/fneur.2021.708433 34393984!8362931!34393984     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34393984&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Front+Neurol 2021 ; 12 (?): 708433 Nephropedia Template TP {{tp|p=34393984|t=2021. Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson s Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial |pdf=|usr=}}{{34393984}} gab.com Text Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson s Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial JO: Front Neurol http://www.kidney.de/pget.php?&tw=1&pmid=34393984 #FOAvip Background: Self-reported clinical worsening by people with Parkinson's disease (PD) during social distancing may be aggravated in Brazil, where the e/tele-health system is precarious. Objectives: This study aims to investigate self-reported changes in motor and non-motor aspects during social distancing in people with PD living in Brazil and to investigate the factors that might explain these changes. Methods: In this multicenter cross-sectional trial, 478 people with a diagnosis of idiopathic PD (mean age = 67, SD = 9.5; 167 female) were recruited from 14 centers distributed throughout the five geographical regions of Brazil. The evaluators from each center applied a questionnaire by telephone, which included questions (previous and current period of social distancing) about the motor and non-motor experiences of daily living, quality of life, daily routine, and physical activity volume. Results: Self-reported clinical worsening in non-motor and motor aspects of daily life experiences (Movement Disorder Society-Unified PD Rating Scale-parts IB and II-emotional and mental health, and fear of falling) and in the quality of life was observed. Only 31% of the participants reported a guided home-based physical activity with distance supervision. Perceived changes in the quality of life, freezing of gait, decreased physical activity volume, daily routine, and fear of falling explained the self-reported clinical worsening (P < 0.05). Conclusions: Self-reported clinical worsening in people with PD living in Brazil during social distancing can also be aggravated by the precarious e/tele-health system, as perception of decreased physical activity volume and impoverishment in daily routine were some of the explanatory factors. Considering the multifaceted worsening, the implementation of a remote multi-professional support for these people is urgent. Twit Text FOAVip Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson s Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial ????Front Neurol http://www.kidney.de/pget.php?&tw=1&pmid=34393984 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34393984 #FOAvip English Wikipedia <ref>{{Cite pmid|34393984}}</ref> Multidimensional Factors Can Explain the Clinical Worsening in People With Parkinson s Disease During the COVID-19 Pandemic: A Multicenter Cross-Sectional Trial #MMPMID34393984 Silva-Batista C; Coelho DB; Junior RCF; Almeida LR; Guimaraes A; Nobrega KCC; Machado Sanchez H; Lindquist ARR; Israel VL; Kanegusuku H; Guimaraes R; Beckmann Bosaipo N; Barbosa R; Correa CL; Finatto MJ; Mendes FADS; Piemonte MEP Front Neurol 2021[]; 12 (?): 708433 PMID34393984show ga Background: Self-reported clinical worsening by people with Parkinson's disease (PD) during social distancing may be aggravated in Brazil, where the e/tele-health system is precarious. Objectives: This study aims to investigate self-reported changes in motor and non-motor aspects during social distancing in people with PD living in Brazil and to investigate the factors that might explain these changes. Methods: In this multicenter cross-sectional trial, 478 people with a diagnosis of idiopathic PD (mean age = 67, SD = 9.5; 167 female) were recruited from 14 centers distributed throughout the five geographical regions of Brazil. The evaluators from each center applied a questionnaire by telephone, which included questions (previous and current period of social distancing) about the motor and non-motor experiences of daily living, quality of life, daily routine, and physical activity volume. Results: Self-reported clinical worsening in non-motor and motor aspects of daily life experiences (Movement Disorder Society-Unified PD Rating Scale-parts IB and II-emotional and mental health, and fear of falling) and in the quality of life was observed. Only 31% of the participants reported a guided home-based physical activity with distance supervision. Perceived changes in the quality of life, freezing of gait, decreased physical activity volume, daily routine, and fear of falling explained the self-reported clinical worsening (P < 0.05). Conclusions: Self-reported clinical worsening in people with PD living in Brazil during social distancing can also be aggravated by the precarious e/tele-health system, as perception of decreased physical activity volume and impoverishment in daily routine were some of the explanatory factors. Considering the multifaceted worsening, the implementation of a remote multi-professional support for these people is urgent. ?Multidimensional Factors Can Explain the Clinical Worsening in People (epmc).pdf DeepDyve Pubget Overpricing