Effects of Amantadine Sulfate on Motor Impairment and Execution of Motor Sequences in Patients With Parkinson Disease.

IF 0.8 4区 医学 Q4 CLINICAL NEUROLOGY
Clinical Neuropharmacology Pub Date : 2023-09-01 Epub Date: 2023-07-31 DOI:10.1097/WNF.0000000000000566
Thomas Müller, Wilfried Kuhn
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引用次数: 0

Abstract

Background: Intravenous application of amantadine sulfate induces a rapid improvement of motor behavior in patients with Parkinson disease.

Objectives: To determine efficacy of daily infusion of 200 mg amantadine sulfate on scored motor symptoms and performance of standardized movement sequences with components of low and high cognitive efforts.

Methods: Thirty-one participants received infusions of amantadine sulfate in addition to their previous stable drug regimens on 3 consecutive days. Motor symptoms of upper limbs were determined with selected items of the part motor examination of the Unified Parkinson's Disease Rating Scale. Instrumental tasks were executed under cued conditions before and after the infusions.

Results: Scored motor symptoms and components with a need for a higher cognitive load became better. Performance of motion series, characterized by an automated set with low cognitive efforts, did not improve.

Conclusion: Our trial outcomes suggest that the amantadine has a positive impact on cognitive abilities, drive, and vigilance, all of which are necessary for carrying out of higher brain functions.

硫酸金刚烷胺对帕金森病患者运动障碍和运动序列执行的影响。
背景:静脉应用硫酸金刚烷胺可快速改善帕金森病患者的运动行为。目的:确定每天输注200mg硫酸金刚烷胺对评分的运动症状和具有低和高认知努力成分的标准化运动序列表现的疗效。方法:31名参与者在之前的稳定药物方案基础上,连续3天输注硫酸金刚烷胺。上肢运动症状采用统一帕金森病评定量表部分运动检查的选定项目进行测定。仪器任务在输注前后的提示条件下执行。结果:评分较高的运动症状和需要较高认知负荷的成分变得更好。动作系列的表现没有改善,其特点是自动化设置,认知能力较低。结论:我们的试验结果表明,金刚烷胺对认知能力、驱动力和警惕性有积极影响,所有这些都是实现高级大脑功能所必需的。
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来源期刊
Clinical Neuropharmacology
Clinical Neuropharmacology 医学-临床神经学
CiteScore
1.20
自引率
10.00%
发文量
63
审稿时长
6-12 weeks
期刊介绍: Clinical Neuropharmacology is a peer-reviewed journal devoted to the pharmacology of the nervous system in its broadest sense. Coverage ranges from such basic aspects as mechanisms of action, structure-activity relationships, and drug metabolism and pharmacokinetics, to practical clinical problems such as drug interactions, drug toxicity, and therapy for specific syndromes and symptoms. The journal publishes original articles and brief reports, invited and submitted reviews, and letters to the editor. A regular feature is the Patient Management Series: in-depth case presentations with clinical questions and answers.
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