Skip to main content

Parkinson’s Disease: Changes in Daily Life

  • Chapter
  • First Online:
Changes in the Brain

Abstract

Parkinson’s disease is a progressive brain disease produced by degeneration of neurons in the substantia nigra and other brain nuclei. The cause is unknown but environmental and genetic factors are thought to play a role. Clinical symptoms and signs are related to the motor system, cognitive and psychiatric function, and the autonomic nervous system. Rest tremor, bradykinesia, and rigidity are the hallmarks of the disease. As the disease progresses, dementia, hallucinations, paranoia, orthostatic hypotension, and urinary frequency may become major disabling factors in a patient’s life. Parkinson’s disease affects employment, social functioning, and participation in society. Significant numbers of patients lose independence in their activities of daily living and quality of life for patients and caregivers may be impaired. There is no way of slowing the degenerative process or curing the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Block, G., Liss, C., Reines, S., Irr, J., & Nibbelink, D. (1997). Comparison of immediate-release and controlled release carbidopa/levodopa in Parkinson’s disease. European Neurology, 37(1), 23–27.

    Article  CAS  PubMed  Google Scholar 

  • Carter, J., Stewart, B., & Archbold, P. (2008). Family Caregiving. In S. Factor & W. Weiner (Eds.), Parkinson’s disease: Diagnosis and clinical management. New York: Demos Medical Publishing.

    Google Scholar 

  • Chokroverty, S., Duvoisin, R., Sachdeo, R., Sage, J., Lepore, F., & Nicklas, W. (1985). Neurophysiologic study of olivopontocerebellar atrophy with or without glutamate dehydrogenase deficiency. Neurology, 35(5), 652.

    Article  CAS  PubMed  Google Scholar 

  • Duvoisin, R., Golbe, L., Mark, M., Sage, J., & Walters, A. (1996). Parkinson’s disease handbook. New York: The American Parkinson Disease Association Inc.

    Google Scholar 

  • Duvoisin, R., & Sage, J. (1996). Parkinson’s disease: A guide for patient and family (4th ed.). NewYork: Raven.

    Google Scholar 

  • Duvoisin, R. C., & Sage, J. (2001). Parkinson’s disease: A guide for patient and family. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Factor, S., & Weiner, W. (Eds.). (2008). Parkinson’s disease: Diagnosis and clinical management. New York: Demos Medical Publishing.

    Google Scholar 

  • Fahn, S., Oakes, D., Shoulson, I., Kieburtz, K., Rudolph, A., & Lang, A. (2004). Levodopa and the progression of Parkinson's disease. The New England Journal of Medicine, 351(24), 2498.

    Article  CAS  PubMed  Google Scholar 

  • Golbe, L., Lazzarini, A., Spychala, V., Johnson, W., Stenroos, E., & Mark, M. (2001). The tau AO allele in familial and sporadic Parkinson’s disease. Movement Disorders, 16, 442–447.

    Article  CAS  PubMed  Google Scholar 

  • Golbe, L., Mark, M., & Sage, J. (2007). Parkinson’s disease handbook. New York: The American Parkinson Disease Association, Inc.

    Google Scholar 

  • Golbe, L., Rubin, R., Cody, R., Belsh, J., Duvoisin, R., & Grosmann, C. (1996). Follow-up study of risk factors in progressive supranuclear palsy. Neurology, 47(1), 148–154.

    Article  CAS  PubMed  Google Scholar 

  • Hammel, J., Magasi, S., Heinemann, A., Whiteneck, G., Bogner, J., & Rodriguez, E. (2008). What does participation mean? An insider perspective from people with disabilities. Disability & Rehabilitation, 30(19), 1445–1460.

    Article  Google Scholar 

  • Hempel, A. G., Wagner, M. L., Maaty, M. A., & Sage, J. I. (1998). Pharmacoeconomic analysis of using Sinemet CR over standard Sinemet in parkinsonian patients with motor fluctuations. Annals of Pharmacotherapy, 32(9), 878–883.

    Article  CAS  PubMed  Google Scholar 

  • Hillen, M. E., & Sage, J. I. (1996). Nonmotor fluctuations in patients with Parkinson’s disease. Neurology, 47(5), 1180–1183.

    Article  CAS  PubMed  Google Scholar 

  • Hillen, M. E., Wagner, M. L., & Sage, J. I. (1996). “Subclinical” orthostatic hypotension is associated with dizziness in elderly patients with parkinson disease. Archives of Physical Medicine and Rehabilitation, 77(7), 710–712.

    Article  CAS  PubMed  Google Scholar 

  • Investigators, N. N.-P. (2006). A randomized, double-blind, futility clinical trial of creatine and minocycline in early Parkinson disease. Neurology, 66(5), 664–671.

    Article  Google Scholar 

  • Investigators, N. N.-P. (2007). A randomized clinical trial of coenzyme Q10 and GPI-1485 in early Parkinson disease. Neurology, 68(1), 20–28.

    Article  Google Scholar 

  • Investigators, N. N.-P. (2008). A pilot clinical trial of creatine and minocycline in early Parkinson disease: 18-month results. Clinical Neuropharmacology, 31(3), 141–150.

    Article  Google Scholar 

  • Jacob, J. E., Wagner, M. L., & Sage, J. I. (2003). Safety of selegiline with cold medications. Annals of Pharmacotherapy, 37(3), 438–441.

    Article  CAS  PubMed  Google Scholar 

  • Koller, W. C., Hutton, J. T., Tolosa, E., & Capilldeo, R. (1999). Immediate-release and controlled-release carbidopa/levodopa in PD A 5-year randomized multicenter study. Neurology, 53(5), 1012.

    Article  CAS  PubMed  Google Scholar 

  • Kosaka, K., Mark, M., & Sage, J. (1996). Diffuse Lewy body disease. In J. Sage & M. Mark (Eds.), Practical neurology of the elderly (Vol. 2). New York: Marcel Dekker.

    Google Scholar 

  • Lazzarini, A., Myers, R., Zimmerman, T., Mark, M., Golbe, L., & Sage, J. (1994). A clinical genetic study of Parkinson’s disease evidence for dominant transmission. Neurology, 44(3 Part 1), 499.

    Article  CAS  PubMed  Google Scholar 

  • Mark, M. H., Dickson, D. W., Sage, J. I., & Duvoisin, R. C. (1995). The clinicopathologic spectrum of Lewy body disease. Advances in Neurology, 69, 315–318.

    Google Scholar 

  • Mark, M., & Sage, J. (Eds.). (2000). Young Parkinson’s handbook. New York: The American Parkinson Disease Association, Inc.

    Google Scholar 

  • Mark, M., Sage, J., Dickson, D., Heikkila, R., Manzino, L., & Schwarz, K. (1994). Meige syndrome in the spectrum of Lewy body disease. Neurology, 44(8), 1432.

    Article  CAS  PubMed  Google Scholar 

  • Mark, M., Sage, J., Dickson, D., Schwarz, K., & Duvoisin, R. (1992). Levodopa‐nonresponsive Lewy body parkinsonism Clinicopathologic study of two cases. Neurology, 42(7), 1323.

    Article  CAS  PubMed  Google Scholar 

  • Mark, M., Sage, J., Walters, A., Duvoisin, R., & Miller, D. (1995). Binswanger’s disease presenting as levodopa-responsive parkinsonism: Clinicopathologic study of three cases. Movement Disorders, 10(4), 450–454.

    Article  CAS  PubMed  Google Scholar 

  • Menza, M., Forman, N., Sage, J., & Golbe, L. (1993). Parkinson’s disease and smoking: The relationship to personality. Cognitive and Behavioral Neurology, 6(4), 214–218.

    Google Scholar 

  • Menza, M. A., Palermo, B., DiPaola, R., Sage, J. I., & Ricketts, M. H. (1999). Depression and anxiety in Parkinson’s disease: Possible effect of genetic variation in the serotonin transporter. Journal of Geriatric Psychiatry and Neurology, 12(2), 49–52.

    Article  CAS  PubMed  Google Scholar 

  • Messier, J., Adamovich, S., Jack, D., Hening, W., Sage, J., & Poizner, H. (2007). Visuomotor learning in immersive 3D virtual reality in Parkinson’s disease and in aging. Experimental Brain Research, 179(3), 457–474.

    Article  PubMed  Google Scholar 

  • Pfeiffer, R., Wszolek, Z., & Ebadi, M. (2012). Parkinson’s disease (2nd ed., pp. 1225–1239). Boca Raton: CRC Press.

    Google Scholar 

  • Rajaraman, V., Jack, D., Adamovich, S., Hening, W., Sage, J., & Poizner, H. (2000). A novel quantitative method for 3D measurement of Parkinsonian tremor. Clinical Neurophysiology, 111(2), 338–343.

    Article  CAS  PubMed  Google Scholar 

  • Ramírez‐Ruiz, B., Junqué, C., Martí, M. J., Valldeoriola, F., & Tolosa, E. (2006). Neuropsychological deficits in Parkinson’s disease patients with visual hallucinations. Movement Disorders, 21(9), 1483–1487.

    Article  PubMed  Google Scholar 

  • Ricketts, M. H., Hamer, R. M., Manowitz, P., Feng, F., Sage, J. I., & Paola, R. D. (1998). Association of long variants of the dopamine D4 receptor exon 3 repeat polymorphism with Parkinson’s disease. Clinical Genetics, 54(1), 33–38.

    Article  CAS  PubMed  Google Scholar 

  • Sage, J. (1996). Other Parkinsonian Syndromes: Other CNS Conditions. In R. Watts & W. Koller (Eds.), Movement disorders: Neurologic principles and practice. New York: McGraw-Hill.

    Google Scholar 

  • Sage, J. (2002). Fluctuations of Nonmotor Symptoms. In S. Factor & W. Weiner (Eds.), Parkinson’s disease: Diagnosis and clinical management. New York: Demos Medical Publishing.

    Google Scholar 

  • Sage, J. (2003). Drug-related movement disorders during sleep. In S. Chokroverty, W. Hening, & A. Walters (Eds.), Sleep and movement disorders. Orlando, FL: Butterworth Heinemann.

    Google Scholar 

  • Sage, J. (2004a). Other Parkinsonian syndromes: Other CNS conditions. In R. Watts & W. Koller (Eds.), Movement disorders: Neurologic principles and practice (2nd ed.). New York: McGraw-Hill.

    Google Scholar 

  • Sage, J. (2004b). Pain in Parkinson’s disease. In S. Reich (Ed.). Current treatment options in neurology (pp. 191–200).

    Google Scholar 

  • Sage, J. (2008). Fluctuations of Nonmotor Symptoms. In S. Factor & W. Weiner (Eds.), Parkinson’s disease: Diagnosis and clinical management (2nd ed.). New York: Demos Medical Publishing.

    Google Scholar 

  • Sage, J., & Duvoisin, R. (1989). The Parkinson plus syndromes. Current Opinion in Neurology, 2(3), 314–318.

    Google Scholar 

  • Sage, J., Kortis, H., & Sommer, W. (1990). Evidence for the role of spinal cord systems in Parkinson’s disease-associated pain. Clinical Neuropharmacology, 13(2), 171–174.

    Article  CAS  PubMed  Google Scholar 

  • Sage, J., & Mark, M. (1993). Diffuse Lewy body disease. In M. Stern & W. Koller (Eds.), Parkinsonian syndromes. New York: Marcel Dekker.

    Google Scholar 

  • Sage, J. I., & Mark, M. H. (1994). Diagnosis and treatment of Parkinson’s disease in the elderly. Journal of General Internal Medicine, 9(10), 583–589.

    Article  CAS  PubMed  Google Scholar 

  • Sage, J. I., & Mark, M. H. (1995). Drenching sweats as an off phenomenon in Parkinson’s disease: Treatment and relation to plasma levodopa profile. Annals of Neurology, 37(1), 120–122.

    Article  CAS  PubMed  Google Scholar 

  • Sage, J., & Mark, M. (Eds.). (1996). Practical neurology of the elderly (Vol. 1). New York: Marcel Dekker.

    Google Scholar 

  • Sage, J., & Mark, M. (2000). Medical treatment of Parkinson’s disease. In M. Mark & J. Sage (Eds.), Young Parkinson’s handbook. New York: The American Parkinson Disease Association.

    Google Scholar 

  • Sage, J. I., Miller, D. C., Golbe, L. I., Walters, A., & Duvoisin, R. C. (1990). Clinically atypical expression of pathologically typical Lewy-body parkinsonism. Clinical Neuropharmacology, 13(1), 36–47.

    Article  CAS  PubMed  Google Scholar 

  • Schettino, L. F., Adamovich, S. V., Hening, W., Tunik, E., Sage, J., & Poizner, H. (2006). Hand preshaping in Parkinson’s disease: Effects of visual feedback and medication state. Experimental Brain Research, 168(1–2), 186–202.

    Article  PubMed  Google Scholar 

  • Schettino, L. F., Rajaraman, V., Jack, D., Adamovich, S. V., Sage, J., & Poizner, H. (2004). Deficits in the evolution of hand preshaping in Parkinson’s disease. Neuropsychologia, 42(1), 82–94.

    Article  PubMed  Google Scholar 

  • Shohamy, D., Myers, C. E., Geghman, K. D., Sage, J., & Gluck, M. A. (2006). L-dopa impairs learning, but spares generalization, in Parkinson’s disease. Neuropsychologia, 44(5), 774–784.

    Article  PubMed  Google Scholar 

  • Shohamy, D., Myers, C., Grossman, S., Sage, J., Gluck, M., & Poldrack, R. (2004). Cortico-striatal contributions to feedback-based learning: Converging data from neuroimaging and neuropsychology. Brain, 127(4), 851–859.

    Article  CAS  PubMed  Google Scholar 

  • Shohamy, D., Myers, C. E., Grossman, S., Sage, J., & Gluck, M. A. (2005). The role of dopamine in cognitive sequence learning: Evidence from Parkinson’s disease. Behavioural Brain Research, 156(2), 191–199.

    Article  CAS  PubMed  Google Scholar 

  • Shohamy, D., Myers, C. E., Hopkins, R. O., Sage, J., & Gluck, M. A. (2009). Distinct hippocampal and basal ganglia contributions to probabilistic learning and reversal. Journal of Cognitive Neuroscience, 21(9), 1820–1832.

    Article  Google Scholar 

  • Syed, N., Murphy, J., Zimmerman, T., Mark, M. H., & Sage, J. I. (1998). Ten years’ experience with enteral levodopa infusions for motor fluctuations in Parkinson’s disease. Movement Disorders, 13(2), 336–338.

    Article  CAS  PubMed  Google Scholar 

  • Tilley, B., Palesch, Y., Kieburtz, K., Ravina, B., Huang, P., & Elm, J. (2006). Optimizing the ongoing search for new treatments for Parkinson disease using futility designs. Neurology, 66(5), 628–633.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jacob I. Sage M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag New York

About this chapter

Cite this chapter

Sage, J.I. (2017). Parkinson’s Disease: Changes in Daily Life. In: Chiaravalloti, N., Goverover, Y. (eds) Changes in the Brain. Springer, New York, NY. https://doi.org/10.1007/978-0-387-98188-8_4

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-98188-8_4

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-98187-1

  • Online ISBN: 978-0-387-98188-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics