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Monitoring and Graphing Selected Motor and Non-Motor Symptom Fluctuations in a 72-Year-Old Parkinson’s Patient: A Caregiver Perspective

DOI: 10.4236/apd.2025.144005, PP. 72-81

Keywords: Parkinson’s Disease, Motor and Non-Motor Symptoms, Diurnal Symptoms’ Fluctuations, Carbidopa/Levodopa

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Abstract:

Parkinson’s Disease (PD) is characterized by a spectrum of symptoms, including movement disabilities and non-motor neuropsychiatric, sleep, sensory, and autonomic complications. Fluctuations of symptoms in PD create an additional burden for patients and, due to difficulties in their recognition and tracking, impediments to optimal management of the disease. This case report details the daily monitoring and graphing of motor and non-motor symptoms in a 72-year-old Parkinson’s disease patient. Following a reduction in the patient’s carbidopa/levodopa dosage, a caregiver used a custom observational scale to chart symptom fluctuations over three weeks. The study finds that the medication adjustment correlated with an attenuation of symptom fluctuations, suggesting this caregiver-led method may be a useful tool for tracking treatment effects in PD management.

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