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Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease

OBJECTIVE: To determine factors associated with future falls and/or near falls in people with mild PD. METHODS: The study included 141 participants with PD. Mean (SD) age and PD-duration were 68 (9.7) and 4 years (3.9), respectively. Their median (q1–q3) UPDRS III score was 13 (8-18). Those >80 y...

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Autores principales: Lindholm, Beata, Hagell, Peter, Hansson, Oskar, Nilsson, Maria H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311993/
https://www.ncbi.nlm.nih.gov/pubmed/25635687
http://dx.doi.org/10.1371/journal.pone.0117018
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author Lindholm, Beata
Hagell, Peter
Hansson, Oskar
Nilsson, Maria H.
author_facet Lindholm, Beata
Hagell, Peter
Hansson, Oskar
Nilsson, Maria H.
author_sort Lindholm, Beata
collection PubMed
description OBJECTIVE: To determine factors associated with future falls and/or near falls in people with mild PD. METHODS: The study included 141 participants with PD. Mean (SD) age and PD-duration were 68 (9.7) and 4 years (3.9), respectively. Their median (q1–q3) UPDRS III score was 13 (8-18). Those >80 years of age, requiring support in standing or unable to understand instructions were excluded. Self-administered questionnaires targeted freezing of gait, turning hesitations, walking difficulties in daily life, fatigue, fear of falling, independence in activities of daily living, dyskinesia, demographics, falls/near falls history, balance problems while dual tasking and pain. Clinical assessments addressed functional balance performance, retropulsion, comfortable gait speed, motor symptoms and cognition. All falls and near falls were subsequently registered in a diary during a six-month period. Risk factors for prospective falls and/or near falls were determined using logistic regression. RESULTS: Sixty-three participants (45%) experienced ≥1 fall and/or near fall. Three factors were independent predictors of falls and/or near falls: fear of falling (OR = 1.032, p<0.001) history of near falls (OR = 3.475, p = 0.009) and retropulsion (OR = 2.813, p = 0.035). The strongest contributing factor was fear of falling, followed by a history of near falls and retropulsion. CONCLUSIONS: Fear of falling seems to be an important issue to address already in mild PD as well as asking about prior near falls.
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spelling pubmed-43119932015-02-13 Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease Lindholm, Beata Hagell, Peter Hansson, Oskar Nilsson, Maria H. PLoS One Research Article OBJECTIVE: To determine factors associated with future falls and/or near falls in people with mild PD. METHODS: The study included 141 participants with PD. Mean (SD) age and PD-duration were 68 (9.7) and 4 years (3.9), respectively. Their median (q1–q3) UPDRS III score was 13 (8-18). Those >80 years of age, requiring support in standing or unable to understand instructions were excluded. Self-administered questionnaires targeted freezing of gait, turning hesitations, walking difficulties in daily life, fatigue, fear of falling, independence in activities of daily living, dyskinesia, demographics, falls/near falls history, balance problems while dual tasking and pain. Clinical assessments addressed functional balance performance, retropulsion, comfortable gait speed, motor symptoms and cognition. All falls and near falls were subsequently registered in a diary during a six-month period. Risk factors for prospective falls and/or near falls were determined using logistic regression. RESULTS: Sixty-three participants (45%) experienced ≥1 fall and/or near fall. Three factors were independent predictors of falls and/or near falls: fear of falling (OR = 1.032, p<0.001) history of near falls (OR = 3.475, p = 0.009) and retropulsion (OR = 2.813, p = 0.035). The strongest contributing factor was fear of falling, followed by a history of near falls and retropulsion. CONCLUSIONS: Fear of falling seems to be an important issue to address already in mild PD as well as asking about prior near falls. Public Library of Science 2015-01-30 /pmc/articles/PMC4311993/ /pubmed/25635687 http://dx.doi.org/10.1371/journal.pone.0117018 Text en © 2015 Lindholm et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Lindholm, Beata
Hagell, Peter
Hansson, Oskar
Nilsson, Maria H.
Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease
title Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease
title_full Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease
title_fullStr Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease
title_full_unstemmed Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease
title_short Prediction of Falls and/or Near Falls in People with Mild Parkinson’s Disease
title_sort prediction of falls and/or near falls in people with mild parkinson’s disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311993/
https://www.ncbi.nlm.nih.gov/pubmed/25635687
http://dx.doi.org/10.1371/journal.pone.0117018
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