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Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease
Background: Fear of falling (FOF) is common in Parkinson’s disease (PD) and associated with distinct gait changes. Here, we aimed to answer, how quantitative gait assessment can improve our understanding of FOF-related gait in hospitalized geriatric patients with PD. Methods: In this cross-sectional...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9919788/ https://www.ncbi.nlm.nih.gov/pubmed/36772149 http://dx.doi.org/10.3390/s23031111 |
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author | Uhlig, Manuela Prell, Tino |
author_facet | Uhlig, Manuela Prell, Tino |
author_sort | Uhlig, Manuela |
collection | PubMed |
description | Background: Fear of falling (FOF) is common in Parkinson’s disease (PD) and associated with distinct gait changes. Here, we aimed to answer, how quantitative gait assessment can improve our understanding of FOF-related gait in hospitalized geriatric patients with PD. Methods: In this cross-sectional study of 79 patients with advanced PD, FOF was assessed with the Falls Efficacy Scale International (FES-I), and spatiotemporal gait parameters were recorded with a mobile gait analysis system with inertial measurement units at each foot while normal walking. In addition, demographic parameters, disease-specific motor (MDS-revised version of the Unified Parkinson’s Disease Rating Scale, Hoehn & Yahr), and non-motor (Non-motor Symptoms Questionnaire, Montreal Cognitive Assessment) scores were assessed. Results: According to the FES-I, 22.5% reported low, 28.7% moderate, and 47.5% high concerns about falling. Most concerns were reported when walking on a slippery surface, on an uneven surface, or up or down a slope. In the final regression model, previous falls, more depressive symptoms, use of walking aids, presence of freezing of gait, and lower walking speed explained 42% of the FES-I variance. Conclusion: Our study suggests that FOF is closely related to gait changes in hospitalized PD patients. Therefore, FOF needs special attention in the rehabilitation of these patients, and targeting distinct gait parameters under varying walking conditions might be a promising part of a multimodal treatment program in PD patients with FOF. The effect of these targeted interventions should be investigated in future trials. |
format | Online Article Text |
id | pubmed-9919788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99197882023-02-12 Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease Uhlig, Manuela Prell, Tino Sensors (Basel) Article Background: Fear of falling (FOF) is common in Parkinson’s disease (PD) and associated with distinct gait changes. Here, we aimed to answer, how quantitative gait assessment can improve our understanding of FOF-related gait in hospitalized geriatric patients with PD. Methods: In this cross-sectional study of 79 patients with advanced PD, FOF was assessed with the Falls Efficacy Scale International (FES-I), and spatiotemporal gait parameters were recorded with a mobile gait analysis system with inertial measurement units at each foot while normal walking. In addition, demographic parameters, disease-specific motor (MDS-revised version of the Unified Parkinson’s Disease Rating Scale, Hoehn & Yahr), and non-motor (Non-motor Symptoms Questionnaire, Montreal Cognitive Assessment) scores were assessed. Results: According to the FES-I, 22.5% reported low, 28.7% moderate, and 47.5% high concerns about falling. Most concerns were reported when walking on a slippery surface, on an uneven surface, or up or down a slope. In the final regression model, previous falls, more depressive symptoms, use of walking aids, presence of freezing of gait, and lower walking speed explained 42% of the FES-I variance. Conclusion: Our study suggests that FOF is closely related to gait changes in hospitalized PD patients. Therefore, FOF needs special attention in the rehabilitation of these patients, and targeting distinct gait parameters under varying walking conditions might be a promising part of a multimodal treatment program in PD patients with FOF. The effect of these targeted interventions should be investigated in future trials. MDPI 2023-01-18 /pmc/articles/PMC9919788/ /pubmed/36772149 http://dx.doi.org/10.3390/s23031111 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Uhlig, Manuela Prell, Tino Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease |
title | Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease |
title_full | Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease |
title_fullStr | Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease |
title_full_unstemmed | Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease |
title_short | Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson’s Disease |
title_sort | gait characteristics associated with fear of falling in hospitalized people with parkinson’s disease |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9919788/ https://www.ncbi.nlm.nih.gov/pubmed/36772149 http://dx.doi.org/10.3390/s23031111 |
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