Falls in Parkinson's disease

Grimbergen, Yvette A. M.; Munneke, Marten; Bloem, Bastiaan R.

doi:10.1097/01.wco.0000137530.68867.93

Cited by 227 publications

(170 citation statements)

References 60 publications

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“…In Parkinson's disease (PD), the most disabling symptoms involve gait and balance problems. Major clinical significance has been attributed to the falls suffered by PD patients, which are caused by independent, but coexisting, mechanisms: balance instability, difficulties with transfers (change in position), gait changes and orthostatic syncope 7 . Treatment is based on drug therapy, neurosurgery and physical therapy, but none of these options is efficient when used alone.…”

Section: Introductionmentioning

confidence: 99%

Vestibular rehabilitation with biofeedback in patients with central imbalance

Bittar¹,

Barros

2011

Braz. j. otorhinolaryngol. (Impr.)

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Cent ral Nervous System disorders may cause important functional unbalance in the maintenance of balance and posture. There is no effective rehabilitation for these symptoms until now.Objective: The aim of this paper is to evaluate the use of tongue electrotactile stimulation on patients with central imbalance using BrainPort. Materials and Methods:This is a prospective case series study. We evaluated 8 patients with central imbalance, 6 men and 2 women, with mean age of 67.75 years. The patients were submitted to Computed Dynamic Posturography (CDP) and then received 18 sessions of electrotactile stimulation by BrainPort® device for 20 minutes, twice a day. Then they were submitted to a new CDP test and to a self-perception scale to assess symptom remission, partial improvement and no improvement at all.Results: 75% of the patients reported being more stable. There was no improvement in the balance control of the mass center in these patients. Conclusion:The patients were able to use the electrotactile stimulus to improve their balance control. Braz J Otorhinolaryngol. 2011;77(3):356-61. ORIGINAL ARTICLE BJORL

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Section: Introductionmentioning

confidence: 99%

Vestibular rehabilitation with biofeedback in patients with central imbalance

Bittar¹,

Barros

2011

Braz. j. otorhinolaryngol. (Impr.)

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“…Postural instability is one of the major symptoms of Parkinson's disease, and the instability in the control of upright stance and posture in PD often results in falling (Bloem et al, 2001;Wood et al, 2002;Grimbergen et al, 2004;Bloem et al, 2006). Several studies reported that postural sway patterns during quiet stance in PD patients are different compared to those of healthy elderly subjects, with PD patients displaying larger lateral excursion compared with anteroposterior excursion (Mitchell et al, 1995;Morris et al, 2000;Van Wegen et al, 2001; Van der Burg et al, 2006).…”

Section: Body Inclination During Sitting and In Relation To Falling Fmentioning

confidence: 99%

Postural Control While Sitting and Its Association with Risk of Falls in Patients with Parkinson's Disease

Hayashi¹,

Hayashi²,

Aizawa³

et al. 2011

Diagnostics and Rehabilitation of Parkinson's Disease

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“…For example, individuals within this population often present with a gait pattern that is characterized by shortened step length and reduced velocity. As the disease progresses, gait impairments worsen and individuals may develop a festinating gait pattern with short, rapid steps, or freezing of gait, which may lead to falls and decreased quality of life (Grimbergen, Munneke, & Bloem, 2004;Shulman, 2010;Shulman et al, 2008).…”

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confidence: 99%