Recurrent Falls in People with Parkinson’s Disease without Cognitive Impairment: Focusing on Modifiable Risk Factors

Almeida, Lorena Rosa S.; Valença, Guilherme T.; Negreiros, Nádja N.; Pinto, Elen Beatriz; Oliveira‐Filho, Jamary

doi:10.1155/2014/432924

Cited by 9 publications

(9 citation statements)

References 56 publications

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“…We found a prevalence of at least once fall as 46.1% and at least two falls (recurrent falls) as 34.3% in PD patients followed up for a year. Although dyskinesia could be related to falls by leading to postural problems or increased postural swinging when trunk and feet are influenced (26,28,30,31,32), no difference was detected between the patients with or without recurrent falls with regard to dyskinesia prevalence in this study. On the contrary to this condition which may be related to sample characteristics, motor fluctuation a complication of PD was shown to be more frequent, consistent with the previous studies.…”

Section: Discussioncontrasting

confidence: 65%

Can recurrent falls be predicted in parkinson’s disease?

Arif¹,

Koçer²

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Objective: To investigate the prevalence of recurrent falls in patients who are being followed up in Movement Disorder Outpatient Clinic, demographic and clinical characteristics of patients with recurrent falls, and relative accuracy of balance assessment for prediction of falls prospectively within 1 year. Materials and Methods:The patients who were admitted to Movement Disorder Outpatient Clinic due to idiopathic Parkinson's disease were consecutively included in the study. Demographic data and disease characteristics of the patients were recorded. Berg Balance Scale, Functional Reach Test, Five Times Sit-To-Stand Test and Timed Up and Go Test were used for assessment of balance. Subsequently, the patients and/or their relatives were asked to fill out fall diaries for 1 year.Results: At the end of one year, at least one fall was detected in 47 (46.1%) and recurrent falls were detected in 35 (34.3%) out of 102 patients. The patients who had recurrent falls had a longer duration of disease, were using higher doses of levodopa and had higher disease severity according to Hoehn

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Section: Discussioncontrasting

confidence: 65%

Can recurrent falls be predicted in parkinson’s disease?

Arif¹,

Koçer²

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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“…A variety of mechanisms have been identified as being associated with falls in PD . One study reported that 70% of falls in individuals with PD were intrinsic in nature (as opposed to from an obvious extrinsic cause), while another study found that fallers with PD took shorter steps and interpreted this as a tripping hazard.…”

mentioning

confidence: 99%

Falls and Parkinson's Disease: Evidence from Video Recordings of Actual Fall Events

Weaver

Robinovitch

Laing

et al. 2016

J American Geriatrics Society

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“…Falls are associated with increased morbidity in PD patients [8,36]. In a study of PD patients who had fallen in the previous year, approximately one-third of falls resulted in physical injury.…”

Section: Clinicalmentioning

confidence: 99%

“…Among patients with PD who have already experienced a fall, this problem is recurrent in approximately 30% to 40% of patients [8,12].…”

mentioning

confidence: 99%

Parkinson Disease and Orthostatic Hypotension in the Elderly: Recognition and Management of Risk Factors for Falls

LeWitt¹,

Kymes²,

Hauser³

2020

Aging and disease

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Parkinson disease (PD) is often associated with postural instability and gait dysfunction that can increase the risk for falls and associated consequences, including injuries, increased burden on healthcare resources, and reduced quality of life. Patients with PD have nearly twice the risk for falls and associated bone fractures compared with their general population counterparts of similar age. Although the cause of falls in patients with PD may be multifactorial, an often under-recognized factor is neurogenic orthostatic hypotension (nOH). nOH is a sustained decrease in blood pressure upon standing whose symptomology can include dizziness/lightheadedness, weakness, fatigue, and syncope. nOH is due to dysfunction of the autonomic nervous system compensatory response to standing and is a consequence of the neurodegenerative processes of PD. The symptoms associated with orthostatic hypotension (OH)/nOH can increase the risk of falls, and healthcare professionals may not be aware of the real-world clinical effect of nOH, the need for routine screening, or the value of early diagnosis of nOH when treating elderly patients with PD. nOH is easily missed and, importantly, healthcare providers may not realize that there are effective treatments for nOH symptoms that could help lessen the fall risk resulting from the condition. This review discusses the burden of, and key risk factors for, falls among patients with PD, with a focus on practical approaches for the recognition, assessment, and successful management of OH/nOH. In addition, insights are provided as to how fall patterns can suggest fall etiology, thereby influencing the choice of intervention.

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Recurrent Falls in People with Parkinson’s Disease without Cognitive Impairment: Focusing on Modifiable Risk Factors

Cited by 9 publications

References 56 publications

Can recurrent falls be predicted in parkinson’s disease?

Can recurrent falls be predicted in parkinson’s disease?

Falls and Parkinson's Disease: Evidence from Video Recordings of Actual Fall Events

Parkinson Disease and Orthostatic Hypotension in the Elderly: Recognition and Management of Risk Factors for Falls

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