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Incidence and prediction of falls in Parkinson's disease: a prospective multidisciplinary study
- Publication Year :
- 2002
- Publisher :
- BMJ Group, 2002.
-
Abstract
- Objectives: To accurately establish the incidence of falls in Parkinson9s disease (PD) and to investigate predictive risk factors for fallers from baseline data. Methods: 109 subjects with idiopathic PD diagnosed according to the brain bank criteria underwent a multidisciplinary baseline assessment comprising demographic and historical data, disease specific rating scales, physiotherapy assessment, tests of visual, cardiovascular and autonomic function, and bone densitometry. Patients were then prospectively followed up for one year using weekly prepaid postcards along with telephone follow up. Results: Falls occurred in 68.3% of the subjects. Previous falls, disease duration, dementia, and loss of arm swing were independent predictors of falling. There were also significant associations between disease severity, balance impairment, depression, and falling. Conclusions: Falls are a common problem in PD and some of the major risk factors are potentially modifiable. There is a need for future studies to look at interventions to prevent falls in PD.
- Subjects :
- Paper
Male
medicine.medical_specialty
Time Factors
Disease
Severity of Illness Index
Risk Factors
Severity of illness
medicine
Dementia
Humans
Prospective Studies
Risk factor
Prospective cohort study
Depression (differential diagnoses)
Aged
Demography
Aged, 80 and over
business.industry
Incidence (epidemiology)
Incidence
Parkinson Disease
Middle Aged
medicine.disease
Motor Skills Disorders
Psychiatry and Mental health
Physical therapy
Surgery
Accidental Falls
Female
Neurology (clinical)
business
Cohort study
Forecasting
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....cf944e49b946a0cea7c2858669b36964