A community-dwelling sample of people with Parkinson's disease: characteristics of fallers and non-fallers

Ashburn, Ann; Stack, Emma; Pickering, Ruth; Ward, C D

doi:10.1093/ageing/30.1.47

Cited by 286 publications

(196 citation statements)

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“…Gait disturbances and falls are one of the most significant motor complaints in PD and a leading cause of loss of independence and institutionalization (Ashburn, Stack, Pickering, & Ward, 2001;Bloem, Hausdorff, Visser, & Giladi, 2004;Hausdorff et al, 2000). As discussed above, gait variability apparently predicts falls in older adults with 'idiopathic falls' as well as in patients with Alzheimer's disease (Azizah, Lajoie, & Teasdale, 2003;Hausdorff, Edelberg et al, 1997;Hausdorff, Rios et al, 2001;Maki, 1997;Nakamura, Meguro, & Sasaki, 1996;Visser, 1983;).…”

Section: Gait Variability and Fall Risk In Parkinson's Disease (Pd)mentioning

confidence: 99%

Gait dynamics, fractals and falls: Finding meaning in the stride-to-stride fluctuations of human walking

Hausdorff

2007

Human Movement Science

718

594

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Until recently, quantitative studies of walking have typically focused on properties of a typical or average stride, ignoring the stride-to-stride fluctuations and considering these fluctuations to be noise. Work over the past two decades has demonstrated, however, that the alleged noise actually conveys important information. The magnitude of the stride-to-stride fluctuations and their changes over time during a walk -gait dynamics -may be useful in understanding the physiology of gait, in quantifying age-related and pathologic alterations in the locomotor control system, and in augmenting objective measurement of mobility and functional status Indeed, alterations in gait dynamics may help to determine disease severity, medication utility, and fall risk, and to objectively document improvements in response to therapeutic interventions, above and beyond what can be gleaned from measures based on the average, typical stride. This review discusses support for the idea that gait dynamics has meaning and may be useful in providing insight into the neural control of locomtion and for enhancing functional assessment of aging, chronic disease, and their impact on mobility.

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Section: Gait Variability and Fall Risk In Parkinson's Disease (Pd)mentioning

confidence: 99%

Gait dynamics, fractals and falls: Finding meaning in the stride-to-stride fluctuations of human walking

Hausdorff

2007

Human Movement Science

718

594

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“…interviewed the patients and recorded demographic and clinical information and history of falls in the previous twelve months. A "fall" was defined as an event resulting in a person coming to rest unintentionally on the ground or on another level 8 . Subsequently, the same examiner described for the patient a FOG episode as a situation in which their feet seem to be "stuck to the ground".…”

Section: Clinical Assessmentsmentioning

confidence: 99%

Validity of the Brazilian version of the freezing of gait questionnaire

Baggio

Curtarelli

Rodrigues

et al. 2012

Arq. Neuro-Psiquiatr.

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OBJECTIVE: To validate the freezing of gait questionnaire (FOG-Q) for a Brazilian population of Parkinson's disease (PD) patients. METHODS: One hundred and seven patients with a diagnosis of PD were evaluated by shortened UPDRS motor scale (sUPDRm), Hoehn and Yahr (HY), Schwab and England scale (SE), Berg balance scale (BBS), falls efficacy scale international (FES-I), gait and balance scale (GABS), and the FOG-Q Brazilian version. RESULTS: 47.7% of PD patients had FOG episodes; this group had worse scores on sUPDRSm, FOGQ, FES-I, BBS, GABS and FOG item of UPDRS when compared to the PD group without FOG. The internal consistency was 0.86, intra-rater 0.82 and inter-rater 0.78. The FOG-Q Brazilian version was significantly correlated with items related to gait and balance. The ROC curve was 0.94, the sensitivity was 0.90and specificity was 0.92. CONCLUSION: Our study suggests that the FOG-Q Brazilian version is a reliable and valid instrument for assessing FOG in PD patients.

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“…Decrements in walking speed [5] and strength [6] in elderly subjects are considered the main element of musculoskeletal fragility. The motor control alteration causes postural instability [7], increases the balance impairment and representing a serious factor of falling risk [8]. Subjects with PD report increased difficulty in maintaining balance not only during static situations, but also in dynamic one and in the transition phase between static and dynamic state during transitions between static and dynamic [9].…”

Section: Introductionmentioning

confidence: 99%

Body Balance and Core Training in Parkinson’s Disease: A Longitudinal Crossover Study

Ruben¹,

Beratto²,

Ponzano³

et al. 2017

APD

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Objective: The objective of this study was to verify the effects of two different training protocols based on Core Stability and Body Balance exercises in subjects with Parkinsons's Disease. Methods: Eight elderly men with PD (age of 73 ± 9 years, weight 69 ± 16 kg, height 164 ± 13 cm, 2 ± 1 of Disability Score according to Hoehn and Yahr scale). The disability score was evaluated using Hoehn and Yahr scale. This study was 12-month-long organized in 3 blocks of 4 months each. The sample was divided in two groups formed by 4 subjects each group. During the first four months, one group performed core stability exercises (CSG) while the other group exercised itself through a Balance Exercises Program (BG). After this first part of the study both protocols were stopped for the following 4 months. Finally, the group were reversed (counter balance design) for the last 4 months of physical activity. The two groups were measured twice, before (T0) and after the treatment (T1). Both treatments were designed in order to investigate the improvement in core muscles performance in order to grant a better balance control and to reduce the risk of falling. Results: statistically significant variations were found in the flight time of Sit-to-Stand (p < 0.05, +27%) and in the step length (p < 0.05, −3%). In the CSG group, statistically significant variations were detected in Speed of Steps (p < 0.05, +5%), Step Cadence (p < 0.05, +3%), and Left Stride Duration (p < 0.05, −3%) ( Table 1). Conclusion: Both Body Balance and Core training can be considered two good physical exercise methods for people with PD. This study highlights the positive effects of this training protocol on legs strength improvements and on the balance control while walking.

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A community-dwelling sample of people with Parkinson's disease: characteristics of fallers and non-fallers

Abstract: this community-based study confirms the high risk of falling in Parkinson's disease. Our results suggest that disease-specific factors contribute to the increased risk and that there is scope for specific therapeutic interventions.

Cited by 286 publications

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Gait dynamics, fractals and falls: Finding meaning in the stride-to-stride fluctuations of human walking

Gait dynamics, fractals and falls: Finding meaning in the stride-to-stride fluctuations of human walking

Validity of the Brazilian version of the freezing of gait questionnaire

Body Balance and Core Training in Parkinson’s Disease: A Longitudinal Crossover Study

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