Extrinsic and Behavioral Fall Risk Factors in People With Parkinson’s Disease: An Integrative Review

Kuljeerung, Orawan; Lach, Helen W.

doi:10.1097/rnj.0000000000000265

Cited by 7 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…35 The complex relationship between fear of falling, balance confidence, and balance performance may also have influenced our results. 32 Because it has been shown that a fall prevention program integrated with an outdoor multisurface terrain has improved balance, gait, and mobility measures in older adults when compared with indoor solid ground 36 and those preliminary outcomes of a feasibility study have shown a reduction of outdoor falls among older adults, 37 future fall prevention trials including people with PD should investigate whether an outdoor multimodal training and the adoption of fall protective behavior 38 would reduce the number of injurious falls in this population.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Falls with Injuries in People with Parkinson's Disease

Castro

Valença

Pinto

et al. 2022

Movement Disord Clin Pract

View full text Add to dashboard Cite

Background Falls are frequent in Parkinson's disease (PD), but there is lack of information about predictors of injurious falls. Objectives To determine predictors of falls with injuries in people with PD; to compare circumstances and consequences of falls in single and recurrent fallers. Methods Participants (n = 225) were assessed by disease‐specific, self‐report, and balance measures, and followed‐up for 12 months with a diary to record falls, their circumstances, and injuries. Univariate and multivariate analyses were performed. Circumstances and consequences of falls presented by single and recurrent fallers were compared. Results A total of 805 falls were analyzed, 107 (13%) were falls with injuries. Multivariate logistic regression model revealed that greater PD duration and higher balance confidence were protective factors; better balance during gait, outdoor falls, and falls related to extrinsic factors were risk factors for falls with injuries, when compared to falls with no injuries. Multivariate multinomial regression model revealed that, when compared to zero fall, past falls and daily levodopa equivalent dose were predictors of falls with injuries; these predictors together with disability were predictors of falls with no injuries. Single falls (n = 27; 3%) were more common outdoors because of extrinsic factors, whereas recurrent falls (n = 778; 97%) were more common indoors because of intrinsic factors. Single falls led to more injuries than recurrent falls (P < 0.05). Conclusions Different predictors of falls with injuries were obtained when different outcomes were compared. It should be noted that falls with injuries might be influenced by fall‐related activities and environmental factors. Single and recurrent falls differed on circumstances and consequences.

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of Falls with Injuries in People with Parkinson's Disease

Castro

Valença

Pinto

et al. 2022

Movement Disord Clin Pract

View full text Add to dashboard Cite

show abstract

“…This risk is increased by the fact that FOG often co-occurs with substantial balance problems (Bloem et al, 2004). Kuljeerung and Lach (2021) indicate that nurses should evaluate medication effects and promote fall prevention behaviors while the people with PD perform activities during the on- and off-medication states.…”

Section: Introductionmentioning

confidence: 99%

Balance Ability and Occupational Performance in Patients With Parkinson’s Disease and On-Medication-State Freezing of Gait

Cabrera‐Martos

Escamilla‐Sevilla²,

Marín-Romero

et al. 2022

Rehabilitation Nursing

View full text Add to dashboard Cite

Purpose: The aim of this study was to examine balance ability and occupational performance in patients with Parkinson's disease (PD) and on-medication-state freezing of gait (FOG). Design: A cohort study with three groups was conducted. Methods: Seven patients with PD and on-medication-state FOG with optimized pharmacological therapy; seven patients with PD matched by age, gender, length of time since diagnosis, and Hoehn and Yahr stage; and seven controls were included. Outcomes included balance and occupational performance. Nonparametric analyses were used. Findings: Significant differences were found between the two subgroups of patients with PD in the Timed Up & Go Test when adding a cognitive task, dual-task interference, and self-confidence in balance. Conclusions: Patients with PD and on-medication-state FOG had lower scores on dual-task interference and self-confidence than matched PD patients. Clinical Relevance: The assessment and rehabilitation approach for patients with PD and on-medication-state FOG should include balance confidence and dual-task interference.

show abstract

Association of body mass index and waist circumference with falls in Chinese older adults

Zhao

et al. 2022

Geriatric Nursing

View full text Add to dashboard Cite

Extrinsic and Behavioral Fall Risk Factors in People With Parkinson’s Disease: An Integrative Review

Cited by 7 publications

References 29 publications

Predictors of Falls with Injuries in People with Parkinson's Disease

Predictors of Falls with Injuries in People with Parkinson's Disease

Balance Ability and Occupational Performance in Patients With Parkinson’s Disease and On-Medication-State Freezing of Gait

Association of body mass index and waist circumference with falls in Chinese older adults

Contact Info

Product

Resources

About