Falls in people with Parkinson’s disease: A prospective comparison of community and home-based falls

Lamont, Robyn; Morris, Meg E.; Menz, Hylton B.; McGinley, Jennifer; Brauer, Sandra

doi:10.1016/j.gaitpost.2017.04.005

Cited by 35 publications

(42 citation statements)

References 29 publications

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“…Recent evidence points to a key role for nonmotor features. Among them, the role of attention is crucial as falls can occur in the early stages of PD under high attentional demands, particularly for fallers outside the home . Severe dysexecutive syndrome can lead to impulsivity and poor awareness of risks, resulting in the opposite of fall phobia along a continuum recently termed the safety estimation superdomain .…”

Section: Understanding Fall Riskmentioning

confidence: 99%

“…Falls are classified according to circumstance and frequency. An elegant study conducted in older adults used surveillance cameras installed in facilities, an approach recently used also for PD . Nevertheless, most studies in PD have relied on self‐report to establish the nature of the fall.…”

Section: Assessing Risk and Classifying Falls: From Technology To CLImentioning

confidence: 99%

“…This problem partly arises from association studies and is aptly illustrated by the relationship between falls and depression. 3 Recurrent falls can result in a reactive depression for which antidepressants and other medications with sedative properties 12 Severe dysexecutive syndrome can lead to impulsivity and poor awareness of risks, resulting in the opposite of fall phobia along a continuum recently termed the safety estimation superdomain. 13 The U-shaped relationship of physical activity and falls complicates matters further.…”

Section: Understanding Fall Riskmentioning

confidence: 99%

“…An elegant study conducted in older adults used surveillance cameras installed in facilities, 41 an approach recently used also for PD. 12 Nevertheless, most studies in PD have relied on self-report to establish the nature of the fall. Some suggest using the concept of recurrent faller to discriminate people with incidental findings, who just happened to fall, from those carrying an intrinsic increased risk.…”

Section: Classification Of Fallsmentioning

confidence: 99%

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Falls in Parkinson's disease: A complex and evolving picture

et al. 2017

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Falls are a major determinant of poor quality of life, immobilization, and reduced life expectancy in people affected by Parkinson's disease (PD) and in older adults more generally. Although many questions remain, recent research has advanced the understanding of this complex problem. The goal of this review is to condense new knowledge of falls in PD from prodromal to advanced disease, taking into account risk factors, assessment, and classification as well as treatment. The fundamental steps of clinical and research-based approaches to falls are described, namely, the identification of fall risk factors, clinical and instrumental methods to evaluate and classify fall risk, and the latest evidence to reduce or delay falls in PD. We summarize recent developments, the direction in which the field should be heading, and what can be recommended at this stage. We also provide a practical algorithm for clinicians.© 2017 International Parkinson and Movement Disorder Society.

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Section: Understanding Fall Riskmentioning

confidence: 99%

Section: Assessing Risk and Classifying Falls: From Technology To CLImentioning

confidence: 99%

Section: Understanding Fall Riskmentioning

confidence: 99%

Section: Classification Of Fallsmentioning

confidence: 99%

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Falls in Parkinson's disease: A complex and evolving picture

et al. 2017

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“…The higher activation in prefrontal cortex during obstacle negotiation walking in people with PD in comparison to elderly people confirmed the abnormal attentional demand during challenging walking conditions (Maidan et al, 2016). Moreover, people with PD were frequently attributed to a complex environmental condition such as challenging grounds, high attention demands, busy or cluttered areas and tasks requiring speed (Lamont et al, 2017).…”

Section: Introductionmentioning

confidence: 58%

Goalkeeper Game: A New Assessment Tool for Prediction of Gait Performance Under Complex Condition in People With Parkinson's Disease

Stern

d'Alencar

Uscapi

et al. 2020

Front. Aging Neurosci.

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Background: People with Parkinson's disease (PD) display poorer gait performance when walking under complex conditions than under simple conditions. Screening tests that evaluate gait performance changes under complex walking conditions may be valuable tools for early intervention, especially if allowing for massive data collection.Objectives: To investigate the use of the Goalkeeper Game (GG) to predict impairment in gait performance under complex conditions in people with Parkinson's disease (PPD) and compare its predictive power with the one of the Montreal Cognitive Assessment (MoCA) test.Methods: 74 PPD (HY stages: 23 in stage 1; 31 in stage 2; 20 in stage 3), without dementia (MoCA cut-off 21), tested in ON period with dopaminergic medication were submitted to single individual cognitive/motor evaluation sessions. MoCA and GG were used to assess cognition, and the dynamic gait index (DGI) test was used to assess gait performance under complex condition. GG test resulted in 9 measures extracted via a statistical model. The predictive power of the GG measures and the MoCA score with respect to gait performance, as assessed by DGI, were compared. Results:The predictive models based on GG obtained a better score of prediction (65%) then MoCA (56%) for DGI scores (at a 50% specificity).Conclusion: GG is a novel tool for noninvasive screening that showed a superior predictive power in assessing gait performance under complex condition in people with PD than the well-established MoCa test.

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People with Parkinson's disease and housing issues: A scoping review

Iwarsson

Andersson

Slaug

et al. 2022

Health Science Reports

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Background and Aims There is evidence that housing issues are associated with health outcomes as people age, but little is known in this respect regarding the specific population of people with Parkinson's disease (PD). The objective of this literature review was to identify and analyze the knowledge gap concerning people with PD and housing issues. Methods Applying established guidelines for scoping reviews, a systematic literature search was done in relevant databases applying the following inclusion criteria: empirical studies including human participants with PD, addressing housing in the objective, hypothesis or research questions, and published in English in peer‐reviewed journals. Data were analyzed using a framework of domains, factors, and variables influencing housing decisions among older people. Results Twelve publications were identified, originating from a few researchers and with very different scopes. While the social dimension was scarcely attended to, the publications addressed all six domains of the analytical framework and 30% of the variables specified therein, but many were only used for descriptive purposes. Conclusion This scoping review reveals that there is a substantial knowledge gap regarding people with PD and housing issues. The knowledge gap is most evident in the social dimension, while the studies identified provide more information relating to the health dimension than what is the case in research on housing targeting the general aging population. Because society urgently needs evidence to support the development of housing policies and provide suitable housing for this vulnerable population, more research targeting people with PD and housing issues is warranted.

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Falls in people with Parkinson’s disease: A prospective comparison of community and home-based falls

Cited by 35 publications

References 29 publications

Falls in Parkinson's disease: A complex and evolving picture

Falls in Parkinson's disease: A complex and evolving picture

Goalkeeper Game: A New Assessment Tool for Prediction of Gait Performance Under Complex Condition in People With Parkinson's Disease

People with Parkinson's disease and housing issues: A scoping review

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