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Prediction of Falls and/or Near Falls in People with Mild Parkinson's Disease
Kristianstad University, Research Environment PRO-CARE. Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I.ORCID iD: 0000-0003-2174-372X
2015 (English)In: PloS one, ISSN 1932-6203, Vol. 10, no 1, e0117018- p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To determine factors associated with future falls and/or near falls in people with mild PD.

METHODS: The study included 141 participants with PD. Mean (SD) age and PD-duration were 68 (9.7) and 4 years (3.9), respectively. Their median (q1-q3) UPDRS III score was 13 (8-18). Those >80 years of age, requiring support in standing or unable to understand instructions were excluded. Self-administered questionnaires targeted freezing of gait, turning hesitations, walking difficulties in daily life, fatigue, fear of falling, independence in activities of daily living, dyskinesia, demographics, falls/near falls history, balance problems while dual tasking and pain. Clinical assessments addressed functional balance performance, retropulsion, comfortable gait speed, motor symptoms and cognition. All falls and near falls were subsequently registered in a diary during a six-month period. Risk factors for prospective falls and/or near falls were determined using logistic regression.

RESULTS: Sixty-three participants (45%) experienced ≥1 fall and/or near fall. Three factors were independent predictors of falls and/or near falls: fear of falling (OR = 1.032, p<0.001) history of near falls (OR = 3.475, p = 0.009) and retropulsion (OR = 2.813, p = 0.035). The strongest contributing factor was fear of falling, followed by a history of near falls and retropulsion.

CONCLUSIONS: Fear of falling seems to be an important issue to address already in mild PD as well as asking about prior near falls.

Place, publisher, year, edition, pages
2015. Vol. 10, no 1, e0117018- p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-13488DOI: 10.1371/journal.pone.0117018ISI: 000350680700067PubMedID: 25635687OAI: oai:DiVA.org:hkr-13488DiVA: diva2:786663
Available from: 2015-02-06 Created: 2015-02-06 Last updated: 2015-04-10Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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