Recurrent Falls in People with Parkinson’s Disease without Cognitive Impairment: Focusing on Modifiable Risk Factors
Joint Authors
Almeida, Lorena R. S.
Valença, Guilherme T.
Negreiros, Nádja N.
Pinto, Elen B.
Oliveira-Filho, Jamary
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-23
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Falls can be considered a disabling feature in Parkinson’s disease.
We aimed to identify risk factors for falling, testing simultaneously the ability of disease-specific and balance-related measures.
We evaluated 171 patients, collecting demographic and clinical data, including standardized assessments with the Unified Parkinson’s Disease Rating Scale (UPDRS), activities of daily living (ADL) and motor sections, modified Hoehn and Yahr Scale, Schwab and England, eight-item Parkinson’s Disease Questionnaire, Activities-specific Balance Confidence Scale, Falls Efficacy Scale-International (FES-I), Berg Balance Scale, Dynamic Gait Index, Functional Reach, and Timed Up and Go.
ROC curves were constructed to determine the cutoff scores for all measures.
Variables with P<0.1 entered a logistic regression model.
The prevalence of recurrent falls was 30% (95% CI 24%–38%).
In multivariate analysis, independent risk factors for recurrent falls were (P<0.05) levodopa equivalent dose (OR = 1.283 per 100 mg increase; 95% CI = 1.092–1.507), UPDRS-ADL > 16 points (OR = 10.0; 95% CI = 3.6–28.3), FES-I > 30 points (OR = 6.0; 95% CI = 1.6–22.6), and Berg ≤ 48 points (OR = 3.9; 95% CI = 1.2–12.7).We encourage the utilization of these modifiable risk factors in the screening of fall risk.
American Psychological Association (APA)
Almeida, Lorena R. S.& Valença, Guilherme T.& Negreiros, Nádja N.& Pinto, Elen B.& Oliveira-Filho, Jamary. 2014. Recurrent Falls in People with Parkinson’s Disease without Cognitive Impairment: Focusing on Modifiable Risk Factors. Parkinson’s Disease،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1047207
Modern Language Association (MLA)
Almeida, Lorena R. S.…[et al.]. Recurrent Falls in People with Parkinson’s Disease without Cognitive Impairment: Focusing on Modifiable Risk Factors. Parkinson’s Disease No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1047207
American Medical Association (AMA)
Almeida, Lorena R. S.& Valença, Guilherme T.& Negreiros, Nádja N.& Pinto, Elen B.& Oliveira-Filho, Jamary. Recurrent Falls in People with Parkinson’s Disease without Cognitive Impairment: Focusing on Modifiable Risk Factors. Parkinson’s Disease. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1047207
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047207