Falls and Parkinson's: Research papers

Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation These results have implications for rehabilitation clinicians and suggest that walking ability is the primary target in order to reduce FOF. Specifically, balance, climbing stairs, and turning seem to be of particular importance. 01 January 2012
Gait Difficulty, Postural Instability, and Muscle Weakness Are Associated with Fear of Falling in People with Parkinson's This is the first study to demonstrate that the UPDRS-PG score and knee muscle strength are important and independent determinants of the level of fear of falling in individuals with PD. Improving balance, gait stability and knee muscle strength could be crucial in promoting balance confidence in the appropriately targeted PD population. 01 January 2012
Risk of Falls in Parkinson's Disease: A Cross-Sectional Study of 160 Patients The risk of falls increased exponentially with age, especially from 70 years onward. Patients aged >70 years at the onset of Parkinson's disease experienced falls significantly earlier than younger patients. 01 January 2012
Improved Dynamic Postural Task Performance without Improvements in Postural Responses Dopamine-replacement medications alone may improve gait-related mobility without improvements in reactive postural responses and therefore could result in iatrogenic increases in fall risk. Rehabilitation providers should be aware of the side effects and limitations of medication treatment and implement interventions to improve postural responses. 28 December 2011
Dissociating between sensory and perceptual deficits in PD: More than simply a motor deficit These results support the notion that sensory deficits may contribute to inaccuracy of perceptual judgment and has the potential to contribute to gait behaviors such as tripping and falling, especially when vision is not available. 15 December 2011
Accuracy of Fall Prediction in Parkinson Disease: Six-Month and 12-Month Prospective Analyses The various balance tests were effective in predicting falls at six months. All tests were relatively ineffective at 12 months. Conclusion. This pilot study suggests that people with PD should be assessed biannually for fall risk. 01 December 2011

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