Fear of falling and postural control in Parkinson's disease
Identifieur interne : 002E63 ( Main/Exploration ); précédent : 002E62; suivant : 002E64Fear of falling and postural control in Parkinson's disease
Auteurs : Allan L. Adkin [Canada] ; James S. Frank [Canada] ; Mandar S. Jog [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Accidental Falls, Aged, Check, Exploration, Fall, Fear, Female, Gait, Human, Humans, Male, Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Phobic Disorders (epidemiology), Phobic Disorders (etiology), Postural Balance (physiology), Posture, Posture (physiology), Psychophysics (methods), Surveys and Questionnaires, balance confidence, disease severity, fear of falling, postural control.
- MESH :
- epidemiology : Phobic Disorders.
- etiology : Phobic Disorders.
- methods : Psychophysics.
- physiology : Postural Balance, Posture.
- physiopathology : Parkinson Disease.
- psychology : Parkinson Disease.
- Accidental Falls, Aged, Fear, Female, Gait, Humans, Male, Surveys and Questionnaires.
Abstract
This study investigated the relationship between fear of falling (FOF) and qualitative and quantitative postural control in Parkinson's disease (PD). Fifty‐eight nondemented PD patients were studied along with age‐matched healthy controls. The degree of FOF was estimated using the Activities‐specific Balance Confidence scale. Qualitative postural control was evaluated using a component of the Unified Parkinson Disease Rating Scale. Postural control was quantified, using centre of pressure measures obtained from a force plate, for eight standing balance tests of different challenges. The results showed that FOF was more evident for PD patients when compared with healthy individuals of similar age. Furthermore, FOF was significantly associated with a qualitative estimate of postural control in PD; individuals with PD who had a greater degree of posture impairment reported greater FOF. The results also showed that an estimate of FOF may help to explain quantitative postural instability in PD. FOF, when coupled with a qualitative estimate of postural control, was able to explain a greater amount of variation in quantitative balance performance for five of the eight balance tests. When considered independently, the qualitative measure of postural control, in general, could not well predict quantitative balance performance. The greater degree of FOF and its possible association with altered postural control suggests that FOF should be considered as an important, independent risk factor in the assessment and treatment of postural instability in patients with PD. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10396
Affiliations:
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Le document en format XML
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Adkin</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Gait and Posture Laboratory, Department of Kinesiology, University of Waterloo, Waterloo, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Gait and Posture Laboratory, Department of Kinesiology, 200 University Avenue West, University of Waterloo, Waterloo, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Frank, James S" sort="Frank, James S" uniqKey="Frank J" first="James S." last="Frank">James S. Frank</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Gait and Posture Laboratory, Department of Kinesiology, University of Waterloo, Waterloo, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Jog, Mandar S" sort="Jog, Mandar S" uniqKey="Jog M" first="Mandar S." last="Jog">Mandar S. Jog</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Gait and Posture Laboratory, Department of Kinesiology, University of Waterloo, Waterloo, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Program, Clinical Neurological Sciences, London Health Sciences Centre, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2003-05">2003-05</date><biblScope unit="volume">18</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="496">496</biblScope><biblScope unit="page" to="502">502</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">A73F18D6298476E3FA1E7751B3BA0AC6CF1E6080</idno><idno type="DOI">10.1002/mds.10396</idno><idno type="ArticleID">MDS10396</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Check</term><term>Exploration</term><term>Fall</term><term>Fear</term><term>Female</term><term>Gait</term><term>Human</term><term>Humans</term><term>Male</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Phobic Disorders (epidemiology)</term><term>Phobic Disorders (etiology)</term><term>Postural Balance (physiology)</term><term>Posture</term><term>Posture (physiology)</term><term>Psychophysics (methods)</term><term>Surveys and Questionnaires</term><term>balance confidence</term><term>disease severity</term><term>fear of falling</term><term>postural control</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Phobic Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Phobic Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Psychophysics</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Fear</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chute</term><term>Contrôle</term><term>Exploration</term><term>Homme</term><term>Parkinson maladie</term><term>Peur</term><term>Posture</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study investigated the relationship between fear of falling (FOF) and qualitative and quantitative postural control in Parkinson's disease (PD). Fifty‐eight nondemented PD patients were studied along with age‐matched healthy controls. The degree of FOF was estimated using the Activities‐specific Balance Confidence scale. Qualitative postural control was evaluated using a component of the Unified Parkinson Disease Rating Scale. Postural control was quantified, using centre of pressure measures obtained from a force plate, for eight standing balance tests of different challenges. The results showed that FOF was more evident for PD patients when compared with healthy individuals of similar age. Furthermore, FOF was significantly associated with a qualitative estimate of postural control in PD; individuals with PD who had a greater degree of posture impairment reported greater FOF. The results also showed that an estimate of FOF may help to explain quantitative postural instability in PD. FOF, when coupled with a qualitative estimate of postural control, was able to explain a greater amount of variation in quantitative balance performance for five of the eight balance tests. When considered independently, the qualitative measure of postural control, in general, could not well predict quantitative balance performance. The greater degree of FOF and its possible association with altered postural control suggests that FOF should be considered as an important, independent risk factor in the assessment and treatment of postural instability in patients with PD. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Adkin, Allan L" sort="Adkin, Allan L" uniqKey="Adkin A" first="Allan L." last="Adkin">Allan L. Adkin</name></noRegion><name sortKey="Adkin, Allan L" sort="Adkin, Allan L" uniqKey="Adkin A" first="Allan L." last="Adkin">Allan L. Adkin</name><name sortKey="Frank, James S" sort="Frank, James S" uniqKey="Frank J" first="James S." last="Frank">James S. Frank</name><name sortKey="Jog, Mandar S" sort="Jog, Mandar S" uniqKey="Jog M" first="Mandar S." last="Jog">Mandar S. Jog</name><name sortKey="Jog, Mandar S" sort="Jog, Mandar S" uniqKey="Jog M" first="Mandar S." last="Jog">Mandar S. Jog</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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