Postural sway and falls in Parkinson's disease: A regression approach
Identifieur interne : 000494 ( Istex/Corpus ); précédent : 000493; suivant : 000495Postural sway and falls in Parkinson's disease: A regression approach
Auteurs : Maarit Matinolli ; Juha T. Korpelainen ; Raija Korpelainen ; Kyösti A. Sotaniemi ; Minna Virranniemi ; Vilho V. MyllylSource :
- Movement Disorders [ 0885-3185 ] ; 2007-10-15.
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Abstract
A population‐based study was designed to evaluate the clinical associates of postural sway and to identify the risk factors for falls in Parkinson's disease (PD). From a total population of 205,000 inhabitants, 215 PD patients were identified of which 120 home‐dwelling cases were finally included in the study. Medical data were collected and patients were clinically examined and tested for static balance using an inclinometric device. Recent falls occurred in 40 (33%) of the subjects and 27 (23%) subjects were recurrent fallers. The fallers had a significantly larger sway area (P = 0.021) and a larger maximum deflection in anterior–posterior (P = 0.016) and lateral directions (P = 0.006) than the nonfallers. A significant correlation was found between the sway measures and the UPDRS total score, motor subcore and UPDRS “bradykinesia” item. A higher UPDRS total score (OR: 1.04, 95% CI: 1.01–1.07) and an increased sway area (OR: 1.25, 95% CI: 1.02–1.54) were independent risk factors for recent falling in PD. In addition, the duration and severity of PD, antiparkinsonian medication, recent falling and the use of a walking aid were associated with increased sway measures. The results can be used to identify PD patients who are at a risk of falling. Both antiparkinsonian medication and nonmedical treatment should be optimized to reduce falls in PD. © 2007 Movement Disorder Society
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DOI: 10.1002/mds.21633
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ISTEX:602CCA2C036027972CC7499ACDB1CDD670C24A57Le document en format XML
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From a total population of 205,000 inhabitants, 215 PD patients were identified of which 120 home‐dwelling cases were finally included in the study. Medical data were collected and patients were clinically examined and tested for static balance using an inclinometric device. Recent falls occurred in 40 (33%) of the subjects and 27 (23%) subjects were recurrent fallers. The fallers had a significantly larger sway area (P = 0.021) and a larger maximum deflection in anterior–posterior (P = 0.016) and lateral directions (P = 0.006) than the nonfallers. A significant correlation was found between the sway measures and the UPDRS total score, motor subcore and UPDRS “bradykinesia” item. A higher UPDRS total score (OR: 1.04, 95% CI: 1.01–1.07) and an increased sway area (OR: 1.25, 95% CI: 1.02–1.54) were independent risk factors for recent falling in PD. In addition, the duration and severity of PD, antiparkinsonian medication, recent falling and the use of a walking aid were associated with increased sway measures. The results can be used to identify PD patients who are at a risk of falling. Both antiparkinsonian medication and nonmedical treatment should be optimized to reduce falls in PD. © 2007 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Maarit Matinolli MD</name><affiliations><json:string>Department of Neurology, University of Oulu, Oulu, Finland</json:string></affiliations></json:item><json:item><name>Juha T. 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Medical data were collected and patients were clinically examined and tested for static balance using an inclinometric device. Recent falls occurred in 40 (33%) of the subjects and 27 (23%) subjects were recurrent fallers. The fallers had a significantly larger sway area (P = 0.021) and a larger maximum deflection in anterior–posterior (P = 0.016) and lateral directions (P = 0.006) than the nonfallers. A significant correlation was found between the sway measures and the UPDRS total score, motor subcore and UPDRS “bradykinesia” item. A higher UPDRS total score (OR: 1.04, 95% CI: 1.01–1.07) and an increased sway area (OR: 1.25, 95% CI: 1.02–1.54) were independent risk factors for recent falling in PD. In addition, the duration and severity of PD, antiparkinsonian medication, recent falling and the use of a walking aid were associated with increased sway measures. The results can be used to identify PD patients who are at a risk of falling. 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From a total population of 205,000 inhabitants, 215 PD patients were identified of which 120 home‐dwelling cases were finally included in the study. Medical data were collected and patients were clinically examined and tested for static balance using an inclinometric device. Recent falls occurred in 40 (33%) of the subjects and 27 (23%) subjects were recurrent fallers. The fallers had a significantly larger sway area (P = 0.021) and a larger maximum deflection in anterior–posterior (P = 0.016) and lateral directions (P = 0.006) than the nonfallers. A significant correlation was found between the sway measures and the UPDRS total score, motor subcore and UPDRS “bradykinesia” item. A higher UPDRS total score (OR: 1.04, 95% CI: 1.01–1.07) and an increased sway area (OR: 1.25, 95% CI: 1.02–1.54) were independent risk factors for recent falling in PD. In addition, the duration and severity of PD, antiparkinsonian medication, recent falling and the use of a walking aid were associated with increased sway measures. The results can be used to identify PD patients who are at a risk of falling. Both antiparkinsonian medication and nonmedical treatment should be optimized to reduce falls in PD. © 2007 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>postural sway</term></item><item><term>balance impairment</term></item><item><term>falls</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-01-15">Received</change><change when="2007-05-22">Registration</change><change when="2007-10-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/602CCA2C036027972CC7499ACDB1CDD670C24A57/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. 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From a total population of 205,000 inhabitants, 215 PD patients were identified of which 120 home‐dwelling cases were finally included in the study. Medical data were collected and patients were clinically examined and tested for static balance using an inclinometric device. Recent falls occurred in 40 (33%) of the subjects and 27 (23%) subjects were recurrent fallers. The fallers had a significantly larger sway area (<i>P</i> = 0.021) and a larger maximum deflection in anterior–posterior (<i>P</i> = 0.016) and lateral directions (<i>P</i> = 0.006) than the nonfallers. A significant correlation was found between the sway measures and the UPDRS total score, motor subcore and UPDRS “bradykinesia” item. A higher UPDRS total score (OR: 1.04, 95% CI: 1.01–1.07) and an increased sway area (OR: 1.25, 95% CI: 1.02–1.54) were independent risk factors for recent falling in PD. In addition, the duration and severity of PD, antiparkinsonian medication, recent falling and the use of a walking aid were associated with increased sway measures. The results can be used to identify PD patients who are at a risk of falling. Both antiparkinsonian medication and nonmedical treatment should be optimized to reduce falls in PD. © 2007 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Postural sway and falls in Parkinson's disease: A regression approach</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Impaired Balance and Falls in Parkinson's Disease</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Postural sway and falls in Parkinson's disease: A regression approach</title></titleInfo><name type="personal"><namePart type="given">Maarit</namePart><namePart type="family">Matinolli</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University of Oulu, Oulu, Finland</affiliation><description>Correspondence: Department of Neurology, University of Oulu PO Box 5000, 90014 University of Oulu, Finland</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Juha T.</namePart><namePart type="family">Korpelainen</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, University of Oulu, Oulu, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Raija</namePart><namePart type="family">Korpelainen</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Neurology, University of Oulu, Oulu, Finland</affiliation><affiliation>Department of Sports Medicine, Deaconess Institute of Oulu, Oulu, Finland</affiliation><affiliation>Department of Public Health and General Practice, University of Oulu, Oulu, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kyösti A.</namePart><namePart type="family">Sotaniemi</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, University of Oulu, Oulu, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Minna</namePart><namePart type="family">Virranniemi</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, University of Oulu, Oulu, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Vilho V.</namePart><namePart type="family">Myllylä</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, University of Oulu, Oulu, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2007-10-15</dateIssued><dateCaptured encoding="w3cdtf">2007-01-15</dateCaptured><dateValid encoding="w3cdtf">2007-05-22</dateValid><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">8</extent><extent unit="references">36</extent><extent unit="words">6455</extent></physicalDescription><abstract lang="en">A population‐based study was designed to evaluate the clinical associates of postural sway and to identify the risk factors for falls in Parkinson's disease (PD). From a total population of 205,000 inhabitants, 215 PD patients were identified of which 120 home‐dwelling cases were finally included in the study. Medical data were collected and patients were clinically examined and tested for static balance using an inclinometric device. Recent falls occurred in 40 (33%) of the subjects and 27 (23%) subjects were recurrent fallers. The fallers had a significantly larger sway area (P = 0.021) and a larger maximum deflection in anterior–posterior (P = 0.016) and lateral directions (P = 0.006) than the nonfallers. A significant correlation was found between the sway measures and the UPDRS total score, motor subcore and UPDRS “bradykinesia” item. A higher UPDRS total score (OR: 1.04, 95% CI: 1.01–1.07) and an increased sway area (OR: 1.25, 95% CI: 1.02–1.54) were independent risk factors for recent falling in PD. In addition, the duration and severity of PD, antiparkinsonian medication, recent falling and the use of a walking aid were associated with increased sway measures. The results can be used to identify PD patients who are at a risk of falling. Both antiparkinsonian medication and nonmedical treatment should be optimized to reduce falls in PD. © 2007 Movement Disorder Society</abstract><note type="funding">Finnish Parkinson Foundation</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>postural sway</topic><topic>balance impairment</topic><topic>falls</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>13</number></detail><extent unit="pages"><start>1927</start><end>1935</end><total>9</total></extent></part></relatedItem><identifier type="istex">602CCA2C036027972CC7499ACDB1CDD670C24A57</identifier><identifier type="DOI">10.1002/mds.21633</identifier><identifier type="ArticleID">MDS21633</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2007 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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