MovDisordV3, Main, Exploration, bibRecord, 002C68

Postural sway and falls in Parkinson's disease: A regression approach

Identifieur interne : 002C68 ( Main/Exploration ); précédent : 002C67; suivant : 002C69

Postural sway and falls in Parkinson's disease: A regression approach

Auteurs : Maarit Matinolli [Finlande] ; Juha T. Korpelainen [Finlande] ; Raija Korpelainen [Finlande] ; Kyösti A. Sotaniemi [Finlande] ; Minna Virranniemi [Finlande] ; Vilho V. Myllyl [Finlande]

Source :

Movement Disorders [ 0885-3185 ] ; 2007-10-15.

RBID : ISTEX:602CCA2C036027972CC7499ACDB1CDD670C24A57

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Pathologie du système nerveux, Trouble de l'équilibre, Voie abord.

English descriptors

KwdEn :
- Accidental Falls (statistics & numerical data), Activities of Daily Living, Aged, Aged, 80 and over, Antiparkinson Agents (therapeutic use), Drug Therapy, Combination, Equilibrium disorder, Female, Humans, Male, Middle Aged, Nervous system diseases, Neurologic Examination (instrumentation), Parkinson Disease (diagnosis), Parkinson Disease (drug therapy), Parkinson Disease (epidemiology), Parkinson disease, Parkinson's disease, Postural Balance, Questionnaires, Recurrence, Regression Analysis, Risk Factors, Signal Processing, Computer-Assisted (instrumentation), Surgical approach, balance impairment, falls, postural sway.
MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- diagnosis : Parkinson Disease.
- drug therapy : Parkinson Disease.
- epidemiology : Parkinson Disease.
- instrumentation : Neurologic Examination, Signal Processing, Computer-Assisted.
- statistics & numerical data : Accidental Falls.
- Activities of Daily Living, Aged, Aged, 80 and over, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Postural Balance, Questionnaires, Recurrence, Regression Analysis, Risk Factors.

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

Url:

https://api.istex.fr/document/602CCA2C036027972CC7499ACDB1CDD670C24A57/fulltext/pdf

DOI: 10.1002/mds.21633

Affiliations:

Finlande

Le document en format XML

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<term>Antiparkinson Agents (therapeutic use)</term>
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<term>Equilibrium disorder</term>
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<term>Surgical approach</term>
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<front><div type="abstract" xml: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</div>
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Movement Disorders (revue)

Postural sway and falls in Parkinson's disease: A regression approach

Postural sway and falls in Parkinson's disease: A regression approach

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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