Orthostatic hypotension, balance and falls in Parkinson's disease.
Identifieur interne : 002499 ( Ncbi/Checkpoint ); précédent : 002498; suivant : 002500Orthostatic hypotension, balance and falls in Parkinson's disease.
Auteurs : Maarit Matinolli [Finlande] ; Juha T. Korpelainen ; Raija Korpelainen ; Kyösti A. Sotaniemi ; Vilho V. MyllylSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2009.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- etiology : Hypotension, Orthostatic.
- physiology : Blood Pressure, Heart Rate, Postural Balance, Walking.
- Accidental Falls, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged.
Abstract
Orthostatic hypotension (OH) is a common feature in Parkinson's disease (PD). As the control of balance and gait is already affected by PD per se, OH may further predispose patients to falls and accidents. The study was conducted to evaluate the clinical correlates of OH and its association with mobility and balance in PD. From a total population of 205,000 inhabitants, 120 PD patients were included in the study. Medical data including history of recent falls were collected, and patients were clinically examined using the orthostatic test, the Timed Up & Go test, walking speed, and the quantitative measurement of postural sway. Sixty-three (52.5%) patients had OH in the orthostatic test. Twenty-five (39.5%) patients with and 16 (28.1%) patients without OH (P = 0.614) had fallen during the past 3 months. Patients with OH had significantly increased postural sway in standing compared with patients without OH. However, OH was not associated with mobility or walking speed. The current results support the concept that the control of body balance and OH may be closely linked.
DOI: 10.1002/mds.22457
PubMed: 19133666
Affiliations:
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pubmed:19133666Le document en format XML
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<author><name sortKey="Sotaniemi, Kyosti A" sort="Sotaniemi, Kyosti A" uniqKey="Sotaniemi K" first="Kyösti A" last="Sotaniemi">Kyösti A. Sotaniemi</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood Pressure (physiology)</term>
<term>Female</term>
<term>Heart Rate (physiology)</term>
<term>Humans</term>
<term>Hypotension, Orthostatic (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Postural Balance (physiology)</term>
<term>Walking (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypotension, Orthostatic</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Pressure</term>
<term>Heart Rate</term>
<term>Postural Balance</term>
<term>Walking</term>
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<keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term>
<term>Aged</term>
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<front><div type="abstract" xml:lang="en">Orthostatic hypotension (OH) is a common feature in Parkinson's disease (PD). As the control of balance and gait is already affected by PD per se, OH may further predispose patients to falls and accidents. The study was conducted to evaluate the clinical correlates of OH and its association with mobility and balance in PD. From a total population of 205,000 inhabitants, 120 PD patients were included in the study. Medical data including history of recent falls were collected, and patients were clinically examined using the orthostatic test, the Timed Up & Go test, walking speed, and the quantitative measurement of postural sway. Sixty-three (52.5%) patients had OH in the orthostatic test. Twenty-five (39.5%) patients with and 16 (28.1%) patients without OH (P = 0.614) had fallen during the past 3 months. Patients with OH had significantly increased postural sway in standing compared with patients without OH. However, OH was not associated with mobility or walking speed. The current results support the concept that the control of body balance and OH may be closely linked.</div>
</front>
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<name sortKey="Korpelainen, Raija" sort="Korpelainen, Raija" uniqKey="Korpelainen R" first="Raija" last="Korpelainen">Raija Korpelainen</name>
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<name sortKey="Sotaniemi, Kyosti A" sort="Sotaniemi, Kyosti A" uniqKey="Sotaniemi K" first="Kyösti A" last="Sotaniemi">Kyösti A. Sotaniemi</name>
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<country name="Finlande"><noRegion><name sortKey="Matinolli, Maarit" sort="Matinolli, Maarit" uniqKey="Matinolli M" first="Maarit" last="Matinolli">Maarit Matinolli</name>
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