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Impact of Falls and Fear of Falling on Health-Related Quality of Life in Patients with Parkinson's Disease
- Source :
- Journal of Parkinson's Disease, 3, 409-13, Journal of Parkinson's Disease, 3, 3, pp. 409-13
- Publication Year :
- 2013
- Publisher :
- IOS Press, 2013.
-
Abstract
- Item does not contain fulltext Postural instability, recurrent falls and fear of falling are common in advanced Parkinson's disease (PD). We examined the impact of fall frequency, fear of falling, balance confidence and objectively measured balance impairment (using Tinetti's Mobility Index) on health-related quality of life (HrQoL) in PD. In 74 subjects HrQoL was assessed using the 39-item Parkinson's disease Quality of Life Questionnaire [PDQ-39]. Patients were interviewed using a validated falls questionnaire, addressing fall history, consequences of falls and fear of falling. Neurological examination included Hoehn and Yahr scale, the Unified Parkinson's disease Rating Scale and Tinetti's Mobility Index. Disease severity, age and gender explained 43% of the differences in HrQoL across patients (R2 = 0.43). The combination of these factors and each of the factors fear of falling, balance confidence and fall frequency lead to 55%, 50% and 45% of explained variation, respectively. The standardised regression coefficients of these risk factors were 0.34 (fear of falling), 0.28 (balance confidence) and 0.13 (fall frequency). This suggests that fear of falling is a more important determinant of HrQoL than actual falling. These results emphasise the importance of addressing fear of falling in the clinical management of PD, and the need for development of strategies to reduce fear of falling in intervention programs.
- Subjects :
- Adult
Male
Gerontology
medicine.medical_specialty
Quality of nursing and allied health care [NCEBP 6]
Population
Poison control
Fear of falling
Cellular and Molecular Neuroscience
Quality of life
Rating scale
Surveys and Questionnaires
Injury prevention
Humans
Medicine
education
Postural Balance
Gait Disorders, Neurologic
Aged
Aged, 80 and over
Neurologic Examination
education.field_of_study
business.industry
Tinetti test
Parkinson Disease
Fear
Middle Aged
humanities
Human Movement & Fatigue [DCN MP - Plasticity and memory NCEBP 10]
Falling (accident)
Socioeconomic Factors
Evaluation of complex medical interventions [NCEBP 2]
Data Interpretation, Statistical
Quality of Life
Physical therapy
Accidental Falls
Female
Neurology (clinical)
medicine.symptom
business
Subjects
Details
- ISSN :
- 1877718X and 18777171
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Parkinson's Disease
- Accession number :
- edsair.doi.dedup.....d061eefd8874408ef8989d5b8187d080