+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effect of Fear of Falling on Turning Performance in Parkinson's Disease in the Lab and at Home



Effect of Fear of Falling on Turning Performance in Parkinson's Disease in the Lab and at Home



Frontiers in Aging Neuroscience 10: 78



Background: Parkinson's disease (PD) is a neurodegenerative movement disorder associated with gait and balance problems and a substantially increased risk of falling. Falls occur often during complex movements, such as turns. Both fear of falling (FOF) and previous falls are relevant risk factors for future falls. Based on recent studies indicating that lab-based and home assessment of similar movements show different results, we hypothesized that FOF and a positive fall history would influence the quantitative turning parameters differently in the laboratory and home. Methods: Fifty-five PD patients (43 underwent a standardized lab assessment; 40 were assessed over a mean of 12 days at home with approximately 10,000 turns per participant; and 28 contributed to both assessments) were classified regarding FOF and previous falls as "vigorous" (no FOF, negative fall history), "anxious" (FOF, negative fall history), "stoic" (no FOF, positive fall history) and "aware" (FOF, positive fall history). During the assessments, each participant wore a sensor on the lower back. Results: In the lab assessment, FOF was associated with a longer turning duration and lowered maximum and middle angular velocities of turns. In the home evaluations, a lack of FOF was associated with lowered maximum and average angular velocities of turns. Positive falls history was not significantly associated with turning parameters, neither in the lab nor in the home. Conclusion: FOF but not a positive fall history influences turning metrics in PD patients in both supervised and unsupervised environments, and this association is different between lab and home assessments. Our findings underline the relevance of comprehensive assessments including home-based data collection strategies for fall risk evaluation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059695898

Download citation: RISBibTeXText

PMID: 29636676

DOI: 10.3389/fnagi.2018.00078


Related references

The effects of high frequency subthalamic stimulation on balance performance and fear of falling in patients with Parkinson's disease. Journal of Neuroengineering and Rehabilitation 6: 13, 2009

Balance and fear of falling in Parkinson's disease. Parkinsonism and Related Disorders 11(7): 427-433, 2005

On the nature of fear of falling in Parkinson's disease. Behavioural Neurology 24(3): 219-228, 2011

Factors associated with fear of falling in people with Parkinson's disease. Bmc Neurology 14: 19, 2014

Fear of falling and postural control in Parkinson's disease. Movement Disorders 18(5): 496-502, 2003

Influence of fear of falling on gait and balance in Parkinson's disease. Disability and Rehabilitation 36(9): 744-748, 2014

Pain, Fear of Falling, and Functional Performance Among Nursing Home Residents: A Longitudinal Study. Western Journal of Nursing Research 2018: 193945918759958, 2018

Experiences of fear of falling in persons with Parkinson's disease - a qualitative study. Bmc Geriatrics 18(1): 44, 2018

Pain, fear of falling and functional performance in nursing home residents - a cross-sectional study. Pflege 25(6): 411-425, 2013

Psychometric properties of four fear of falling rating scales in people with Parkinson's disease. Bmc Geriatrics 14: 66, 2014

Change in fear of falling in Parkinson's disease: a two-year prospective cohort study. International Psychogeriatrics 31(1): 13-20, 2019

Balance and fear of falling in subjects with Parkinson's disease is improved after exercises with motor complexity. Gait and Posture 61: 90-97, 2018

Relationship of falls and fear of falling to activity limitations and physical inactivity in Parkinson's disease. Journal of Aging and Physical Activity 23(2): 187-193, 2015

Gait difficulty, postural instability, and muscle weakness are associated with fear of falling in people with Parkinson's disease. Parkinson's Disease 2012: 901721, 2012

Walking ability is a major contributor to fear of falling in people with Parkinson's disease: implications for rehabilitation. Parkinson's Disease 2012: 713236, 2012