+ 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

Experiences of fear of falling in persons with Parkinson's disease - a qualitative study

Experiences of fear of falling in persons with Parkinson's disease - a qualitative study

Bmc Geriatrics 18(1): 44

Fear of falling is common among persons with Parkinson's disease and is negatively associated with quality of life. However a lack of in-depth understanding of fear of falling as a phenomenon persists. This qualitative study aimed to explore the experiences of fear of falling in persons with Parkinson's disease. Individual interviews were performed with twelve persons with Parkinson's disease (median age 70 years, median Parkinson duration 9 years, 50% women). The interviews were semi-structured and followed a study-specific interview guide. The transcribed interviews were analyzed using qualitative content analysis. Fear of falling was experienced as a disturbing factor in everyday life. It generated a feeling of vulnerability and made daily activities and everyday environments seem potentially hazardous. Persons also missed performing previous activities. The fear of falling was a varying experience, fueled by an awareness of falls and near falls, Parkinson-related symptoms and disabilities, and by others in their environment. The persons adopted different strategies to handle their fear of falling. Activities were adapted, avoided, performed with help, or carried out despite their fear of falling. The experiences of fear of falling were complex, multifaceted and varied over time and in relation to different activities and environments. This indicates that interventions targeting fear of falling need to be individually tailored for persons with Parkinson's disease and should focus on several aspects, such as Parkinson-related symptoms and disabilities, activities and environmental factors. This study provides new information that increases the understanding of fear of falling, which has implications for researchers as well as clinicians working with persons with Parkinson's disease and fear of falling.

Please choose payment method:

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

Accession: 063976096

Download citation: RISBibTeXText

PMID: 29409443

DOI: 10.1186/s12877-018-0735-1

Related references

Does fear of falling relate to low physical function in frail elderly persons?: associations of fear of falling, balance, and gait. Journal of the Japanese Physical Therapy Association 7(1): 41-47, 2004

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

Fear of falling is independently associated with recurrent falls in patients with Parkinson's disease: a 1-year prospective study. Journal of Neurology 256(10): 1689-1695, 2009

Socio-demographic, health-related and psychosocial correlates of fear of falling and avoidance of activity in community-living older persons who avoid activity due to fear of falling. Bmc Public Health 9: 170, 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

Effect of Fear of Falling on Turning Performance in Parkinson's Disease in the Lab and at Home. Frontiers in Aging Neuroscience 10: 78, 2018

Themes associated with exercise adherence in persons with Parkinson's disease: a qualitative study. Occupational Therapy in Health Care 26(2-3): 174-186, 2012

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

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

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

Fear of Falling: A Qualitative Study Among Community-Dwelling Older Adults. Physical and Occupational Therapy in Geriatrics 23(4): 37-53, 2005