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Incidence and prediction of falls in Parkinson's disease: a prospective
multidisciplinary study.

OBJECTIVES: To accurately establish the incidence of falls in Parkinson's
disease (PD) and to investigate predictive risk factors for fallers from
baseline data.

METHODS: 109 subjects with idiopathic PD diagnosed according to the brain
bank criteria underwent a multidisciplinary baseline assessment comprising
demographic and historical data, disease specific rating scales,
physiotherapy assessment, tests of visual, cardiovascular and autonomic
function, and bone densitometry.

Patients were then prospectively followed up for one year using weekly
prepaid postcards along with telephone follow up.

RESULTS: Falls occurred in 68.3% of the subjects. Previous falls, disease
duration, dementia, and loss of arm swing were independent predictors of
falling.

There were also significant associations between disease severity, balance
impairment, depression, and falling.

CONCLUSIONS: Falls are a common problem in PD and some of the major risk
factors are potentially modifiable.

There is a need for future studies to look at interventions to prevent
falls in PD.

J Neurol Neurosurg Psychiatry 2002 Jun;72(6):721-725
Wood BH, Bilclough JA, Bowron A, Walker RW.
UK North Tyneside General Hospital, North Shields, Tyne and Wear, NE29 8NH,
UK.
PMID: 12023412

janet paterson: an akinetic rigid subtype, albeit perky, parky
pd: 55/41/37 cd: 55/44/43 tel: 613 256 8340 email: [log in to unmask]
smail: 375 Country Street, Almonte, Ontario, Canada, K0A 1A0
a new voice: http://www.geocities.com/janet313/

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