Advertisement

In-Home Falls Risk Assessment in Parkinson Disease: A Guide for Clinicians

      Globally, neurologic disorders have become the leading cause of disability. According to the Global Burden of Disease Study, the fastest growing neurologic disorder is Parkinson disease (PD).
      Global Burden of Disease Neurological Collaboration. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2016.
      At the time of diagnosis, the risk of falls is twice as high in people with PD as in the general population. For the purpose of this Information/Education Page, a fall is defined as an event that results in a person coming to rest unintentionally on the ground or lower level, not as a result of a major intrinsic event or overwhelming hazard. Falls are a leading cause of disability in people living with PD. Falls risk increases with age and with disease progression. Consequently, it is critical for clinicians to evaluate, prevent, monitor, and educate their patients with PD about their fall risk.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Global Burden of Disease Neurological Collaboration. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2016.
        Lancet Neurol. 2019; 18: 459-480
        • Crispo JAG
        • Lam M
        • Le B
        • Shariff SZ
        • Ansell DR
        • Squarzolo M
        • Ouellette D
        • Thibault DP
        • Marras C
        • Willis AW
        • Seitz D.
        Survival and health care use after deep brain stimulation for Parkinson's disease.
        Can J Neurol Sci. 2020; 28: 1-11
        • Karachi C
        • Cormier-Dequaire F
        • Grabli D
        • et al.
        Clinical and anatomical predictors for freezing of gait and falls after subthalamic deep brain stimulation in Parkinson's disease patients.
        Parkinsonism Relat Disord. 2019; 62: 91-97
        • Parashos SA
        • Bloem BR
        • Browner NM
        • et al.
        What predicts falls in Parkinson disease?: Observations from the Parkinson's Foundation registry.
        Neurol Clin Pract. 2018; 8: 214-222
        • Keus SHJ
        • Munneke M
        • Graziano M
        • et al.
        European Physiotherapy guideline for Parkinson's disease.
        KNGF/ParkinsonNet, the Netherlands2014 (Accessed June 24, 2021)
        • Lim I
        • van Wegen E
        • Jones D
        • et al.
        Identifying fallers with Parkinson's disease using home-based tests: who is at risk?.
        Mov Disord. 2008; 23: 2411-2415
        • Shen X
        • Wong-Yu ISK
        • Mak MK.
        Effects of exercise on falls, balance, and gaitability in Parkinson's disease: a meta-analysis.
        Neurorehabil Neural Repair. 2016; 30: 512-527