Journal of Movement Disorders

Original Article

Falls and Their Associated Risks in Parkinson’s Disease Patients in Nigeria: Temitope Hannah Farombi, Mayowa O Owolabi, Adesola Ogunniyi; J Mov Disord. 2016;9(3):160-165. Published online September 21, 2016; DOI: https://doi.org/10.14802/jmd.16011

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Objective
Falls are a devastating consequence of Parkinson’s disease (PD) and are due to motor imbalance. However, the frequency of falls and their risk factors among Nigerians with PD is not known despite the significant increase in PD cases in the country. To assess fall risk factors and frequency in Nigerian PD patients.
Methods
Using an analytical design to compare falling versus non-falling patients, 81 PD patients were assessed for clinical factors, frequency of falls, and candidate risk factors for falls according to the Tinetti Balance and Gait, Unified Parkinson’s Disease Rating Scale subsection 1, and Timed Up and Go Tests. Descriptive, bivariate, and multivariate analyses were performed at the 95% confidence level.
Results
The mean age of participants was 65.6 ± 9.7 years. Falls were about three times (p < 0.001) more common in PD patients. Of the falling patients, 67.7% sustained injuries, 67.7% had recurrent falls and 44.9% admitted to having a fear of falling. The independent statistical predictors of fall were fear of falling [odds ratio (OR): 3.86], disease severity (OR: 1.09) and disease duration (OR: 1.01).
Conclusion
The frequency of falls in PD patients was significantly higher when compared with the healthy adult population, and the modifiable predictor was fear of falling with a potential to significantly reduce falls when strategically addressed.

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Review Article

What Is Wrong with Balance in Parkinson’s Disease?: Jeong-Ho Park, Yeo-Jeong Kang, Fay Bahling Horak; J Mov Disord. 2015;8(3):109-114. Published online September 10, 2015; DOI: https://doi.org/10.14802/jmd.15018

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452 Download
102 Web of Science
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Abstract PDF

Postural instability and resulting falls are major factors determining quality of life, morbidity, and mortality in individuals with Parkinson’s disease (PD). A better understanding of balance impairments would improve management of balance dysfunction and prevent falls in patients with PD. The effects of bradykinesia, rigidity, impaired proprioception, freezing of gait and attention on postural stability in patients with idiopathic PD have been well characterized in laboratory studies. The purpose of this review is to systematically summarize the types of balance impairments contributing to postural instability in people with PD.

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BMC Neurology.2020;[Epub] CrossRef
Assessment of Functional Activities in Individuals with Parkinson’s Disease Using a Simple and Reliable Smartphone-Based Procedure
Pilar Serra-Añó, José Francisco Pedrero-Sánchez, Marta Inglés, Marta Aguilar-Rodríguez, Ismael Vargas-Villanueva, Juan López-Pascual
International Journal of Environmental Research and Public Health.2020; 17(11): 4123. CrossRef
New insight into Parkinson’s disease‐related impairment of the automatic control of upright stance
Cédrick T. Bonnet, Arnaud Delval, Tarkeshwar Singh, Yann‐Romain Kechabia, Luc Defebvre
European Journal of Neuroscience.2020; 52(12): 4851. CrossRef
Innovative Parkinson's Disease Patients' Motor Skills Assessment: The i-PROGNOSIS Paradigm
Sofia Balula Dias, Athina Grammatikopoulou, José Alves Diniz, Kosmas Dimitropoulos, Nikos Grammalidis, Vicky Zilidou, Theodore Savvidis, Evdokimos Konstantinidis, Panagiotis D. Bamidis, Hagen Jaeger, Michael Stadtschnitzer, Hugo Silva, Gonçalo Telo, Ioann
Frontiers in Computer Science.2020;[Epub] CrossRef
Effects of multimodal balance training supported by rhythmical auditory stimuli in people with advanced stages of Parkinson's disease: a pilot randomized clinical trial
Tamine T.C. Capato, Jorik Nonnekes, Nienke M. de Vries, Joanna IntHout, Egberto R. Barbosa, Bastiaan R. Bloem
Journal of the Neurological Sciences.2020; 418: 117086. CrossRef
Responsiveness of Objective vs. Clinical Balance Domain Outcomes for Exercise Intervention in Parkinson's Disease
Naoya Hasegawa, Vrutangkumar V. Shah, Graham Harker, Patricia Carlson-Kuhta, John G. Nutt, Jodi A. Lapidus, Se Hee Jung, Nancy Barlow, Laurie A. King, Fay B. Horak, Martina Mancini
Frontiers in Neurology.2020;[Epub] CrossRef
Neuroprotective Effects of Coffee Bioactive Compounds: A Review
Katarzyna Socała, Aleksandra Szopa, Anna Serefko, Ewa Poleszak, Piotr Wlaź
International Journal of Molecular Sciences.2020; 22(1): 107. CrossRef
Parkinson's Disease and Parkinsonism
Michael T. Hayes
The American Journal of Medicine.2019; 132(7): 802. CrossRef
How to Select Balance Measures Sensitive to Parkinson’s Disease from Body-Worn Inertial Sensors—Separating the Trees from the Forest
Naoya Hasegawa, Vrutangkumar V. Shah, Patricia Carlson-Kuhta, John G. Nutt, Fay B. Horak, Martina Mancini
Sensors.2019; 19(15): 3320. CrossRef
Treatment options for postural instability and gait difficulties in Parkinson’s disease
Martijn L.T.M. Müller, Uros Marusic, Miriam van Emde Boas, Daniel Weiss, Nicolaas I. Bohnen
Expert Review of Neurotherapeutics.2019; 19(12): 1229. CrossRef
A new technique to test the effect of cognition on standing balance in Parkinson’s disease
M Bhatt, B Mahana, JJ Marotta, JH Ko, T Szturm
Open Journal of Parkinson's Disease and Treatment.2019; 2(1): 006. CrossRef
Step length determines minimum toe clearance in older adults and people with Parkinson’s disease
Lisa Alcock, Brook Galna, Ruth Perkins, Sue Lord, Lynn Rochester
Journal of Biomechanics.2018; 71: 30. CrossRef
Long-term effects of highly challenging balance training in Parkinson’s disease—a randomized controlled trial
Martin Benka Wallén, Maria Hagströmer, David Conradsson, Kimmo Sorjonen, Erika Franzén
Clinical Rehabilitation.2018; : 026921551878433. CrossRef
Parkinson's disease versus ageing: different postural responses to soleus muscle vibration
Diana Bzdúšková, Peter Valkovič, Zuzana Hirjaková, Jana Kimijanová, František Hlavačka
Gait & Posture.2018; 65: 169. CrossRef
A High-Intensity Multicomponent Agility Intervention Improves Parkinson Patients’ Clinical and Motor Symptoms
József Tollár, Ferenc Nagy, Norbert Kovács, Tibor Hortobágyi
Archives of Physical Medicine and Rehabilitation.2018; 99(12): 2478. CrossRef
Parkinson’s disease does not alter automatic visual-motor coupling in postural control
Caio Ferraz Cruz, Maria Elisa Pimentel Piemonte, Líria Akie Okai-Nobrega, Erika Okamoto, Ana Claudia de Souza Fortaleza, Martina Mancini, Fay Bahling Horak, José Angelo Barela
Neuroscience Letters.2018; 686: 47. CrossRef
Assessing Walking Adaptability in Parkinson's Disease: “The Interactive Walkway”
Daphne J. Geerse, Melvyn Roerdink, Johan Marinus, Jacobus J. van Hilten
Frontiers in Neurology.2018;[Epub] CrossRef
Camptocormia with Transient Ischemic Attack
Ju-Hee Oh, Dong-Woo Ryu, Si-Hoon Lee, Joong-Seok Kim
Journal of Movement Disorders.2017; 10(1): 62. CrossRef
Motor dysfunction and alterations in glutathione concentration, cholinesterase activity, and BDNF expression in substantia nigra pars compacta in rats with pedunculopontine lesion
Lisette Blanco-Lezcano, Javier Jimenez-Martin, Mei-Li Díaz-Hung, Esteban Alberti-Amador, Maylin Wong-Guerra, Ma. Elena González-Fraguela, Bárbara Estupiñán-Díaz, Teresa Serrano-Sánchez, Liliana Francis-Turner, Susana Delgado-Ocaña, Yanier Núñez-Figueredo,
Neuroscience.2017; 348: 83. CrossRef
Axial rigidity is related to the risk of falls in patients with Parkinson’s disease
Roberto Cano-de-la-Cuerda, Lydia Vela-Desojo, Juan Carlos Miangolarra-Page, Yolanda Macías-Macías
NeuroRehabilitation: An International, Interdisciplinary Journal.2017; 40(4): 569. CrossRef
Body Posture, Postural Stability, and Metabolic Age in Patients with Parkinson’s Disease
Jacek Wilczyński, Agnieszka Pedrycz, Dariusz Mucha, Tadeusz Ambroży, Dawid Mucha
BioMed Research International.2017; 2017: 1. CrossRef
Investigation of Anticipatory Postural Adjustments during One-Leg Stance Using Inertial Sensors: Evidence from Subjects with Parkinsonism
Gianluca Bonora, Martina Mancini, Ilaria Carpinella, Lorenzo Chiari, Maurizio Ferrarin, John G. Nutt, Fay B. Horak
Frontiers in Neurology.2017;[Epub] CrossRef
Altered neurofilament protein expression in the lateral vestibular nucleus in Parkinson’s disease
Thomas P. Wellings, Alan M. Brichta, Rebecca Lim
Experimental Brain Research.2017; 235(12): 3695. CrossRef
Biomechanical Analysis of Dance for Parkinson’s Disease: A Paradoxical Case Study of Balance and Gait Effects?
Kristen L. Sowalsky, Jill Sonke, Lori J.P. Altmann, Leonardo Almeida, Chris J. Hass
EXPLORE.2017; 13(6): 409. CrossRef
Femur Fractures in Parkinsonism: Analysis of a National Sample Cohort in South Korea
Soo Jeong An, Seung-Hwan Lee, Seo-Young Lee, Jae-Woo Kwon, Seung-Joon Lee, Young-Ju Kim
Journal of Clinical Neurology.2017; 13(4): 380. CrossRef
The International Classification of Functioning, Disability and Health as Applied to Parkinson’s Disease: A Literature Review
Audrin Said Vojciechowski, Talita Gianello Gnoato Zotz, Ana Paula Cunha Loureiro, Vera Lúcia Israel
Advances in Parkinson's Disease.2016; 05(02): 29. CrossRef
Can Gait Signatures Provide Quantitative Measures for Aiding Clinical Decision-Making? A Systematic Meta-Analysis of Gait Variability Behavior in Patients with Parkinson's Disease
Niklas König, Navrag B. Singh, Christian R. Baumann, William R. Taylor
Frontiers in Human Neuroscience.2016;[Epub] CrossRef

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