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Fear of falling is independently associated with recurrent falls in patients with Parkinson’s disease: a 1-year prospective study
The present study aimed to examine whether fear of falling (FoF) could independently predict recurrent falls in people with Parkinson’s disease (PD). Seventy patients with PD completed the study. Thirty-two patients had fallen at least once in the previous 12 months. Most of patients with PD had mod...
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| Published in: | Journal of neurology 2009-10, Vol.256 (10), p.1689-1695 |
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| container_end_page | 1695 |
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| container_title | Journal of neurology |
| container_volume | 256 |
| creator | Mak, Margaret K. Y. Pang, Marco Y. C. |
| description | The present study aimed to examine whether fear of falling (FoF) could independently predict recurrent falls in people with Parkinson’s disease (PD). Seventy patients with PD completed the study. Thirty-two patients had fallen at least once in the previous 12 months. Most of patients with PD had moderate disease severity (Hoehn and Yahr stage III). FoF was assessed by the activities-specific balance confidence (ABC) scale. PD specific motor and balance impairment was determined by Unified PD rating scale (UPDRS). Functional mobility was measured by timed-up-and-go (TUG) test. All patients were followed for 12 months by phone interview to register monthly fall incidence. Results of stepwise discriminant analysis showed that after adjusting for the fall history (
F
= 32.57,
P
<
0.001) and UPDRS motor score (
F
= 25.23,
P
<
0.001), ABC score (
F
= 18.84,
P
<
0.001) remained as a significant predictor of recurrent falls. We further established that a cut-off ABC score of 69 (i.e. 0–100, 0 indicates no confidence and 100 indicates full confidence) demonstrated the best sensitivity (93%) in predicting future falls in PD patients. The results indicate that those with an ABC score |
| doi_str_mv | 10.1007/s00415-009-5184-5 |
| format | article |
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F
= 32.57,
P
<
0.001) and UPDRS motor score (
F
= 25.23,
P
<
0.001), ABC score (
F
= 18.84,
P
<
0.001) remained as a significant predictor of recurrent falls. We further established that a cut-off ABC score of 69 (i.e. 0–100, 0 indicates no confidence and 100 indicates full confidence) demonstrated the best sensitivity (93%) in predicting future falls in PD patients. The results indicate that those with an ABC score <69 at baseline had significantly higher risk of sustaining recurrent falls in the next 12 months. Findings of the present study highlight the importance of considering FoF during fall risk assessment in patients with PD.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-009-5184-5</identifier><identifier>PMID: 19479166</identifier><identifier>CODEN: JNRYA9</identifier><language>eng</language><publisher>Heidelberg: D. Steinkopff-Verlag</publisher><subject>Accidental Falls ; Area Under Curve ; Balance ; Biological and medical sciences ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Discriminant Analysis ; Disease ; Falls ; Fear ; Female ; Humans ; Interviews as Topic ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurology ; Neuroradiology ; Neurosciences ; Older people ; Original Communication ; Parkinson Disease ; Parkinson's disease ; Posture ; Prospective Studies ; Recurrence ; ROC Curve ; Severity of Illness Index ; Stroke</subject><ispartof>Journal of neurology, 2009-10, Vol.256 (10), p.1689-1695</ispartof><rights>Springer-Verlag 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-860f76ed9023505234d9455939a7f7b9fac6e8855d7b04596712664cb2a425a43</citedby><cites>FETCH-LOGICAL-c432t-860f76ed9023505234d9455939a7f7b9fac6e8855d7b04596712664cb2a425a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22086164$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19479166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mak, Margaret K. Y.</creatorcontrib><creatorcontrib>Pang, Marco Y. C.</creatorcontrib><title>Fear of falling is independently associated with recurrent falls in patients with Parkinson’s disease: a 1-year prospective study</title><title>Journal of neurology</title><addtitle>J Neurol</addtitle><addtitle>J Neurol</addtitle><description>The present study aimed to examine whether fear of falling (FoF) could independently predict recurrent falls in people with Parkinson’s disease (PD). Seventy patients with PD completed the study. Thirty-two patients had fallen at least once in the previous 12 months. Most of patients with PD had moderate disease severity (Hoehn and Yahr stage III). FoF was assessed by the activities-specific balance confidence (ABC) scale. PD specific motor and balance impairment was determined by Unified PD rating scale (UPDRS). Functional mobility was measured by timed-up-and-go (TUG) test. All patients were followed for 12 months by phone interview to register monthly fall incidence. Results of stepwise discriminant analysis showed that after adjusting for the fall history (
F
= 32.57,
P
<
0.001) and UPDRS motor score (
F
= 25.23,
P
<
0.001), ABC score (
F
= 18.84,
P
<
0.001) remained as a significant predictor of recurrent falls. We further established that a cut-off ABC score of 69 (i.e. 0–100, 0 indicates no confidence and 100 indicates full confidence) demonstrated the best sensitivity (93%) in predicting future falls in PD patients. The results indicate that those with an ABC score <69 at baseline had significantly higher risk of sustaining recurrent falls in the next 12 months. Findings of the present study highlight the importance of considering FoF during fall risk assessment in patients with PD.</description><subject>Accidental Falls</subject><subject>Area Under Curve</subject><subject>Balance</subject><subject>Biological and medical sciences</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Discriminant Analysis</subject><subject>Disease</subject><subject>Falls</subject><subject>Fear</subject><subject>Female</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Older people</subject><subject>Original Communication</subject><subject>Parkinson Disease</subject><subject>Parkinson's disease</subject><subject>Posture</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>ROC Curve</subject><subject>Severity of Illness Index</subject><subject>Stroke</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp1kc9qFTEUxoMo9rb6AG4kCKWraP7PxJ0Uq0LBLnQdcjNnaurcmTFnxnJ3gk_h6_kkzTgXC4KbHMj3O38-PkKeCf5ScF69Qs61MIxzx4yoNTMPyEZoJZnQxj0kG640Z0YZfUSOEW8453URHpMj4XTlhLUb8vMCQqZDS9vQdam_pglp6hsYoTz91O1pQBxiChM09DZNX2iGOOdctD8tC03HMKXygStwFfLX1OPQ__7xC2mTEALCaxqoYPtl2ZgHHCFO6TtQnOZm_4Q8KqMQnh7qCfl88fbT-Xt2-fHdh_M3lywWTxOrLW8rC43jUhlupNKN08Y45ULVVlvXhmihro1pqi0vPm0lpLU6bmXQ0gStTsjZOrdc8G0GnPwuYYSuCz0MM_pKW-Fqq0QhX_xD3gxz7stxXopaGKWdKZBYoVgMYYbWjzntQt57wf2Sj1_z8SUfv-Tjl57nh8HzdgfNfcchkAKcHoCAMXRtDn1M-JeTktdW2MWLXDksUn8N-f7C_2-_Az8OqOg</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Mak, Margaret K. Y.</creator><creator>Pang, Marco Y. C.</creator><general>D. Steinkopff-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20091001</creationdate><title>Fear of falling is independently associated with recurrent falls in patients with Parkinson’s disease: a 1-year prospective study</title><author>Mak, Margaret K. Y. ; Pang, Marco Y. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-860f76ed9023505234d9455939a7f7b9fac6e8855d7b04596712664cb2a425a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidental Falls</topic><topic>Area Under Curve</topic><topic>Balance</topic><topic>Biological and medical sciences</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Discriminant Analysis</topic><topic>Disease</topic><topic>Falls</topic><topic>Fear</topic><topic>Female</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Older people</topic><topic>Original Communication</topic><topic>Parkinson Disease</topic><topic>Parkinson's disease</topic><topic>Posture</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>ROC Curve</topic><topic>Severity of Illness Index</topic><topic>Stroke</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mak, Margaret K. Y.</creatorcontrib><creatorcontrib>Pang, Marco Y. C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mak, Margaret K. Y.</au><au>Pang, Marco Y. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fear of falling is independently associated with recurrent falls in patients with Parkinson’s disease: a 1-year prospective study</atitle><jtitle>Journal of neurology</jtitle><stitle>J Neurol</stitle><addtitle>J Neurol</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>256</volume><issue>10</issue><spage>1689</spage><epage>1695</epage><pages>1689-1695</pages><issn>0340-5354</issn><eissn>1432-1459</eissn><coden>JNRYA9</coden><abstract>The present study aimed to examine whether fear of falling (FoF) could independently predict recurrent falls in people with Parkinson’s disease (PD). Seventy patients with PD completed the study. Thirty-two patients had fallen at least once in the previous 12 months. Most of patients with PD had moderate disease severity (Hoehn and Yahr stage III). FoF was assessed by the activities-specific balance confidence (ABC) scale. PD specific motor and balance impairment was determined by Unified PD rating scale (UPDRS). Functional mobility was measured by timed-up-and-go (TUG) test. All patients were followed for 12 months by phone interview to register monthly fall incidence. Results of stepwise discriminant analysis showed that after adjusting for the fall history (
F
= 32.57,
P
<
0.001) and UPDRS motor score (
F
= 25.23,
P
<
0.001), ABC score (
F
= 18.84,
P
<
0.001) remained as a significant predictor of recurrent falls. We further established that a cut-off ABC score of 69 (i.e. 0–100, 0 indicates no confidence and 100 indicates full confidence) demonstrated the best sensitivity (93%) in predicting future falls in PD patients. The results indicate that those with an ABC score <69 at baseline had significantly higher risk of sustaining recurrent falls in the next 12 months. Findings of the present study highlight the importance of considering FoF during fall risk assessment in patients with PD.</abstract><cop>Heidelberg</cop><pub>D. Steinkopff-Verlag</pub><pmid>19479166</pmid><doi>10.1007/s00415-009-5184-5</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0340-5354 |
| ispartof | Journal of neurology, 2009-10, Vol.256 (10), p.1689-1695 |
| issn | 0340-5354 1432-1459 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_746198631 |
| source | Springer Nature |
| subjects | Accidental Falls Area Under Curve Balance Biological and medical sciences Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Discriminant Analysis Disease Falls Fear Female Humans Interviews as Topic Male Medical sciences Medicine Medicine & Public Health Middle Aged Neurology Neuroradiology Neurosciences Older people Original Communication Parkinson Disease Parkinson's disease Posture Prospective Studies Recurrence ROC Curve Severity of Illness Index Stroke |
| title | Fear of falling is independently associated with recurrent falls in patients with Parkinson’s disease: a 1-year prospective study |
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