Journal
ARCHIVES OF GERONTOLOGY AND GERIATRICS
Volume 65, Issue -, Pages 17-24Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.archger.2016.02.006
Keywords
Parkinson's disease; Falls; Recurrent; Risk factors; Injuries
Categories
Funding
- Ministry of Education and Science of the Republic of Serbia [175087, 175090]
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The aims of this study were to compare clinical and fall characteristics of single and recurrent falls among persons with PD and to evaluate factors associated with recurrent falls. A total of 120 consecutive persons with PD, who denied having fallen in the past 6 months, were recruited. Occurrence of falling was registered during one year. Each person was given a fall diary with the aim at writing characteristics of the fall and contacted by telephone each month. Over one year of follow-up 42 persons with PD (35.0%) reported falling. Of 42 persons, 19 (45.2%) went on to become single and 23 (54.8%) went on to become recurrent fallers. Indoor falls were more common among single fallers, whilst outdoor falls were more common among recurrent fallers (p = 0.017). Slipping and freezing of gait was more common among single fallers (p = 0.035 and p = 0.024, respectively). Lower extremity weakness was more frequent among recurrent fallers (p = 0.023). The most common injury both among single and recurrent fallers was the soft-tissue contusion. The only factor associated with recurrent falling among persons with PD, who did not fall in past 6 months before the start of follow-up, was worse motor performance as measured by the UPDRS III score (odds ratio [OR] = 1.06, 95% confidence interval [CI] 1.01-1.11, p = 0.022). These results could be used in selection of persons with PD to enroll in fall prevention programs. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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