Predictive Factors of Fall-Related Activity Avoidance in People With Parkinson Disease-A Longitudinal Study With a 3-Year Follow-up

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Nilsson, Maria H.Lund University,Lunds universitet,Aktivt och hälsosamt åldrande,Forskargrupper vid Lunds universitet,Klinisk minnesforskning,Active and Healthy Ageing Research Group,Lund University Research Groups,Clinical Memory Research,Skåne University Hospital (författare)

Predictive Factors of Fall-Related Activity Avoidance in People With Parkinson Disease-A Longitudinal Study With a 3-Year Follow-up

Artikel/kapitelEngelska2020

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2020
7 s.

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LIBRIS-ID:oai:lup.lub.lu.se:328d6f62-6a4a-4db3-8ffb-23bb4096e567
https://lup.lub.lu.se/record/328d6f62-6a4a-4db3-8ffb-23bb4096e567URI
https://doi.org/10.1097/NPT.0000000000000316DOI

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Språk:engelska
Sammanfattning på:engelska

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BACKGROUND AND PURPOSE: Knowledge of predictive factors can foster the development of preventive approaches. This study examined how prevalence and severity of fall-related activity avoidance evolve over a 3-year period in people with Parkinson disease (PD). A specific aim was to identify predictive factors of fall-related activity avoidance (ie, modified Survey of Activities and Fear of Falling in the Elderly [mSAFFE] scores) after 3 years. METHODS: The sample included 151 people with PD (mean [SD] age: 68 [8.8] years). The mSAFFE score was the dependent variable in multivariable linear regression analyses, with 17 potential predictors. On the basis of a collinearity check, 2 models studying various risk factors were developed. Model 1 included concerns about falling and model 2 walking difficulties. RESULTS: After 3 years, more participants reported fall-related activity avoidance, that is, 34% versus 50% (P < 0.001). Regression model 1 explained 63% of the variance. The strongest predictive factor was concerns about falling (standardized regression coefficient, β = 0.589), followed by pain (β = 0.161), unsteadiness while turning (β = 0.137), and age (β = 0.136). These variables remained significant when adjusting for mSAFFE baseline scores.In model 2 (explained 50% of the variance), the strongest predictive factor was perceived walking difficulties (β = 0.392), followed by age (β = 0.238), unsteadiness while turning (β = 0.198), and pain (β = 0.184). Unlike the other factors, walking difficulties were not significant when adjusting for mSAFFE baseline scores. DISCUSSION AND CONCLUSIONS: Fall-related activity avoidance increased over time in people with PD. If fall-related activity avoidance is to be targeted, this study suggests that interventions should address concerns about falling, pain, unsteadiness while turning, and walking difficulties.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A310).

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng

Biuppslag (personer, institutioner, konferenser, titlar ...)

Jonasson, Stina B.Lund University,Lunds universitet,Aktivt och hälsosamt åldrande,Forskargrupper vid Lunds universitet,Active and Healthy Ageing Research Group,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-sb2 (författare)
Zijlstra, G. A.RixtMaastricht University (författare)
Aktivt och hälsosamt åldrandeForskargrupper vid Lunds universitet (creator_code:org_t)

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Ingår i:Journal of Neurologic Physical Therapy44:3, s. 188-1941557-0584

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Av författaren/redakt...: Nilsson, Maria H ...; Jonasson, Stina ...; Zijlstra, G. A.R ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

Artiklar i publikationen: Journal of Neuro ...

Av lärosätet: Lunds universitet

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