A Cross-sectional Analysis of the Characteristics of Individuals With Parkinson Disease Who Avoid Activities and Participation Due to Fear of Falling
| Autor: | Morgan Lopker, Merrill R. Landers, Spencer Sorensen, Rithea Vong, Russell Gourlie, Molly Newman |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Poison control Physical Therapy Sports Therapy and Rehabilitation Disease Fear of falling Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quality of life (healthcare) Injury prevention medicine Avoidance Learning Humans 030212 general & internal medicine Postural Balance Aged Rehabilitation Human factors and ergonomics Parkinson Disease Fear Cross-Sectional Studies Motor Skills Quality of Life Accidental Falls Female Neurology (clinical) medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Journal of neurologic physical therapy : JNPT. 41(1) |
| ISSN: | 1557-0584 |
| Popis: | Avoidance behavior can have deleterious consequences on health and quality of life for persons with Parkinson disease (PD); for this reason, it is important to identify potentially mitigable characteristics. We compared the characteristics of individuals with PD who exhibit fear of falling (FOF) avoidance behavior with those who do not.Fifty-nine participants with PD were classified as avoiders (n = 27) or nonavoiders (n = 32) by using the Fear of Falling Avoidance Behavior Questionnaire and compared across 5 domains: demographic characteristics; PD-specific symptoms (subtype, Movement Disorder Society-Unified Parkinson's Disease Rating Scale [MDS-UPDRS], Hoehn and Yahr Scale, Parkinson's Disease Questionnaire-39 [PDQ-39]); balance and falls (fall history, Berg Balance Scale [BBS], Activities-Specific Balance Confidence [ABC] Scale, Impact of Events Scale, Consequences of Falling Questionnaire [CoFQ]); physical performance (30 Second Sit-to-Stand Test, Timed Up and Go Test, physical activity monitoring); and psychological factors (Zung Anxiety Scale, Beck Depression Inventory [BDI]).There were no differences between avoiders and nonavoiders for demographic characteristics and fall history (Ps0.272). Avoiders had worse MDS-UPDRS (Ps0.014) and PDQ-39 scores (Ps0.028). Avoiders had poorer balance performance (BBS, P = 0.003), lower balance confidence (ABC, P0.001), and more fall catastrophization (CoFQ, P0.001). Avoiders reported more depression (P = 0.015) and anxiety (P = 0.028).PD FOF avoiders had more involved symptoms and scored lower on balance and physical performance measures. In addition, they reported greater psychological stress. Several potentially mitigable characteristics of those with FOF avoidance behavior were identified.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A153). |
| Databáze: | OpenAIRE |
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