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Falls and Their Associated Risks in Parkinson ’ s Disease Patients in Nigeria

View Article: PubMed Central - PubMed

ABSTRACT

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.

No MeSH data available.


Risk of fall among fallers and non-fallers using Tinneti scale.
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f1-jmd-16011: Risk of fall among fallers and non-fallers using Tinneti scale.

Mentions: There were no statistically significant differences in age and gender between the falling and non-falling patients. Falling patients reported having longer disease durations with a median duration of 60 months as opposed to 24 months among non-falling patients (p < 0.001). More of the falling patients (22; 64.7%) had a fear of falling when compared to non-falling patients (9; 25.7%). The mean CSI ‘D’ score of the falling patients was significantly lower than the non-falling patients (p = 0.034). These results are summarized in Table 1 and Figure 1.


Falls and Their Associated Risks in Parkinson ’ s Disease Patients in Nigeria
Risk of fall among fallers and non-fallers using Tinneti scale.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5035939&req=5

f1-jmd-16011: Risk of fall among fallers and non-fallers using Tinneti scale.
Mentions: There were no statistically significant differences in age and gender between the falling and non-falling patients. Falling patients reported having longer disease durations with a median duration of 60 months as opposed to 24 months among non-falling patients (p < 0.001). More of the falling patients (22; 64.7%) had a fear of falling when compared to non-falling patients (9; 25.7%). The mean CSI ‘D’ score of the falling patients was significantly lower than the non-falling patients (p = 0.034). These results are summarized in Table 1 and Figure 1.

View Article: PubMed Central - PubMed

ABSTRACT

Objective: Falls are a devastating consequence of Parkinson&rsquo;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&rsquo;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 &plusmn; 9.7 years. Falls were about three times (p &lt; 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.

No MeSH data available.