Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation

Although fear of falling (FOF) is common in people with Parkinson's disease (PD), there is a lack of research investigating potential predictors of FOF. This study explored the impact of motor, nonmotor, and demographic factors as well as complications of drug therapy on FOF among people with P...

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Main Authors: Maria H. Nilsson, Gun-Marie Hariz, Susanne Iwarsson, Peter Hagell
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2012/713236
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author Maria H. Nilsson
Gun-Marie Hariz
Susanne Iwarsson
Peter Hagell
author_facet Maria H. Nilsson
Gun-Marie Hariz
Susanne Iwarsson
Peter Hagell
author_sort Maria H. Nilsson
collection DOAJ
description Although fear of falling (FOF) is common in people with Parkinson's disease (PD), there is a lack of research investigating potential predictors of FOF. This study explored the impact of motor, nonmotor, and demographic factors as well as complications of drug therapy on FOF among people with PD. Postal survey data (including the Falls Efficacy Scale, FES) from 154 nondemented people with PD were analyzed using multiple regression analyses. Five significant independent variables were identified explaining 74% of the variance in FES scores. The strongest contributing factor to FOF was walking difficulties (explaining 68%), followed by fatigue, turning hesitations, need for help in daily activities, and motor fluctuations. Exploring specific aspects of walking identified three significant variables explaining 59% of FOF: balance problems, limited ability to climb stairs, and turning hesitations. These results have implications for rehabilitation clinicians and suggest that walking ability is the primary target in order to reduce FOF. Specifically, balance, climbing stairs, and turning seem to be of particular importance.
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spelling doaj-art-7b119c116d2c4f85b53ab077eb79835b2025-02-03T01:21:58ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/713236713236Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for RehabilitationMaria H. Nilsson0Gun-Marie Hariz1Susanne Iwarsson2Peter Hagell3Department of Health Sciences, Lund University, Box 157, SE-221 00 Lund, SwedenDepartment of Community Medicine and Rehabilitation, Umeå University, SE-901 87, Umeå, SwedenDepartment of Health Sciences, Lund University, Box 157, SE-221 00 Lund, SwedenDepartment of Health Sciences, Lund University, Box 157, SE-221 00 Lund, SwedenAlthough fear of falling (FOF) is common in people with Parkinson's disease (PD), there is a lack of research investigating potential predictors of FOF. This study explored the impact of motor, nonmotor, and demographic factors as well as complications of drug therapy on FOF among people with PD. Postal survey data (including the Falls Efficacy Scale, FES) from 154 nondemented people with PD were analyzed using multiple regression analyses. Five significant independent variables were identified explaining 74% of the variance in FES scores. The strongest contributing factor to FOF was walking difficulties (explaining 68%), followed by fatigue, turning hesitations, need for help in daily activities, and motor fluctuations. Exploring specific aspects of walking identified three significant variables explaining 59% of FOF: balance problems, limited ability to climb stairs, and turning hesitations. These results have implications for rehabilitation clinicians and suggest that walking ability is the primary target in order to reduce FOF. Specifically, balance, climbing stairs, and turning seem to be of particular importance.http://dx.doi.org/10.1155/2012/713236
spellingShingle Maria H. Nilsson
Gun-Marie Hariz
Susanne Iwarsson
Peter Hagell
Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation
Parkinson's Disease
title Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation
title_full Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation
title_fullStr Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation
title_full_unstemmed Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation
title_short Walking Ability Is a Major Contributor to Fear of Falling in People with Parkinson's Disease: Implications for Rehabilitation
title_sort walking ability is a major contributor to fear of falling in people with parkinson s disease implications for rehabilitation
url http://dx.doi.org/10.1155/2012/713236
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AT susanneiwarsson walkingabilityisamajorcontributortofearoffallinginpeoplewithparkinsonsdiseaseimplicationsforrehabilitation
AT peterhagell walkingabilityisamajorcontributortofearoffallinginpeoplewithparkinsonsdiseaseimplicationsforrehabilitation