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Friday, November 15, 2013

THE CAUSES OF FALLS IN PARKINSON'S DISEASE

6th November 2013 - New research

Neurologia i neurochirurgia polska [2013] 47 (5) : 423-430 (Rudzinska M, Bukowczan S, Stozek J, Zajdel K, Mirek E, Chwala W, Wójcik-Pedziwiatr M, Banaszkiewicz K, Szczudlik A.) 
Neurologia i neurochirurgia polska [2013] 47 (5) : 431-437 (Rudzinska M, Bukowczan S, Stozek J, Zajdel K, Mirek E, Chwala W, Wójcik-Pedziwiatr M, Banaszkiewicz K, Szczudlik A.) 

People with Parkinson's Disease suffer falls more frequently than most other people. Over the year falls occurred in 54% of people with Parkinson's Disease. Around 20% of people with Parkinson's Disease fell frequently. This occurred more commonly with age.

Analysis of causes of falls revealed that sudden falls were the most common (31%), followed by episodes of freezing and festination (19%), neurological and sensory disturbances (mostly vertigo) (12%), environmental factors (12%), postural instability (11%), orthostatic hypotension (4%), and severe dyskinesia (3.6%). In people with Parkinson's Disease, factors due to themselves were dominant, whereas in the control group external factors were responsible for falls with the same frequency. Every third fall intensified the fear of walking. Over a third (34%) of falls caused injuries. Among them bruises of body parts other than the head were most frequent. 

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