PRIORITIZING FALL RISK MANAGEMENT: IRRESPECTIVE OF PARKINSON’S DISEASE PROGRESSION DURING REHABILITATION

Authors

  • Fakhir Ansari Senior Occupational Therapist, HOPE Rehabilitation Centre

Keywords:

Parkinson’s disease, activities of daily livings, social participation rehabilitation, intervention, progression, fall risk management

Abstract

Background and Aims: It has been established that the hazard of falling in Parkinson's patients is a primary cause of loss of independence, and hence it is a significant component to the disease's burden. As a result, the goal of this study is to evaluate the relationship between level of disease progression and the risk of falling in order to understand the critical need for rehab intervention in Parkinson's disease.

Methodology: A cross-sectional survey was conducted on 24 participants participated in study through convenience sampling technique from primary and tertiary care institutes/ hospitals. Tinetti balance and gait test was used to evaluate the risk of fall among patients while The Hoehn and Yahr Scale was used to track the progression of Parkinson's symptoms and disability.

Results: Total 24 (n=24) participants with idiopathic Parkinson’s disease were enrolled in the study in which the majority of the participants belong to age group 59-69 years. The balance and gait of Parkinson’s patient is strongly negative correlated i.e. -8.33 with the severity of Parkinson’s disease with .000 level of significance which is strongly negative correlated with the severity of Parkinson’s disease (p<0.05).

Conclusion: This demonstrates that the balance and gait of a Parkinson’s person is not related to the severity level Parkinson’s disease thus fall management in PD patients must be kept in priority during the rehab intervention for ADL independence and social participation.

References

Hughes, R.C., 1994. Parkinson's Disease and its Management. BMJ: British Medical Journal, 308(6923), p.281.

Lindholm, B., Hagell, P., Hansson, O. And Nilsson, M.H., 2015. Prediction of falls and/or near falls in people with mild Parkinson’s disease. Plos one, 10(1), p.e0117018.

Sveinbjornsdottir, S., 2016. The clinical symptoms of Parkinson's disease. Journal of neurochemistry, 139, pp.318-324.

Creaby, M.W. and Cole, M.H., 2018. Gait characteristics and falls in Parkinson's disease: A systematic review and meta-analysis. Parkinsonism & related disorders, 57, pp.1-8.

Kim, S.M., Kim, D.H., Yang, Y., Ha, S.W. and Han, J.H., 2018. Gait patterns in Parkinson's disease with or without cognitive impairment. Dementia and neurocognitive disorders, 17(2), p.57.

Curtze, C., Nutt, J.G., Carlson-Kuhta, P., Mancini, M. And Horak, F.B., 2016. Objective gait and balance impairments relate to balance confidence and perceived mobility in people with Parkinson disease. Physical therapy, 96(11), pp.1734-1743.

Del Din, S., Galna, B., Godfrey, A., Bekkers, E.M., Pelosin, E., Nieuwhof, F., Mirelman, A., Hausdorff, J.M. and Rochester, L., 2019. Analysis of free-living gait in older adults with and without Parkinson’s disease and with and without a history of falls: identifying generic and disease-specific characteristics. The Journals of Gerontology: Series A, 74(4), pp.500-506.

Conradsson, D., Löfgren, N., Nero, H., Hagströmer, M., Ståhle, A., Lökk, J. And Franzén, E., 2015. The effects of highly challenging balance training in elderly with Parkinson’s disease: a randomized controlled trial. Neurorehabilitation and neural repair, 29(9), pp.827-836.

Gao, C., Liu, J., Tan, Y. And Chen, S., 2020. Freezing of gait in Parkinson’s disease: pathophysiology, risk factors and treatments. Translational neurodegeneration, 9, pp.1-22.

Farombi, T.H., Owolabi, M.O. and Ogunniyi, A., 2016. Falls and their associated risks in Parkinson’s disease patients in Nigeria. Journal of movement disorders, 9(3), p.160.

Tufail, M., 2019. Clinical features and risk factors of Parkinson’s disease in a population of Khyber Pakhtunkhwa, Pakistan: a case-control study. Neurodegenerative Diseases, 19(5-6), pp.211-217.

Pelicioni, P.H., Menant, J.C., Latt, M.D. and Lord, S.R., 2019. Falls in Parkinson’s disease subtypes: risk factors, locations and circumstances. International journal of environmental research and public health, 16(12), p.2216.

Lord, S., Galna, B., Yarnall, A.J., Morris, R., Coleman, S., Burn, D. And Rochester, L., 2017. Natural history of falls in an incident cohort of Parkinson’s disease: early evolution, risk and protective features. Journal of neurology, 264(11), pp.2268-2276.

Saad, S., Nomani, A.Z., Badshah, M. And Afzal, A., 2017. Frequency of non-motor symptoms in Parkinson disease: experience from Pakistan. Pakistan Journal of Neurological Sciences (PJNS), 12(1), pp.8-15.

Park, J.H., Kang, Y.J. and Horak, F.B., 2015. What is wrong with balance in Parkinson’s disease?. Journal of movement disorders, 8(3), p.109.

Parrington, L., Popa, B., Martini, D.N., Chesnutt, J.C. and King, L.A., 2020. Instrumented balance assessment in mild traumatic brain injury: Normative values and descriptive data for acute, sub-acute and chronic populations. Journal of Concussion, 4, p.2059700220975605.

Abbas, S., Munawar, A. And Al Mostafa, M.Y., 2021. Prevalence of Balance Impairments in Individuals with Parkinson Disease. Pakistan Journal of Physical Therapy (PJPT), pp.26-31.

Shaikh, H.A. and Masood, S., 2019. Effects of physiotherapy interventions on fall, posture and quality of life in parkinson disease. Pakistan journal of rehabilitation, 8(1), pp.04-12.

Syed, N.A., Ali, F., Sher, K., Ikram, A., Soomro, B., Shahbaz, N., Sheerani, M., Jamil, S., Numan, A., Lakhair, M. And Awan, I., 2015. National guidelines for diagnosis and management of Parkinson’s disease in Pakistan. Pakistan Journal of Neurological Sciences (PJNS), 10(1), pp.40-48.

Farooqui, S.I., 2017. ROLE OF LEE SILVERMAN VOICE TREATMENT (LSVT) IN PARKINSON DISEASE. Pakistan Journal of Rehabilitation, 6(2), pp.1-2.

Fanning, S., Selkoe, D. And Dettmer, U., 2020. Parkinson’s disease: proteinopathy or lipidopathy?. NPJ Parkinson's disease, 6(1), pp.1-9.

Hayes, M.T., 2019. Parkinson's disease and parkinsonism. The American journal of medicine, 132(7), pp.802-807.

Rajput, A.H., Voll, A., Rajput, M.L., Robinson, C.A. and Rajput, A., 2009. Course in Parkinson disease subtypes: a 39-year clinicopathologic study. Neurology, 73(3), pp.206-212.

Kempster, P.A., O’Sullivan, S.S., Holton, J.L., Revesz, T. And Lees, A.J., 2010. Relationships between age and late progression of Parkinson’s disease: a clinicopathological study. Brain, 133(6), pp.1755-1762.

Jankovic, J. And Tan, E.K., 2020. Parkinson’s disease: Etiopathogenesis and treatment. Journal of Neurology, Neurosurgery & Psychiatry, 91(8), pp.795-808.

Holmes, J.D., Jenkins, M.E., Johnson, A.M., Adams, S.G. and Spaulding, S.J., 2010. Dual-task interference: the effects of verbal cognitive tasks on upright postural stability in Parkinson's disease. Parkinson’s Disease, 2010

Romano, S., Savva, G.M., Bedarf, J.R., Charles, I.G., Hildebrand, F. And Narbad, A., 2021. Meta-analysis of the Parkinson’s disease gut microbiome suggests alterations linked to intestinal inflammation. Npj Parkinson's Disease, 7(1), pp.1-13.

Sherrington, C., Whitney, J.C., Lord, S.R., Herbert, R.D., Cumming, R.G. and Close, J.C., 2008. Effective exercise for the prevention of falls: a systematic review and meta‐analysis. Journal of the American Geriatrics Society, 56(12), pp.2234-2243

Fearon, C. And Fasano, A., 2021. Parkinson’s disease and the COVID-19 pandemic. Journal of Parkinson's Disease, 11(2), pp.431-444.

Chung, K.A., Lobb, B.M., Nutt, J.G. and Horak, F.B., 2010. Effects of a central cholinesterase inhibitor on reducing falls in Parkinson disease. Neurology, 75(14), pp.1263-1269

Adkin, A.L., Bloem, B.R. and Allum, J.H.J., 2005. Trunk sway measurements during stance and gait tasks in Parkinson's disease. Gait & posture, 22(3), pp.240-249.

Ganesan, M., Pal, P.K., Gupta, A. And Sathyaprabha, T.N., 2010. Dynamic posturography in evaluation of balance in patients of Parkinson’s disease with normal pull test: concept of a diagonal pull test. Parkinsonism & related disorders, 16(9), pp.595-599.

Tufail M. Clinical features and risk factors of Parkinson’s disease in a population of Khyber Pakhtunkhwa, Pakistan: a case-control study. Neurodegenerative Diseases. 2019;19(5-6):211-7.

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Published

2023-01-04

How to Cite

Ansari, F. (2023). PRIORITIZING FALL RISK MANAGEMENT: IRRESPECTIVE OF PARKINSON’S DISEASE PROGRESSION DURING REHABILITATION. Pakistan Journal of Rehabilitation, 12(1), 84–92. Retrieved from http://ojs.zu.edu.pk/ojs/index.php/pjr/article/view/2100

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