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Neurologic aspects and falls.

Alfonso Fasano1, Meir Plotnik

  • 1Department of Neurology, Catholic University, Rome, Italy.

Clinical Cases in Mineral and Bone Metabolism : the Official Journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
|July 12, 2012
PubMed
Summary
This summary is machine-generated.

Falls are a major public health issue, especially for the elderly. This review examines parkinsonism and mild parkinsonian signs as key factors in understanding fall pathophysiology in older adults.

Keywords:
fallsfreezing of gaitparkinsonism

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Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Falls represent a significant social and economic burden on public health systems.
  • Established literature details numerous factors contributing to falls, particularly in the elderly population.
  • Parkinsonism serves as a valuable model for understanding the complex mechanisms of falling.

Purpose of the Study:

  • To review the role of parkinsonism and mild parkinsonian signs in the elderly regarding fall risk.
  • To explore the specific features of parkinsonian patients that contribute to falls.
  • To elucidate the pathophysiology of postural control and its disruption in fall-related conditions.

Main Methods:

  • Literature review focusing on parkinsonism and elderly falls.
  • Analysis of physiopathology of postural control.
  • Examination of motor and cognitive factors associated with falls.

Main Results:

  • Parkinsonism is a relevant paradigm for understanding fall mechanisms.
  • Elderly individuals often exhibit mild parkinsonian signs, increasing fall risk.
  • Specific parkinsonian features like axial motor symptoms and impaired executive function are linked to falls.

Conclusions:

  • Understanding parkinsonism is crucial for addressing fall prevention in the elderly.
  • Disruption of automaticity in motion and cognition plays a key role in parkinsonian falls.
  • Mild parkinsonian signs in the elderly warrant attention for fall risk assessment.