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Recurrent falls in Parkinson's disease: a systematic review
Natalie E Allen1, Allison K Schwarzel, Colleen G Canning
1Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences, The University of Sydney, P.O. Box 170, Lidcombe, NSW 1825, Australia.
Parkinson'S Disease
|March 28, 2013
Summary
Many individuals with Parkinson's disease (PD) experience recurrent falls. Identifying associated factors is crucial for developing targeted fall prevention strategies for those with PD.
Area of Science:
- Neurology
- Gerontology
- Physical Therapy
Background:
- Parkinson's disease (PD) is a neurodegenerative disorder frequently associated with gait disturbances and falls.
- Falls are a common and serious complication for people with PD, impacting quality of life and increasing healthcare costs.
Purpose of the Study:
- To review the prevalence and scope of recurrent falls in Parkinson's disease.
- To identify specific factors associated with recurrent fallers in the PD population.
Main Methods:
- A systematic literature search was conducted across multiple databases.
- Included studies reported prospectively collected data on recurrent falls in individuals with PD.
- Twenty-two relevant studies were identified and synthesized.
Main Results:
- Over 60% of people with PD reported at least one fall, with 39% experiencing recurrent falls.
- Recurrent fallers reported a high average of 20.8 falls per person annually.
- Key associated factors include disease severity, motor impairment, cognitive decline, fear of falling, and medication use (dopamine agonists, levodopa).
Conclusions:
- Recurrent falls are highly prevalent in Parkinson's disease, with significant variability in frequency.
- Specific risk factors highlight the need for personalized fall management strategies.
- Further research is needed to classify recurrent fallers and evaluate targeted interventions for clinical practice.
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