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Fear of falling and falls in people with Parkinson's disease treated with deep brain stimulation in the subthalamic nuclei.

Nilsson, Maria H LU ; Rehncrona, Stig LU and Jarnlo, Gun-Britt LU (2011) In Acta Neurologica Scandinavica 123(6). p.424-429
Abstract
Nilsson MH, Rehncrona S, Jarnlo G-B. Fear of falling and falls in people with Parkinson's disease treated with deep brain stimulation in the subthalamic nuclei. Acta Neurol Scand: 2011: 123: 424-429. © 2010 John Wiley & Sons A/S. Background - No previous study prospectively investigated the effects of subthalamic deep brain stimulation on fear of falling (FOF) and falls. Aim - The aim was to prospectively explore whether FOF and fall rate were affected after STN stimulation in people with Parkinson's disease (PD). Methods - Twenty participants (mean age: 65 , SD 6.4) were included. Falls and near falls were recorded (fall diary) during 3 months before and 1 year after surgery. FOF was evaluated using the Falls-Efficacy Scale, Swedish... (More)
Nilsson MH, Rehncrona S, Jarnlo G-B. Fear of falling and falls in people with Parkinson's disease treated with deep brain stimulation in the subthalamic nuclei. Acta Neurol Scand: 2011: 123: 424-429. © 2010 John Wiley & Sons A/S. Background - No previous study prospectively investigated the effects of subthalamic deep brain stimulation on fear of falling (FOF) and falls. Aim - The aim was to prospectively explore whether FOF and fall rate were affected after STN stimulation in people with Parkinson's disease (PD). Methods - Twenty participants (mean age: 65 , SD 6.4) were included. Falls and near falls were recorded (fall diary) during 3 months before and 1 year after surgery. FOF was evaluated using the Falls-Efficacy Scale, Swedish version, FES(S), and the modified Survey of Activities and Fear of Falling in the Elderly (SAFFE). Results- After surgery, the FES(S) scores of complex activities improved (P = 0.026), i.e. median 34 (q1-q3, 26-50) vs 43 (32-55). SAFFE scores also improved (P = 0.007): median 25 (22-30) versus 22 (18-27). The rate of near falls decreased (P = 0.014). Nine participants reported no near falls. For the remaining ten participants, the median near fall rate decreased from 6 (3-17) to 2 (1-8). The rate of falls showed no significant (P > 0.3) difference. Conclusions - After surgery, fewer activities were avoided owing to the risk of falling, and fall-related self-efficacy had improved during complex activities. The rate of near falls decreased. The results cannot support any change in fall rate. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Neurologica Scandinavica
volume
123
issue
6
pages
424 - 429
publisher
Wiley-Blackwell
external identifiers
  • WOS:000289529900009
  • PMID:21492098
  • Scopus:79954551918
ISSN
1600-0404
DOI
10.1111/j.1600-0404.2010.01418.x
language
English
LU publication?
yes
id
1e541467-9cf3-4c90-b60c-a2ff1ac3a936 (old id 1937105)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21492098?dopt=Abstract
date added to LUP
2011-05-02 14:26:57
date last changed
2016-10-13 04:24:33
@misc{1e541467-9cf3-4c90-b60c-a2ff1ac3a936,
  abstract     = {Nilsson MH, Rehncrona S, Jarnlo G-B. Fear of falling and falls in people with Parkinson's disease treated with deep brain stimulation in the subthalamic nuclei. Acta Neurol Scand: 2011: 123: 424-429. © 2010 John Wiley & Sons A/S. Background - No previous study prospectively investigated the effects of subthalamic deep brain stimulation on fear of falling (FOF) and falls. Aim - The aim was to prospectively explore whether FOF and fall rate were affected after STN stimulation in people with Parkinson's disease (PD). Methods - Twenty participants (mean age: 65 , SD 6.4) were included. Falls and near falls were recorded (fall diary) during 3 months before and 1 year after surgery. FOF was evaluated using the Falls-Efficacy Scale, Swedish version, FES(S), and the modified Survey of Activities and Fear of Falling in the Elderly (SAFFE). Results- After surgery, the FES(S) scores of complex activities improved (P = 0.026), i.e. median 34 (q1-q3, 26-50) vs 43 (32-55). SAFFE scores also improved (P = 0.007): median 25 (22-30) versus 22 (18-27). The rate of near falls decreased (P = 0.014). Nine participants reported no near falls. For the remaining ten participants, the median near fall rate decreased from 6 (3-17) to 2 (1-8). The rate of falls showed no significant (P > 0.3) difference. Conclusions - After surgery, fewer activities were avoided owing to the risk of falling, and fall-related self-efficacy had improved during complex activities. The rate of near falls decreased. The results cannot support any change in fall rate.},
  author       = {Nilsson, Maria H and Rehncrona, Stig and Jarnlo, Gun-Britt},
  issn         = {1600-0404},
  language     = {eng},
  number       = {6},
  pages        = {424--429},
  publisher    = {ARRAY(0xa43e448)},
  series       = {Acta Neurologica Scandinavica},
  title        = {Fear of falling and falls in people with Parkinson's disease treated with deep brain stimulation in the subthalamic nuclei.},
  url          = {http://dx.doi.org/10.1111/j.1600-0404.2010.01418.x},
  volume       = {123},
  year         = {2011},
}