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Pain is associated with future falls and near falls in people with mild Parkinson’s Disease

Lindholm, Beata LU (2018) The European Congress on Clinical Trials in Pain (SOPATE2018) p.3-3
Abstract
Background: Older adults with pain have an increased risk of falling (odds ratio (OR) 1,7). Pain in Parkinson’s disease (PD) is more common than in older adults. The association between pain and falling in people with PD is poorly explored.Objective: To investigate the occurrence of pain in mild PD and its association with future falls/near fallsMethods. The study included 141 participants with PD (mean age and PD-duration, 68 and 4 years, respectively). Exclusion criteria: Age >80 years, unable to stand without support or understand instructions. Participants reporting pain were asked if their pain worsened when walking and to describe its localization. Falls and near falls (defined according to Gray & Hildebrandt, 2000) were... (More)
Background: Older adults with pain have an increased risk of falling (odds ratio (OR) 1,7). Pain in Parkinson’s disease (PD) is more common than in older adults. The association between pain and falling in people with PD is poorly explored.Objective: To investigate the occurrence of pain in mild PD and its association with future falls/near fallsMethods. The study included 141 participants with PD (mean age and PD-duration, 68 and 4 years, respectively). Exclusion criteria: Age >80 years, unable to stand without support or understand instructions. Participants reporting pain were asked if their pain worsened when walking and to describe its localization. Falls and near falls (defined according to Gray & Hildebrandt, 2000) were prospectively registered for 6 months.Results: Forty (28%) participants reported pain. Eighteen out of the 40 (45%) participants reported that their pain worsened during walking; reported pain localizations were: feet (7/18; 39%); back pain (4/18, 22%), legs (2/18; 11%), arms (3/18; 17%) and whole body (2/18; 11%). Sixty-three participants (45%) experienced ≥1 prospective fall and/or near fall. Logistic regression (controlling for age, sex, and motor symptoms) showed that pain was associated with falls and/or near falls (OR, 2.57; 95% CI, 1.10-6.00).Conclusion: Almost a third of individuals with mild PD experienced pain, and pain was associated with future falls/near falls. Further studies are needed to better understand the association between pain and an increased fall risk in PD. (Less)
Abstract (Swedish)
Background: Older adults with pain have an increased risk of falling (odds ratio (OR) 1,7). Pain in Parkinson’s disease (PD) is more common than in older adults. The association between pain and falling in people with PD is poorly explored.Objective: To investigate the occurrence of pain in mild PD and its association with future falls/near fallsMethods. The study included 141 participants with PD (mean age and PD-duration, 68 and 4 years, respectively). Exclusion criteria: Age >80 years, unable to stand without support or understand instructions. Participants reporting pain were asked if their pain worsened when walking and to describe its localization. Falls and near falls (defined according to Gray & Hildebrandt, 2000) were... (More)
Background: Older adults with pain have an increased risk of falling (odds ratio (OR) 1,7). Pain in Parkinson’s disease (PD) is more common than in older adults. The association between pain and falling in people with PD is poorly explored.Objective: To investigate the occurrence of pain in mild PD and its association with future falls/near fallsMethods. The study included 141 participants with PD (mean age and PD-duration, 68 and 4 years, respectively). Exclusion criteria: Age >80 years, unable to stand without support or understand instructions. Participants reporting pain were asked if their pain worsened when walking and to describe its localization. Falls and near falls (defined according to Gray & Hildebrandt, 2000) were prospectively registered for 6 months.Results: Forty (28%) participants reported pain. Eighteen out of the 40 (45%) participants reported that their pain worsened during walking; reported pain localizations were: feet (7/18; 39%); back pain (4/18, 22%), legs (2/18; 11%), arms (3/18; 17%) and whole body (2/18; 11%). Sixty-three participants (45%) experienced ≥1 prospective fall and/or near fall. Logistic regression (controlling for age, sex, and motor symptoms) showed that pain was associated with falls and/or near falls (OR, 2.57; 95% CI, 1.10-6.00).Conclusion: Almost a third of individuals with mild PD experienced pain, and pain was associated with future falls/near falls. Further studies are needed to better understand the association between pain and an increased fall risk in PD. (Less)
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author
organization
publishing date
type
Contribution to conference
publication status
published
subject
pages
1 pages
conference name
The European Congress on Clinical Trials in Pain (SOPATE2018)
conference dates
2018-12-03 - 2018-12-04
language
English
LU publication?
yes
id
354ae121-8c7d-4a50-8867-8a369ea19308
date added to LUP
2019-09-05 09:34:23
date last changed
2020-01-22 11:12:30
@misc{354ae121-8c7d-4a50-8867-8a369ea19308,
  abstract     = {{Background: Older adults with pain have an increased risk of falling (odds ratio (OR) 1,7). Pain in Parkinson’s disease (PD) is more common than in older adults. The association between pain and falling in people with PD is poorly explored.Objective: To investigate the occurrence of pain in mild PD and its association with future falls/near fallsMethods. The study included 141 participants with PD (mean age and PD-duration, 68 and 4 years, respectively). Exclusion criteria: Age >80 years, unable to stand without support or understand instructions. Participants reporting pain were asked if their pain worsened when walking and to describe its localization. Falls and near falls (defined according to Gray & Hildebrandt, 2000) were prospectively registered for 6 months.Results: Forty (28%) participants reported pain. Eighteen out of the 40 (45%) participants reported that their pain worsened during walking; reported pain localizations were: feet (7/18; 39%); back pain (4/18, 22%), legs (2/18; 11%), arms (3/18; 17%) and whole body (2/18; 11%). Sixty-three participants (45%) experienced ≥1 prospective fall and/or near fall. Logistic regression (controlling for age, sex, and motor symptoms) showed that pain was associated with falls and/or near falls (OR, 2.57; 95% CI, 1.10-6.00).Conclusion: Almost a third of individuals with mild PD experienced pain, and pain was associated with future falls/near falls. Further studies are needed to better understand the association between pain and an increased fall risk in PD.}},
  author       = {{Lindholm, Beata}},
  language     = {{eng}},
  month        = {{12}},
  pages        = {{3--3}},
  title        = {{Pain is associated with future falls and near falls in people with mild Parkinson’s Disease}},
  year         = {{2018}},
}