Fear of falling and dual-task performance in people with Parkinson’s disease.

People with Parkinson’s disease (PwP) report greater fear of falling (FOF) and demonstrate poorer dual-task performance than healthy age-matched controls. The aim of this study was to assess the association between FOF and dual-task performance in PwP. 31 PwP participated (17 male, 14 female) with m...

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Publicado en:European Journal of Physiotherapy Vol. 18; no. 3; pp. 167 - 173
Autores principales: O'Connell, Eimear, Guidon, Marie
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2016
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      pub: Taylor & Francis Ltd
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        10.3109/21679169.2016.1156156
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        atl: Fear of falling and dual-task performance in people with Parkinson’s disease.
      aug:
        au:
          O'Connell, Eimear
          Guidon, Marie
        affil: Physiotherapy Department, Mercy University Hospital, Cork, Ireland
      sug:
        subj:
          Accidental Falls Psychosocial Factors
          Task Performance and Analysis
          Fear
          Parkinson Disease Psychosocial Factors
          Neuropsychological Tests
          Balance, Postural
          Activities of Daily Living Psychosocial Factors
          Human
          Female
          Male
          Middle Age
          Aged
          Aged, 80 and Over
          Nonexperimental Studies
          Cross Sectional Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: People with Parkinson’s disease (PwP) report greater fear of falling (FOF) and demonstrate poorer dual-task performance than healthy age-matched controls. The aim of this study was to assess the association between FOF and dual-task performance in PwP. 31 PwP participated (17 male, 14 female) with mild to severe disease severity (Hoehn and Yahr Stages I:8, II:4, III:13 and IV:6) and mean age of 69.5 (±8.4) years. FOF was assessed using the Activities-specific Balance Confidence scale. Dual-tasks performed with the Timed Up and Go (TUG) were TUG-Manual: carrying a glass of water, TUG-Arithmetic: serial subtractions and TUG-Literacy: reciting the days of the week backwards. 45% (n = 14) reported high levels of FOF. FOF had a strong significant inverse association with the motor dual-task (r = −0.504,p = 0.01) and a weak to moderate non-significant association with the cognitive dual-tasks (TUG-Literacyr = −0.343,p = 0.06; TUG-Arithmeticr = −0.282,p = 0.13). Cognitive dysfunction (Mini-Mental State Examination score) was significantly inversely associated with the cognitive dual-tasks (TUG-Literacy:r = −0.48,p = 0.01) (TUG-Arithmetic:r = −0.532,p < 0.001) but not with the motor dual-task (r = −0.16,p = 0.44). The association between FOF and dual-task performance is dependent on task type and complexity. Future research should determine the cause and effect nature of this relationship in a longitudinal cohort study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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