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Fear of falling and falls in people with Parkinson's disease treated with deep brain stimulation in the subthalamic nuclei.
MedLine Citation:
PMID:  21492098     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
M H Nilsson; S Rehncrona; G-B Jarnlo
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Publication Detail:
Type:  Journal Article     Date:  2010-09-29
Journal Detail:
Title:  Acta neurologica Scandinavica     Volume:  123     ISSN:  1600-0404     ISO Abbreviation:  Acta Neurol. Scand.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-04-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370336     Medline TA:  Acta Neurol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  424-9     Citation Subset:  IM    
Copyright Information:
© 2010 John Wiley & Sons A/S.
Affiliation:
Department of Health Sciences, Division of Physiotherapy, Lund University, Lund, Sweden Department of Clinical Sciences, Lund, Division of Neurosurgery, Skåne University Hospital, Lund, Sweden.
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