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Falls in Parkinson's disease: A complex and evolving picture

Lookup NU author(s): Dr Susan Lord, Professor Lynn RochesterORCiD

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Abstract

© 2017 International Parkinson and Movement Disorder Society Falls are a major determinant of poor quality of life, immobilization, and reduced life expectancy in people affected by Parkinson's disease (PD) and in older adults more generally. Although many questions remain, recent research has advanced the understanding of this complex problem. The goal of this review is to condense new knowledge of falls in PD from prodromal to advanced disease, taking into account risk factors, assessment, and classification as well as treatment. The fundamental steps of clinical and research-based approaches to falls are described, namely, the identification of fall risk factors, clinical and instrumental methods to evaluate and classify fall risk, and the latest evidence to reduce or delay falls in PD. We summarize recent developments, the direction in which the field should be heading, and what can be recommended at this stage. We also provide a practical algorithm for clinicians.© 2017 International Parkinson and Movement Disorder Society.

Publication metadata

Author(s): Fasano A, Canning CG, Hausdorff JM, Lord S, Rochester L

Publication type: Review

Publication status: Published

Journal: Movement Disorders

Year: 2017

Volume: 32

Issue: 11

Pages: 1524-1536

Online publication date: 25/10/2017

Acceptance date: 13/09/2017

ISSN (print): 0885-3185

ISSN (electronic): 1531-8257

Publisher: John Wiley and Sons Inc.

URL: https://doi.org/10.1002/mds.27195

DOI: 10.1002/mds.27195

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