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Lookup NU author(s): Professor Lynn Rochester
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© 2019, Springer Nature Switzerland AG.Falls are common and debilitating for people with Parkinson’s disease. The cause of falls in PD may be difficult to discern and requires a nuanced assessment. This case describes a patient with moderate disease severity and excellent cognition who fell frequently. Routine clinical assessment revealed very little. The cause of falls only became apparent when he was tested under more complex conditions (walking plus a second task) because he was then unable to compensate with attentional drive. Response to perturbation was impulsive and unsafe. Management consisted of movement strategy training (auditory cues) to reduce freezing and withdrawal of dopa agonist medication to moderate impulsivity.
Author(s): Rochester L
Publication type: Book Chapter
Publication status: Published
Book Title: Therapy of Movement Disorders
Online publication date: 23/05/2019
Acceptance date: 02/04/2019
Series Title: Current Clinical Neurology
Publisher: Humana Press Inc.
Place Published: Cham
Library holdings: Search Newcastle University Library for this item