The Association of Balance, Fear of Falling, and Daily Activities With Drug Phases and Severity of Disease in Patients With Parkinson

Basic and Clinical Neuroscience

ARTICLE

Mehdizadeh, Maryam¹  Martinez-Martin, Pablo⁴  Habibi, Seyed Amirhasan⁵  Nikbakht, Negar⁶  Alvandi, Faeze⁷  Bazipoor, Parvane⁸  Panahi, Ailin⁹  Taghizadeh, Ghorban^1,10 

[1] Cellular and Molecular Research Center;University of Medical Sciences;Department of Neuroscience, School of Advance Technologies in Medicine;National Center of Epidemiology and CIBERNED, Carlos III Institute of Health;Department of Neurology, School of Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences;Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences and Health Services;Department of Occupational Therapy, School of Paramedical and Health, Zanjan University of Medical Sciences;Department of Pathology and Sport Biomechanics, Faculty of Literature and Humanities, Bu-Ali Sina University;Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences;Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences

关键词: Postural balance;    Fear;    Activities of daily living;    Parkinson disease;   

DOI  :  10.32598/bcn.9.10.295

来源: Iran University of Medical Sciences

【 摘 要 】

Introduction: In the elderly, functional balance, fear of falling, and independence in daily living activities are interrelated; however, this relationship may change under the influence of drug phase and the severity of disease in individuals with idiopathic Parkinson disease. This study aimed to investigate the association of functional balance, fear of falling, and independence in the Activities of Daily Living (ADL) with the drug on- and drug off-phases. Methods: A total of 140 patients with Parkinson disease (age: Mean±SD; 60.51±12.32 y) were evaluated in terms of their functional balance, fear of falling, and independence in their daily activities by the Berg Balance Scale (BBS), Fall Efficacy Scale-International (FES-I), and Unified Parkinson Disease Rating Scale-ADL (UPDRS-ADL), respectively, in drug onand drug off-phases. The Hoehn and Yahr scale recorded global disease rating. The Spearman coefficient, Kruskal-Wallis, and Mann-Whitney tests were used to find out whether the distribution of scale scores differs with regard to functional balance or disease severity. Results: A strong correlation was found between the functional balance, fear of falling, and independence in ADL with both drug phases. The results also showed the significant difference in the distribution of the FES-I and UPDRS-ADL scores with regard to functional balance (except independence in ADL in drug off-phase). Also, the distribution of the scores of BBS, FES-I, and UPDRS-ADL showed significant differences with regard to disease severity. Conclusion: The study showed a strong correlation between functional balance, fear of falling, and independence in ADL that can be affected by the drug phase and severity of the disease. However, more studies are needed to understand this relationship precisely.

【 授权许可】

Unknown