Bryant Mon S, Rintala Diana H, Hou Jyh-Gong, Protas Elizabeth J
Research Service, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
J Aging Phys Act. 2015 Apr;23(2):187-93. doi: 10.1123/japa.2013-0244. Epub 2014 Apr 3.
To investigate the relationships between falls, fear of falling, and activity limitations in individuals with Parkinson's disease (PD).
DESIGN/METHODS: Cross-sectional study of individuals with mild to moderate PD (N = 83). Associations among demographic data, fall frequency, disease severity, motor impairment, ability to perform activities of daily living (ADL), Activities Balance Confidence Scale, Iowa Fatigue Scale, Comorbidity Index, and Physical Activity Scale for Elders were studied.
Frequent fallers had more ADL limitations than nonfallers (p < .001) and rare fallers (p = .004). Frequent fallers reported a lower percentage of ability to perform ADL than nonfallers (p = .003). Frequent fallers and rare fallers were less physically active than nonfallers (p = .015 and p = .040, respectively). Frequent fallers and rare fallers reported a higher level of fear of falling than nonfallers (p = .031 and p = .009, respectively).
Falls and fear of falling were associated with more ADL limitations and less physical activity after adjusting for physical impairments.
研究帕金森病（PD）患者跌倒、害怕跌倒与活动受限之间的关系。
设计/方法：对83例轻度至中度PD患者进行横断面研究。研究了人口统计学数据、跌倒频率、疾病严重程度、运动障碍、日常生活活动（ADL）能力、活动平衡信心量表、爱荷华疲劳量表、合并症指数和老年人身体活动量表之间的关联。
频繁跌倒者比未跌倒者（p <.001）和偶尔跌倒者（p =.004）有更多的ADL限制。频繁跌倒者报告的ADL执行能力百分比低于未跌倒者（p =.003）。频繁跌倒者和偶尔跌倒者的身体活动比未跌倒者少（分别为p =.015和p =.040）。频繁跌倒者和偶尔跌倒者报告的害怕跌倒程度高于未跌倒者（分别为p =.031和p =.009）。
在调整身体损伤因素后，跌倒和害怕跌倒与更多的ADL限制和更少的身体活动有关。
