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

Alfonso Fasano*, Colleen G. Canning, Jeffrey M. Hausdorff, Sue Lord, Lynn Rochester

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1524-1536
Number of pages13
JournalMovement Disorders
Volume32
Issue number11
DOIs
StatePublished - Nov 2017

Keywords

  • Parkinson's disease
  • fall
  • prevention
  • risk
  • treatment

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