Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Hiorth, Ylva Hivanda; b; * | Larsen, Jan Pettera | Lode, Kirstenc | Tysnes, Ole-Bjørnd; e | Godfrey, Alanf | Lord, Suef | Rochester, Lynnf | Pedersen, Kenn Freddya; g
Affiliations: [a] The Norwegian Centre for Movement Disorders, Stavanger University Hospital, Stavanger, Norway | [b] Department of Physical Medicine and Rehabilitation, Stavanger University Hospital, Stavanger, Norway | [c] Department of Research, Stavanger University Hospital, Stavanger, Norway | [d] Department of Clinical Medicine, University of Bergen, Bergen, Norway | [e] Department of Neurology, Haukeland University Hospital, Bergen, Norway | [f] Institute of Neuroscience, Newcastle University Institute for Ageing, Newcastle University, Newcastle upon Tyne, UK | [g] Department of Neurology, Stavanger University Hospital, Stavanger, Norway
Correspondence: [*] Correspondence to: Ylva Hivand Hiorth, The Norwegian Centrefor Movement Disorders, Stavanger University Hospital, PO Box 8100, N-4068 Stavanger, Norway. Tel.: +4751515684; Fax: +4751515515; E-mail: [email protected].
Abstract: Background: A complex relationship exists between motor impairment, physical activity (sedentary behavior, standing and ambulatory activity) and falls in people with Parkinson’s disease (PD). Objective: To explore associations between recent fall history and the ability to retain an active lifestyle as determined by the volume, pattern and variability of physical activity in people with PD. Methods: Forty-eight participants with PD were recruited from the Norwegian ParkWest study. Body posture and ambulatory activity were monitored objectively over 7 days using the activPAL3 TM accelerometer. Clinical assessments included the Hoehn and Yahr stage, Unified Parkinson’s Disease Rating Scale motor section and Falls Efficacy Scale-International. Structured interviews were performed to obtain information about demographics, fall history last 6 months, mobility and dementia. Results: Participants with a fall history (n = 20) spent more time sedentary and less time standing than non-falling participants (n = 28). There were no significant differences regarding pattern or variability of sedentary behavior, standing or ambulatory activity in falling versus non-falling participants. Confidence in being able to get up from floor contributed significantly to time spent in sedentary behavior and ambulatory activity in participants with fall history, whereas motor impairment was significantly associated with time spent in all facets of physical activity for non-falling participants. Conclusions: Fall history in our PD cohort was associated with a more sedentary lifestyle, but not less ambulatory activity. More emphasis on improving the capacity to safely complete activities of daily living and increase confidence in getting up from floor may reduce sedentary behavior in people with PD.
Keywords: Parkinson’s disease, falls, accelerometer, physical activity, sedentary behavior, ambulation
DOI: 10.3233/JPD-150640
Journal: Journal of Parkinson's Disease, vol. 6, no. 1, pp. 175-182, 2016
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
[email protected]
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [email protected]
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
如果您在出版方面需要帮助或有任何建, 件至: [email protected]