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首页> 外文期刊>Turk Neuroloji Dergisi >Frequency of Falls and Relationship Between Falls, Socio-demographic and Clinical Factors in Idiopathic Parkinson’s Disease
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Frequency of Falls and Relationship Between Falls, Socio-demographic and Clinical Factors in Idiopathic Parkinson’s Disease

机译：特发性帕金森氏病的跌倒频率以及跌倒，社会人口统计学和临床​​因素之间的关系

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Objective: Falls are major problems for people with Parkinson’s disease. This study aimed to determine fall frequency, and the relation of socio-demographic and clinical factors in idiopathic Parkinson’s disease (IPH).Materials and Methods: Eighty-seven patients with IPH who were under follow-up in Erciyes University Faculty of Medicine, Neurology Department [37 females (42.5%), and 50 males (57.5%)] were included in the study. The participants were evaluated with neurologic examination, mini-mental state examination, the Unified Parkinson’s Disease Rating Scale (UPDRS), 6-meter walking test, turning time, freezing phenomenon, Hoehn and Yahr (H&Y) Scale, and ranking of fear of falls. Fall was recorded as history of fall in the 6 months before testing.Results: A total of 22 (25.3%) patients reported a fall in the 6-month period before testing. Twenty-five patients (28.7%) were stage 1.5, and 22 (25.3%) were stage 2 according to the H&Y Scale. Freezing phenomenon was observed in 34 39.1%) patients. There was no significant difference between patients with and without a history of falls according to age, sex, education, occupation, and marital status (p>0.05). According to disease period, H&Y Scale and the UPDRS, motor, turning time 360 degrees from right, turning time 360 degrees from left, balance defect at 360 degrees right turning, balance defect at 360 degrees left turning, and freezing phenomenon there were no significant difference between those with and without a history of fall (p>0.05). There was a significant difference between those who had fallen and had not fallen according to UPDRS-mental, UPDRS-ADL, degree of fear of falling, 6-m walking time, 6-m walking test, and number of steps (p<0.05).Conclusion: Our study showed that frequency of falls and walking speed, fear of falling, activities of daily living, and mental function are important factors for falls in IPH. Fall assessment in IPH is needed for a multifactorial approach and determining these factors will be helpful for taking measures against falls.
机译：目的：跌倒是帕金森氏病患者的主要问题。本研究旨在确定特发性帕金森病（IPH）的跌倒频率以及社会人口统计学和临床​​因素之间的关系。材料与方法：八十七名IPH患者在Erciyes大学医学院神经病学中接受随访本研究包括科室[37名女性（42.5％）和50名男性（57.5％）]。通过神经系统检查，迷你精神状态检查，帕金森病统一病情量表（UPDRS），6米步行测试，转身时间，冰冻现象，霍恩和耶尔（H＆Y）量表以及对跌倒恐惧的排名对参与者进行评估。跌倒被记录为测试前6个月的跌倒史。结果：共有22名患者（25.3％）报告在测试前6个月内跌倒。根据H＆Y量表，有25名患者（28.7％）为1.5期，22名（25.3％）为2期。在34 39.1％）患者中观察到冷冻现象。根据年龄，性别，受教育程度，职业和婚姻状况，有无跌倒史的患者之间无显着差异（p> 0.05）。根据疾病时期，H＆Y量表和UPDRS，电机，从右转360度的转弯时间，从左转360度的转弯时间，向右转360度的平衡缺陷，向左转360度的平衡缺陷以及冻结现象均不显着有无跌倒史的人之间的差异（p> 0.05）。根据UPDRS-mental，UPDRS-ADL，跌倒的恐惧程度，6分钟的行走时间，6分钟的行走测试和步数，跌倒和未跌倒的人之间存在显着差异（p <0.05 ）结论：我们的研究表明，跌倒的频率和步行速度，对跌倒的恐惧，日常生活活动以及心理功能是IPH跌倒的重要因素。采用多因素方法需要对IPH中的跌倒进行评估，确定这些因素将有助于采取预防措施。

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