Falls When Standing, Falls When Walking: Different Mechanisms, Different Outcomes in Parkinson Disease
Falls When Standing, Falls When Walking: Different Mechanisms, Different Outcomes in Parkinson Disease
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DOI：
10.7759/cureus.5329
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发表时间：
2019-08-06
影响因子：
1.2
通讯作者：
Lockhart, Thurmon E.
中科院分区：
文献类型：
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作者：
Lieberman, Abraham;Deep, Aman;Lockhart, Thurmon E.
我们对穆罕默德·阿里·帕金森诊所一年内连续帕金森病（PD）患者的福尔斯跌倒及其导致的创伤进行了回顾性研究，发现多次跌倒者可分为主要在行走时跌倒的患者和主要在站立时跌倒的患者。行走时跌倒的患者更有可能去急诊室或住院。在455名连续的患者中，有51名患者被排除在外，因为他们患有非典型帕金森病，有多种跌倒的风险因素，或者患有痴呆症。统一帕金森病评定量表和Zeno Walkway结果在非跌倒者、单次跌倒者和多次跌倒者之间进行比较。在多次跌倒者中，对主要在站立时跌倒的患者和主要在行走时跌倒的患者进行了比较，大多数患者（197，49%）没有跌倒，142（35%）跌倒一次，65（16%）跌倒不止一次。多次跌倒者与单次跌倒者和非跌倒者有显著差异：他们的PD显著延长（p
Our retrospective study of falls and resultant trauma in consecutive Parkinson disease (PD) patients seen in one year at the Muhammad Ali Parkinson Clinic found that multiple-fallers could be divided into patients who fell mainly when walking or those who fell mainly when standing. Patients who fell when walking were more likely to visit an emergency room or be admitted to a hospital.Of 455 consecutive patients who were evaluated over a one-year period, 51 were excluded because they had atypical Parkinson disorders, had multiple risk factors for falling, or were demented. Unified Parkinson Disease Rating Scales and Zeno Walkway results were compared among non-fallers, single-fallers, and multiple-fallers. Among multiple-fallers, comparisons were made between patients who fell mainly when standing and those who fell mainly when walking.Most patients (197, 49%) did not fall, 142 (35%) fell once, and 65 (16%) fell more than once. Multiple-fallers differed significantly from single-fallers and non-fallers: they had PD significantly longer (p