Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home
Background: Parkinson’s disease (PD) is a neurodegenerative movement disorder associated with gait and balance problems and a substantially increased risk of falling. Falls occur often during complex movements, such as turns. Both fear of falling (FOF) and previous falls are relevant risk factors fo...
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Frontiers Media S.A.
2018-03-01
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Series: | Frontiers in Aging Neuroscience |
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Online Access: | http://journal.frontiersin.org/article/10.3389/fnagi.2018.00078/full |
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doaj-09618c552fcb4dfb85d3aaee35206ab4 |
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DOAJ |
language |
English |
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DOAJ |
author |
Linda Haertner Linda Haertner Morad Elshehabi Morad Elshehabi Morad Elshehabi Laura Zaunbrecher Laura Zaunbrecher Minh H. Pham Minh H. Pham Minh H. Pham Corina Maetzler Corina Maetzler Corina Maetzler Janet M. T. van Uem Janet M. T. van Uem Markus A. Hobert Markus A. Hobert Svenja Hucker Svenja Hucker Susanne Nussbaum Susanne Nussbaum Daniela Berg Daniela Berg Daniela Berg Inga Liepelt-Scarfone Inga Liepelt-Scarfone Walter Maetzler Walter Maetzler Walter Maetzler |
spellingShingle |
Linda Haertner Linda Haertner Morad Elshehabi Morad Elshehabi Morad Elshehabi Laura Zaunbrecher Laura Zaunbrecher Minh H. Pham Minh H. Pham Minh H. Pham Corina Maetzler Corina Maetzler Corina Maetzler Janet M. T. van Uem Janet M. T. van Uem Markus A. Hobert Markus A. Hobert Svenja Hucker Svenja Hucker Susanne Nussbaum Susanne Nussbaum Daniela Berg Daniela Berg Daniela Berg Inga Liepelt-Scarfone Inga Liepelt-Scarfone Walter Maetzler Walter Maetzler Walter Maetzler Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home Frontiers in Aging Neuroscience home assessment inertial measurement unit Parkinson’s disease quantitative assessment turning |
author_facet |
Linda Haertner Linda Haertner Morad Elshehabi Morad Elshehabi Morad Elshehabi Laura Zaunbrecher Laura Zaunbrecher Minh H. Pham Minh H. Pham Minh H. Pham Corina Maetzler Corina Maetzler Corina Maetzler Janet M. T. van Uem Janet M. T. van Uem Markus A. Hobert Markus A. Hobert Svenja Hucker Svenja Hucker Susanne Nussbaum Susanne Nussbaum Daniela Berg Daniela Berg Daniela Berg Inga Liepelt-Scarfone Inga Liepelt-Scarfone Walter Maetzler Walter Maetzler Walter Maetzler |
author_sort |
Linda Haertner |
title |
Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home |
title_short |
Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home |
title_full |
Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home |
title_fullStr |
Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home |
title_full_unstemmed |
Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at Home |
title_sort |
effect of fear of falling on turning performance in parkinson’s disease in the lab and at home |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Aging Neuroscience |
issn |
1663-4365 |
publishDate |
2018-03-01 |
description |
Background: Parkinson’s disease (PD) is a neurodegenerative movement disorder associated with gait and balance problems and a substantially increased risk of falling. Falls occur often during complex movements, such as turns. Both fear of falling (FOF) and previous falls are relevant risk factors for future falls. Based on recent studies indicating that lab-based and home assessment of similar movements show different results, we hypothesized that FOF and a positive fall history would influence the quantitative turning parameters differently in the laboratory and home.Methods: Fifty-five PD patients (43 underwent a standardized lab assessment; 40 were assessed over a mean of 12 days at home with approximately 10,000 turns per participant; and 28 contributed to both assessments) were classified regarding FOF and previous falls as “vigorous” (no FOF, negative fall history), “anxious” (FOF, negative fall history), “stoic” (no FOF, positive fall history) and “aware” (FOF, positive fall history). During the assessments, each participant wore a sensor on the lower back.Results: In the lab assessment, FOF was associated with a longer turning duration and lowered maximum and middle angular velocities of turns. In the home evaluations, a lack of FOF was associated with lowered maximum and average angular velocities of turns. Positive falls history was not significantly associated with turning parameters, neither in the lab nor in the home.Conclusion: FOF but not a positive fall history influences turning metrics in PD patients in both supervised and unsupervised environments, and this association is different between lab and home assessments. Our findings underline the relevance of comprehensive assessments including home-based data collection strategies for fall risk evaluation. |
topic |
home assessment inertial measurement unit Parkinson’s disease quantitative assessment turning |
url |
http://journal.frontiersin.org/article/10.3389/fnagi.2018.00078/full |
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doaj-09618c552fcb4dfb85d3aaee35206ab42020-11-24T22:37:14ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652018-03-011010.3389/fnagi.2018.00078328365Effect of Fear of Falling on Turning Performance in Parkinson’s Disease in the Lab and at HomeLinda Haertner0Linda Haertner1Morad Elshehabi2Morad Elshehabi3Morad Elshehabi4Laura Zaunbrecher5Laura Zaunbrecher6Minh H. Pham7Minh H. Pham8Minh H. Pham9Corina Maetzler10Corina Maetzler11Corina Maetzler12Janet M. T. van Uem13Janet M. T. van Uem14Markus A. Hobert15Markus A. Hobert16Svenja Hucker17Svenja Hucker18Susanne Nussbaum19Susanne Nussbaum20Daniela Berg21Daniela Berg22Daniela Berg23Inga Liepelt-Scarfone24Inga Liepelt-Scarfone25Walter Maetzler26Walter Maetzler27Walter Maetzler28Center for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyDepartment of Neurology, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Kiel, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyDepartment of Neurology, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Kiel, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyDepartment of Neurology, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Kiel, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyDepartment of Neurology, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Kiel, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyDepartment of Neurology, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Kiel, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyCenter for Neurology and Hertie-Institute for Clinical Brain Research, Department of Neurodegeneration, University of Tübingen, Tübingen, GermanyGerman Center for Neurodegenerative Diseases, Tübingen, GermanyDepartment of Neurology, Universitätsklinikum Schleswig-Holstein, Christian-Albrechts-Universität zu Kiel, Kiel, GermanyBackground: Parkinson’s disease (PD) is a neurodegenerative movement disorder associated with gait and balance problems and a substantially increased risk of falling. Falls occur often during complex movements, such as turns. Both fear of falling (FOF) and previous falls are relevant risk factors for future falls. Based on recent studies indicating that lab-based and home assessment of similar movements show different results, we hypothesized that FOF and a positive fall history would influence the quantitative turning parameters differently in the laboratory and home.Methods: Fifty-five PD patients (43 underwent a standardized lab assessment; 40 were assessed over a mean of 12 days at home with approximately 10,000 turns per participant; and 28 contributed to both assessments) were classified regarding FOF and previous falls as “vigorous” (no FOF, negative fall history), “anxious” (FOF, negative fall history), “stoic” (no FOF, positive fall history) and “aware” (FOF, positive fall history). During the assessments, each participant wore a sensor on the lower back.Results: In the lab assessment, FOF was associated with a longer turning duration and lowered maximum and middle angular velocities of turns. In the home evaluations, a lack of FOF was associated with lowered maximum and average angular velocities of turns. Positive falls history was not significantly associated with turning parameters, neither in the lab nor in the home.Conclusion: FOF but not a positive fall history influences turning metrics in PD patients in both supervised and unsupervised environments, and this association is different between lab and home assessments. Our findings underline the relevance of comprehensive assessments including home-based data collection strategies for fall risk evaluation.http://journal.frontiersin.org/article/10.3389/fnagi.2018.00078/fullhome assessmentinertial measurement unitParkinson’s diseasequantitative assessmentturning |