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Balance in patients with newly diagnosed Parkinson´s Disease: -a three year follow-up in Northern Sweden
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
2013 (English)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
Balans hos patienter med nydiagnostiserad Parkinson's sjukdom : En treårsuppföljning av en kohort i norra Sverige. (Swedish)
Abstract [en]

Background:

Impaired balance is one of the main features in Parkinson´s Disease (PD), which can result in falls with consequences that can be crucial for people with PD. It is important to detect an impaired balance early in the disease in order to prevent falls.

Aim:

The aim of this study was to examine balance, subjective experienced unsteadiness and self-reported falls among patients with idiopathic Parkinson´s Disease, at the very first visit at the neurological clinic and over time during the first three years.

Materials and methods:

The subjects were collected from a prospective longitudinal study, the so called NYPUM-study. 150 patients with PD and 31 healthy controls were included. The measurements that have been used are the Berg Balance Scale (BBS), the Timed Up and Go (TUG) and a postural stability-test together with a questionnaire about falls and experienced unsteadiness.

Results:

There was statistically significant balance impairment already at the first visit at neurological clinic. The patients had to greater extent experienced unsteadiness and had a higher incidence of falls during the last year, compared to controls. After one year there was an improvement in the TUG. Between one and three year there was a worsening in postural responses seen in the postural stability-test. The balance in general did however not show a significant difference after three years compared to the baseline result.

Discussion:

Even though the measured balance impairment might be considered as relatively small, the experienced unsteadiness was apparent. It is therefore of great importance to pay attention to balance early in the disease and to ask the patients about their own experience, to prevent future falls.

Place, publisher, year, edition, pages
2013. , 25 p.
Keyword [en]
Parkinson´s Disease, Parkinsonism, Postural Balance, Postural instability, Falls, Exercise
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-124665OAI: oai:DiVA.org:umu-124665DiVA: diva2:954199
Educational program
Graduate Programme in Physiotherapy
Supervisors
Examiners
Available from: 2017-09-05 Created: 2016-08-21 Last updated: 2017-09-05Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf