Falls as a Common Problem in Elderly People with Neurological Diseases
DOI:
https://doi.org/10.15225/PNN.2022.11.3.6Keywords
Alzheimer’s disease (AD), elderly, fall, Parkinson’s disease (PD), strokeAbstract
According to the WHO definition, a fall is defined as an event that causes a person to accidentally land on the ground, floor or other lower level. A fall can cause serious physical injury and may result in death. Neurological diseases, including Parkinson’s disease, stroke or dementia, due to their course, significantly increase the risk of occurrence of this dangerous event. One of the important problems to which attention should be paid in these diseases, unfortunately not very often noticed, are falls. The aim of the study is to present the problem of falls in a group of elderly people with accompanying selected neurological diseases (Parkinson’s disease, stroke, Alzheimer’s disease), as well as the possibility of their assessment and prevention based on the analysis of the available literature on the subject (literature). According to the literature on the subject, falls are a common problem in neurological diseases, in particular Parkinson’s disease, stroke and Alzheimer’s disease. The frequency of falls that patients experience within one year of the onset of the diseases is high and increases with the progression of the disease. The occurrence of falls has a negative impact on the quality of life of patients, it may be associated with institutionalization and dependence on the caregiver. Fall prevention is an important part of the life of patients with neurological diseases. Raising awareness among patients and their caregivers is essential for them to take care of their health and to consciously prevent falls. The nurse plays an important role in the prevention of falls because she prepares the patient to live with the existing problem and self-care, and provides the patient with safe conditions in the care environment. (JNNN 2022;11(3):137–141)
References
World Health Organization. Falls. Retrieved March 11, 2022, from https://www.who.int/news-room/fact-sheets/detail/falls
Berry S.D., Miller R.R. Falls: epidemiology, pathophysiology, and relationship to fracture. Curr Osteoporos Rep. 2008;6(4):149–154.
Bloem B.R., Grimbergen Y.A., Cramer M., Willemsen M., Zwinderman A.H. Prospective assessment of falls in Parkinson’s disease. J Neurol. 2001;248(11):950–958.
Paul S.S., Sherrington C., Canning C.G., Fung V.S., Close J.C., Lord S.R. The relative contribution of physical and cognitive fall risk factors in people with Parkinson’s disease: a large prospective cohort study. Neurorehabil Neural Repair. 2014;28(3):282–290.
Allen N.E., Schwarzel A.K., Canning C.G. Recurrent falls in Parkinson’s disease: a systematic review. Parkinsons Dis. 2013;2013:906274.
Rudzińska M., Bukowczan S., Stożek J. et al. Causes and consequences of falls in Parkinson disease patients in a prospective study. Neurol Neurochir Pol. 2013;47(5):423–430.
Brola W., Czernicki J., Fudala M. Zapobieganie upadkom po udarze mózgu. Zeszyty Metodyczno-Naukowe AWF w Katowicach. 2006;20:153–161.
Czernuszenko A., Członkowska A. Upadki chorych po przebytym udarze mózgu. Praca poglądowa. Magazyn Lekarza Rodzinnego. 2004;1(4):16–21.
Domka E., Myjkowska E., Kwolek A. Ocena częstości występowania powikłań u pacjentów rehabilitowanych z powodu udaru mózgu. Neurol Neurochir Pol. 2005;39(4):300–309.
Mizukami S., Arima K., Abe Y. et al. Falls are associated with stroke, arthritis and multiple medications among community-dwelling elderly persons in Japan. Tohoku J Exp Med. 2013;231(4):299–303.
Allan L.M., Ballard C.G., Rowan E.N., Kenny R.A. Incidence and prediction of falls in dementia: a prospective study in older people. PLoS One. 2009;4(5):e5521.
Taylor M.E., Lord S.R., Delbaere K., Mikolaizak A.S., Close J.C. Physiological fall risk factors in cognitively impaired older people: a one-year prospective study. Dement Geriatr Cogn Disord. 2012;34(3–4):181–189.
Welmerink D.B., Longstreth W.T. Jr, Lyles M.F., Fitzpatrick A.L. Cognition and the risk of hospitalization for serious falls in the elderly: results from the Cardiovascular Health Study. J Gerontol A Biol Sci Med Sci. 2010;65(11):1242–1249.
Gleason C.E., Gangnon R.E., Fischer B.L., Mahoney J.E. Increased risk for falling associated with subtle cognitive impairment: secondary analysis of a randomized clinical trial. Dement Geriatr Cogn Disord. 2009;27(6):557–563.
Pietraszkiewicz A., Pietraszkiewicz F., Mazur A. Wpływ otępienia na ryzyko upadków u pacjentów po udarze mózgu. Gerontol Pol. 2018;26:288–293.
Szot P., Golec J., Szczygieł E. Przegląd wybranych testów funkcjonalnych, stosowanych w ocenie ryzyka upadków u osób starszych. Gerontol Pol. 2008; 16(1):12–17.
Rosendahl E., Lundin-Olsson L., Kallin K., Jensen J., Gustafson Y., Nyberg L. Prediction of falls among older people in residential care facilities by the Downton index. Aging Clin Exp Res. 2003;15(2):142–147.
Harris D.M., Duckham R.L., Daly R.M. et al. Development of a Parkinson’s disease specific falls questionnaire. BMC Geriatr. 2021;21(1):614.
O’Malley N., Clifford A.M., Conneely M., Casey B., Coote S. Effectiveness of interventions to prevent falls for people with multiple sclerosis, Parkinson’s disease and stroke: an umbrella review. BMC Neurol. 2021;21(1):378.
Kozak-Putowska D., Iłżecka J., Piskorz J., Wójcik G., Nalepa D. Kinezyterapia w chorobie Parkinsona. Med Og Nauk Zdr. 2015;21(1):19–23.
Gao Q., Leung A., Yang Y. et al. Effects of Tai Chi on balance and fall prevention in Parkinson’s disease: a randomized controlled trial. Clin Rehabil. 2014;28(8):748–753.
Liu H.H., Yeh N.C., Wu Y.F., Yang Y.R., Wang R.Y., Cheng F.Y. Effects of Tai Chi Exercise on Reducing Falls and Improving Balance Performance in Parkinson’s Disease: A Meta-Analysis. Parkinsons Dis. 2019;2019:9626934.
Parkinson’s Foundation. New Exercise Recommendations for the Parkinson’s Community and Exercise Professionals. Retrieved March 11, 2022, from https://www.parkinson.org/blog/awareness/exercise-recommendations
de Natale E.R., Paulus K.S., Aiello E. et al. Dance therapy improves motor and cognitive functions in patients with Parkinson’s disease. NeuroRehabilitation. 2017;40(1):141–144.
Volpe D., Signorini M., Marchetto A., Lynch T., Morris M.E. A comparison of Irish set dancing and exercises for people with Parkinson’s disease: a phase II feasibility study. BMC Geriatr. 2013;13:54.
Edbom-Kolarz A., Marcinkowski J.T. Upadki osób starszych — przyczyny, następstwa, profilaktyka. Hygeia Public Health. 2011;46(3):313–318.
Borzym A. Upadki osób w podeszłym wieku — przyczyny, konsekwencje i zapobieganie. Psychogeriatria Polska. 2009;6(2):81–88.
Dega W., Milanowska K. (Red.), Rehabilitacja medyczna. PZWL, Warszawa 1983.
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