Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study

Physical Therapy
Lorena R S AlmeidaJamary Oliveira-Filho

Abstract

Balance confidence and fear of falling are factors associated with recurrent falls in people with Parkinson disease (PD). However, the accuracy for predicting falls on the basis of self-report measures has not been widely investigated. The study objectives were: (1) to compare the accuracy of the Activities-specific Balance Confidence Scale (ABC) and the Falls Efficacy Scale-International (FES-I) with that of the Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Functional Reach Test (FRT), and Timed "Up & Go" Test (TUG) for predicting recurrent falls in people with PD and (2) to explore the ability of combinations of up to 3 tests to predict recurrent falls. This was a prospective cohort study involving 225 people with PD. Participants were assessed with the ABC, FES-I, BBS, FRT, TUG, and DGI. Participants who reported 2 or more falls in the 12-month follow-up period were classified as recurrent fallers. Areas under the receiver operating characteristic curves were determined, and the Akaike information criterion was used to select the best predictive model. Eighty-four participants (37.3%) were classified as recurrent fallers. Areas under the receiver operating characteristic curves for the ABC, FES-I, TUG, FRT, DGI, and BB...Continue Reading

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Citations

Dec 6, 2017·Journal of Neurologic Physical Therapy : JNPT·Charlotte A ChattoScott M Hasson
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Aug 23, 2020·Archives of Gerontology and Geriatrics·Michele MenezesArthur Sá Ferreira
Apr 4, 2021·Brain Sciences·Kishoree SangarapillaiQuincy J Almeida

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