title: Prevention of falls in Parkinson's disease: a review of fall risk factors and the role of physical interventions.
abstract: Falls in people with Parkinson's disease (PD) are frequent and recurrent events with devastating and widespread consequences. Despite this, understanding of the predictive and explanatory value of fall risk factors, as well as the development and testing of interventions aimed at reducing falls, are in their infancy. This review focuses on fall prediction and risk factors that are potentially remediable with physical interventions. We show that falls can be predicted with high accuracy using a simple three-step clinical tool. Evidence from recently published randomized controlled trials supports the implementation of balance-challenging exercises in reducing falls. Larger scale trials utilizing technologically advanced monitoring methods will further elucidate those interventions most likely to be cost effective according to individual risk factor profiles.
authors.affiliation: Clinical & Rehabilitation Sciences Research Group, Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe, NSW 1825, Australia.
authors.forename: Colleen G
authors.initials: CG
authors.lastname: Canning
authors.forename: Serene S
authors.initials: SS
authors.lastname: Paul
authors.forename: Alice
authors.initials: A
authors.lastname: Nieuwboer
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D006801:Humans; D010300:Parkinson Disease / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors
keywords: Parkinson's disease; balance; exercise; fall risk factors; falls; freezing of gait; mobility