Volume 10, Issue 4 (July & August 2019)
BCN 2019, 10(4): 355-362 |
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Mehdizadeh M, Martinez-Martin P, Habibi S A, Nikbakht N, Alvandi F, Bazipoor P, et al . The Association of Balance, Fear of Falling, and Daily Activities With Drug Phases and Severity of Disease in Patients With Parkinson. BCN 2019; 10 (4) :355-362
URL: http://bcn.iums.ac.ir/article-1-1177-en.html
URL: http://bcn.iums.ac.ir/article-1-1177-en.html
Maryam Mehdizadeh1 
, Pablo Martinez-Martin2 , Seyed Amirhasan Habibi3 , Negar Nikbakht4 , Faeze Alvandi5 , Parvane Bazipoor6 , Ailin Panahi7 , Ghorban Taghizadeh * 8
, Pablo Martinez-Martin2 , Seyed Amirhasan Habibi3 , Negar Nikbakht4 , Faeze Alvandi5 , Parvane Bazipoor6 , Ailin Panahi7 , Ghorban Taghizadeh * 8
1- Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran.; Department of Neuroscience, School of Advance Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.
3- Department of Neurology, School of Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
5- Department of Occupational Therapy, School of Paramedical and Health, Zanjan University of Medical Sciences, Zanjan, Iran.
6- Department of Pathology and Sport Biomechanics, Faculty of Literature and Humanities, Bu-Ali Sina University, Hamadan, Iran.
7- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
8- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.; Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
2- National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.
3- Department of Neurology, School of Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
5- Department of Occupational Therapy, School of Paramedical and Health, Zanjan University of Medical Sciences, Zanjan, Iran.
6- Department of Pathology and Sport Biomechanics, Faculty of Literature and Humanities, Bu-Ali Sina University, Hamadan, Iran.
7- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
8- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.; Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Abstract:
Introduction: In the elderly, functional balance, fear of falling, and independence in daily living activities are interrelated; however, this relationship may change under the influence of drug phase and the severity of disease in individuals with idiopathic Parkinson disease. This study aimed to investigate the association of functional balance, fear of falling, and independence in the Activities of Daily Living (ADL) with the drug on- and drug off-phases.
Methods: A total of 140 patients with Parkinson disease (age: Mean±SD; 60.51±12.32 y) were evaluated in terms of their functional balance, fear of falling, and independence in their daily activities by the Berg Balance Scale (BBS), Fall Efficacy Scale-International (FES-I), and Unified Parkinson Disease Rating Scale-ADL (UPDRS-ADL), respectively, in drug on- and drug off-phases. The Hoehn and Yahr scale recorded global disease rating. The Spearman coefficient, Kruskal-Wallis, and Mann-Whitney tests were used to find out whether the distribution of scale scores differs with regard to functional balance or disease severity.
Results: A strong correlation was found between the functional balance, fear of falling, and independence in ADL with both drug phases. The results also showed the significant difference in the distribution of the FES-I and UPDRS-ADL scores with regard to functional balance (except independence in ADL in drug off-phase). Also, the distribution of the scores of BBS, FES-I, and UPDRS-ADL showed significant differences with regard to disease severity.
Conclusion: The study showed a strong correlation between functional balance, fear of falling, and independence in ADL that can be affected by the drug phase and severity of the disease. However, more studies are needed to understand this relationship precisely.
Methods: A total of 140 patients with Parkinson disease (age: Mean±SD; 60.51±12.32 y) were evaluated in terms of their functional balance, fear of falling, and independence in their daily activities by the Berg Balance Scale (BBS), Fall Efficacy Scale-International (FES-I), and Unified Parkinson Disease Rating Scale-ADL (UPDRS-ADL), respectively, in drug on- and drug off-phases. The Hoehn and Yahr scale recorded global disease rating. The Spearman coefficient, Kruskal-Wallis, and Mann-Whitney tests were used to find out whether the distribution of scale scores differs with regard to functional balance or disease severity.
Results: A strong correlation was found between the functional balance, fear of falling, and independence in ADL with both drug phases. The results also showed the significant difference in the distribution of the FES-I and UPDRS-ADL scores with regard to functional balance (except independence in ADL in drug off-phase). Also, the distribution of the scores of BBS, FES-I, and UPDRS-ADL showed significant differences with regard to disease severity.
Conclusion: The study showed a strong correlation between functional balance, fear of falling, and independence in ADL that can be affected by the drug phase and severity of the disease. However, more studies are needed to understand this relationship precisely.
Type of Study: Original |
Subject:
Behavioral Neuroscience
Received: 2018/04/30 | Accepted: 2018/11/5 | Published: 2019/07/1
Received: 2018/04/30 | Accepted: 2018/11/5 | Published: 2019/07/1
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