Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease

Abstract Objective To synthesize recent empirical evidence for the prevention and management of falls and fear of falling in patients with Parkinson's disease (PD). Data source Database from PubMed, Cochrane Library, and EMBASE. Study design Systematic review. Data collection We searched the Pu...

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Main Authors: Wen‐Yi Liu, Tao‐Hsin Tung, Chencheng Zhang, Leiyu Shi
Format: Article
Language:English
Published: Wiley 2022-08-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.2690
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author Wen‐Yi Liu
Tao‐Hsin Tung
Chencheng Zhang
Leiyu Shi
author_facet Wen‐Yi Liu
Tao‐Hsin Tung
Chencheng Zhang
Leiyu Shi
author_sort Wen‐Yi Liu
collection DOAJ
description Abstract Objective To synthesize recent empirical evidence for the prevention and management of falls and fear of falling in patients with Parkinson's disease (PD). Data source Database from PubMed, Cochrane Library, and EMBASE. Study design Systematic review. Data collection We searched the PubMed, Cochrane Library, and EMBASE databases for studies published from inception to February 27, 2021. Inclusion criteria were nonreview articles on prevention and management measures related to falls and fall prevention in Parkinson's disease patients. Principal findings We selected 45 articles and conducted in‐depth research and discussion. According to the causes of falls in PD patients, they were divided into five directions, namely physical status, pre‐existing conditions, environment, medical care, and cognition. In the cognitive domain, we focused on the fear of falling. On the above basis, we constructed a fall prevention model, which is a tertiary prevention health care network, based on The Johns Hopkins Fall Risk Assessment Tool to provide ideas for the prevention and management of falling and fear of falling in PD patients in clinical practice Conclusions Falls and fear of falls in patients with Parkinson's disease can be reduced by effective clinical prevention and management. Future studies are needed to explore the efficacy of treatment and prevention of falls and fear of falls.
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spelling doaj.art-f1ac5ae1170d491cbddf4898e2eb2b782022-12-22T02:18:34ZengWileyBrain and Behavior2162-32792022-08-01128n/an/a10.1002/brb3.2690Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's diseaseWen‐Yi Liu0Tao‐Hsin Tung1Chencheng Zhang2Leiyu Shi3Department of Health Policy and Management, Bloomberg School of Public Health Johns Hopkins University Baltimore Maryland USAEvidence‐based Medicine Center Taizhou Hospital of Zhejiang Province, Wenzhou Medical University Linhai Zhejiang ChinaDepartment of Neurosurgery, Center for Functional Neurosurgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Health Policy and Management, Bloomberg School of Public Health Johns Hopkins University Baltimore Maryland USAAbstract Objective To synthesize recent empirical evidence for the prevention and management of falls and fear of falling in patients with Parkinson's disease (PD). Data source Database from PubMed, Cochrane Library, and EMBASE. Study design Systematic review. Data collection We searched the PubMed, Cochrane Library, and EMBASE databases for studies published from inception to February 27, 2021. Inclusion criteria were nonreview articles on prevention and management measures related to falls and fall prevention in Parkinson's disease patients. Principal findings We selected 45 articles and conducted in‐depth research and discussion. According to the causes of falls in PD patients, they were divided into five directions, namely physical status, pre‐existing conditions, environment, medical care, and cognition. In the cognitive domain, we focused on the fear of falling. On the above basis, we constructed a fall prevention model, which is a tertiary prevention health care network, based on The Johns Hopkins Fall Risk Assessment Tool to provide ideas for the prevention and management of falling and fear of falling in PD patients in clinical practice Conclusions Falls and fear of falls in patients with Parkinson's disease can be reduced by effective clinical prevention and management. Future studies are needed to explore the efficacy of treatment and prevention of falls and fear of falls.https://doi.org/10.1002/brb3.2690fallsfear of fallmanagementParkinson's diseasepreventionsystematic review
spellingShingle Wen‐Yi Liu
Tao‐Hsin Tung
Chencheng Zhang
Leiyu Shi
Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease
Brain and Behavior
falls
fear of fall
management
Parkinson's disease
prevention
systematic review
title Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease
title_full Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease
title_fullStr Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease
title_full_unstemmed Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease
title_short Systematic review for the prevention and management of falls and fear of falling in patients with Parkinson's disease
title_sort systematic review for the prevention and management of falls and fear of falling in patients with parkinson s disease
topic falls
fear of fall
management
Parkinson's disease
prevention
systematic review
url https://doi.org/10.1002/brb3.2690
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