Factors predicting fear of falling avoidance behavior in parkinsonisms

BACKGROUND: Fear of falling avoidance behavior (FFAB) is common in parkinsonisms and results in potentially mitigable downstream consequences. OBJECTIVE: Determine the characteristics of individuals with parkinsonisms most associated with FFAB. METHODS: A retrospective, cross-sectional study was conducted from medical records data of 142 patients with parkinsonisms. These data included: demographics (age, sex), disease severity (Movement Disorders Society –Unified Parkinson’s Disease Rating Scale Part III (MDS-UPDRS III), years since diagnosis), fall history (number of fall injuries in previous year), and gait and balance function (five times sit to stand, MiniBESTest, Timed Up and Go (TUG), dual-task TUG, ten-meter walk test (10MWT), observed freezing of gait (FOG) (MDS-UPDRS III item 11)). RESULTS: 10MWT (p < .001) and MDS-UPDRS III item 11 (p < .014) were significantly associated with FFAB above and beyond disease severity, which also contributed significantly to the overall model (ps < .046). Fall history was not associated with FFAB. CONCLUSION: Our findings suggest that the largest portion of variability in FFAB is explained by gait velocity and FOG; however, disease severity also explains a significant portion of the variability of FFAB. Further investigation into factors predictive of FFAB and mitigation of downstream consequences, using more robust designs, is warranted.

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PERBANDINGAN KECEPATAN BERJALAN PADA PASIEN NYERI PUNGGUNG BAWAH MEKANIK SUBAKUT DAN KRONIK MENGGUNAKAN TIMED UP AND GO TEST

e-CliniC ◽

10.35790/ecl.3.1.2015.6755 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Patricia Kalangi ◽

Engeline Angliadi ◽

Joudy Gessal

Keyword(s):

Patient Group ◽

Sampling Technique ◽

Cross Sectional Study ◽

T Test ◽

Medical Rehabilitation ◽

Gait Velocity ◽

Timed Up And Go ◽

Cross Sectional ◽

Consecutive Sampling ◽

Significant Difference

Abstract: The purpose of this research is to know and compare the gait velocity between subacute and chronic mechanical low back pain patients using Timed Up and Go Test at Installation Medical Rehabilitation Hospital Prof. Dr R.D. Kandou Manado. This research used observational analytic design with cross-sectional study. The samples choosen using consecutive sampling technique. Data obtained from the gait velocity measurement using Timed Up and Go Test conducted by researcher. From this research obtained the average gait velocity in patient group of subacute mechanical LBP is 18.92 seconds and the average gait velocity in patient group of chronic mechanical LBP is 17.17 seconds. The results of independent t-test hypothesis testing showed that there is a significant difference between gait velocity in subacute and chronic mechanical LBP patients (p = 0.034). Conclusion, gait velocity in chronic mechanical LBP patients is better than subacute mechanical LBP patients.Keywords: Gait velocity, mechanical LBP, TUG testAbstrak: Penelitian ini bertujuan untuk mengetahui dan membandingkan kecepatan berjalan antara pasien nyeri punggung bawah (NPB) mekanik subakut dan kronik menggunakan Timed Up and Go (TUG) Test di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini menggunakan desain penelitian analitik observasional dengan pengamatan sewaktu (studi cross sectional). Penentuan sampel dilakukan dengan menggunakan teknik consecutive sampling. Data diperoleh dari hasil pengukuran kecepatan berjalan menggunakan Timed Up and Go Test yang dilakukan sendiri oleh peneliti. Dari penelitian ini diperoleh kecepatan berjalan rata-rata pada kelompok pasien NPB mekanik subakut adalah 18,92 detik dan kecepatan berjalan rata-rata pada pasien NPB mekanik kronik adalah 17,17 detik. Hasil uji hipotesis independent t-test menunjukkan bahwa terdapat perbedaan bermakna antara kecepatan berjalan pada pasien NPB mekanik subakut dengan kecepatan berjalan pada pasien NPB mekanik kronik (p = 0,034). Kesimpulan, kecepatan berjalan pasien NPB mekanik kronik lebih baik dibandingkan kecepatan berjalan pada pasien NPB mekanik subakut.Kata kunci: Kecepatan berjalan, NPB mekanik, tes TUG

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German Translation and Validation of the “Freezing of Gait Questionnaire” in Patients with Parkinson’s Disease

Parkinson s Disease ◽

10.1155/2015/982058 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Anina Vogler ◽

Jorina Janssens ◽

Thomas Nyffeler ◽

Stephan Bohlhalter ◽

Tim Vanbellingen

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Convergent Validity ◽

Rating Scale ◽

Freezing Of Gait ◽

Divergent Validity ◽

Timed Up And Go ◽

Disease Rating ◽

Disease Questionnaire ◽

Movement Disorder Society

Background. Freezing of Gait (FOG) is a disabling parkinsonian symptom. The Freezing of Gait Questionnaire (FOG-Q) reliably detects FOG in patients with Parkinson’s disease (PD).Objectives. The aim of this study was to develop a German translated version of the FOG-Q and to assess its validity.Methods. The translation was accomplished using forward-backward-translation. The construct validity of the FOG-Q was examined in twenty-seven German native speaking PD patients. Convergent validity was assessed by correlating the FOG-Q with the Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) II-III, the Parkinson Disease Questionnaire 39 (PDQ-39), and the Timed Up and Go Test (TUG). Divergent validity was assessed by correlating the FOG-Q with the MDS-UPDRS I. The internal consistency was measured using Cronbach’s alpha (Cα).Results. A good internal structure of the FOG-Q was found (Cα=0.83). Significant moderate correlations between the FOG-Q and the MDS-UPDRS item 2.13 (freezing) (rs=0.568,P=0.002) and between the FOG-Q and the PDQ-39 subscale mobility (rs=0.516,P=0.006) were found. The lack of correlation with the MDS-UPDRS I demonstrated good divergent validity.Conclusion. The German FOG-Q is a valid tool to assess FOG in German native speaking PD patients.

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“Does the Response to Morning Medication Predict the ADL-Level of the Day in Parkinson’s Disease?”

Parkinson s Disease ◽

10.1155/2020/7140984 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Trine Hørmann Thomsen ◽

Troels Wesenberg Kjær ◽

Lene Bastrup Jørgensen ◽

Anita Haahr ◽

Kristian Winge

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Rating Scale ◽

Strong Predictor ◽

Early Morning ◽

Cross Sectional Study ◽

Poor Responders ◽

Slow Response ◽

Cross Sectional ◽

Disease Rating

Background. Individuals with Parkinson’s Disease (PD) have bradykinesia during mobility tasks in the morning before intake of dopaminergic treatment and have difficulties managing Activities of Daily Living (ADLs). Early morning off (EMO) refers to off-states in the morning where the severity of bradykinesia is increased and causes a decrease in mobility related to wearing off of effects of medication. Measurements from devices capable of continuously recording motor symptoms may provide insight into the patient’s response to medication and possible impact on ADLs. Objectives. To test whether poor or slow response to medication in the morning predicts the overall ADL-level and to assess the association between change in bradykinesia score (BKS) and the risk of having disabilities within three selected ADL-items. Methods. In this cross-sectional study, the sample consists of 34 patients with light to moderate PD. Data collection encompasses measurements from the Parkinson KinetiGraph, and the ADL-limitations are assessed by the Movement Disorder Society Unified Parkinson Disease Rating Scale (MDS-UPDRS) Part II. Results. The association between UPDRS- II and BKS from the algorithm was −0.082 (p<0.01), 95% CL:−0.113; −0.042). The individuals experienced disabilities in performing “Speech” (p=0.004) and “Doing hobbies” (p=0.038) when being slow or poor responders to dopaminergic therapy. The PD patients’ L-dopa equivalent dose seems to be a strong predictor of the ADL-level in the morning. Conclusion. Slow response to the medication dosages in the morning is correlated with disabilities in the overall ADL-level in PD. The combination of PD-drugs and precise, timely dosages must be considered in the improvement of the ADL-level in PD patients.

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The geriatric depression scale and the timed up and go test predict fear of falling in community-dwelling elderly women with type 2 diabetes mellitus: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-016-0234-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 25

Author(s):

Bruno de Souza Moreira ◽

Daniela Maria da Cruz dos Anjos ◽

Daniele Sirineu Pereira ◽

Rosana Ferreira Sampaio ◽

Leani Souza Máximo Pereira ◽

...

Keyword(s):

Elderly Women ◽

Fear Of Falling ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Community Dwelling ◽

Geriatric Depression ◽

Timed Up And Go ◽

Cross Sectional

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Postural instability and falls are more frequent in Parkinson’s disease patients with worse trunk mobility

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20160074 ◽

2016 ◽

Vol 74 (7) ◽

pp. 519-523 ◽

Cited By ~ 6

Author(s):

Nathalie Ribeiro Artigas ◽

Clarissa Franco ◽

Paula Leão ◽

Carlos R. M. Rieder

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Daily Living ◽

Rating Scale ◽

Cross Sectional Study ◽

Postural Instability ◽

Cross Sectional ◽

Risk Of Falls ◽

History Of ◽

Disease Rating

ABSTRACT Postural instability and axial rigidity are frequent symptoms of the Parkinson’s disease (PD). Objective Correlate the occurrence of falls and the activity of rolling over in bed with performance on the Trunk Mobility Scale (TMS) in patients with PD, and determine whether this instrument score can predict the risk of falls. Method This is a cross-sectional study. Assessed patients reported the frequency of falls in the previous year and whether they had difficulties rolling over in bed. Then, the following scales were applied: TMS, Hoehn and Yahr, Unified Parkinson’s Disease Rating Scale-III and Schwab and England Activities of Daily Living. Results Eighty-five patients were analyzed. Patients with a history of falling showed worse performance in the TMS (p < 0.01). There is a significant correlation between TMS and the activity of rolling over in bed (p < 0.01). Conclusion PD fallers present worse scores in TMS, and there is a significant correlation between difficulty rolling over in bed and TMS score.

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EARLY RECOGNIZATION OF THE CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER BY VANDERBILT ADHD RATING SCALE FOR TEACHERS AND PARENTS

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.4.12 ◽

2019 ◽

pp. 85-91

Author(s):

Dinh Duong Le ◽

Van Thang Vo ◽

Thi Mai Nguyen ◽

Thi Han Vo ◽

Huu Chau Duc Nguyen ◽

...

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

High Risk ◽

Attention Deficit ◽

Primary Schools ◽

Rating Scale ◽

Cross Sectional Study ◽

Cross Sectional ◽

Hyperactivity Disorder ◽

Teachers And Parents ◽

Key Words Adhd

Objectives: The study aims to explore the prevalence of attention deficit hyperactivity disorder and to examine the associated factors with ADHD among primary students by Vanderbilt ADHD rating scale for teacher and parents. Methods: A cross-sectional study design was conducted in 564 students who selected randomly in 4 primary schools in Hue city. Vanderbilt ADHD rating scale for parents and teachers were applied to evaluate the ADHD of children over 6 months ago. Results: The overall prevalence of children who had high risk with ADHD was 4.1% (95%CI: 2.44 - 5.72), including 4.6% and 4.8% in the rating of teachers and parents, respectively. Male was more likely to have ADHD than female (OR adj: 4.64 (95%CI: 1.53 - 14.05) and lack of closely friend (OR adj: 5.11 (95% CI: 2.13 - 12.24). Conclusion: Vanderbilt ADHD diagnosis rating scale for teachers and parents can be used to early recognization children with a high risk of ADHD. Key words: ADHD, Vanderbilt, ratings scale, teacher, parent, children

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How do delirium motor subtypes differ in phenomenology and contributory aetiology? a cross-sectional, multisite study of liaison psychiatry and palliative care patients

BMJ Open ◽

10.1136/bmjopen-2020-041214 ◽

2021 ◽

Vol 11 (4) ◽

pp. e041214

Author(s):

Kevin Glynn ◽

Frank McKenna ◽

Kevin Lally ◽

Muireann O’Donnell ◽

Sandeep Grover ◽

...

Keyword(s):

Palliative Care ◽

Rating Scale ◽

Symptom Burden ◽

Systemic Infection ◽

International Study ◽

Cross Sectional Study ◽

Secondary Outcome ◽

Liaison Psychiatry ◽

Cross Sectional ◽

Hypoactive Delirium

ObjectivesTo investigate whether delirium motor subtypes differ in terms of phenomenology and contributory aetiology.DesignCross-sectional study.SettingInternational study incorporating data from Ireland and India across palliative care, old age liaison psychiatry and general adult liaison psychiatry settings.Participants1757 patients diagnosed with delirium using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM IV).Primary and secondary outcome measuresHyperactive, mixed and hypoactive delirium subtypes were identified using the abbreviated version of the Delirium Motor Subtype Scale. Phenomenology was assessed using the Delirium Rating Scale Revised. Contributory aetiologies were assessed using the Delirium Aetiology Checklist (DEC), with a score >2 indicating that the aetiology was likely or definitely contributory.ResultsHypoactive delirium was associated with dementia, cerebrovascular and systemic infection aetiologies (p<0.001) and had a lower overall burden of delirium symptoms than the other motor subtypes. Hyperactive delirium was associated with younger age, drug withdrawal and the DEC category other systemic aetiologies (p<0.001). Mixed delirium showed the greatest symptom burden and was more often associated with drug intoxication and metabolic disturbance (p<0.001). All three delirium motor subtypes had similar levels of impairment in attention and visuospatial functioning but differed significantly when compared with no subtype (p<0.001).ConclusionsThis study indicates a pattern of aetiology and symptomatology of delirium motor subtypes across a large international sample that had previously been lacking. It serves to improve our understanding of this complex condition and has implications in terms of early detection and management of delirium.

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Perceived Loneliness and Severe Sleep Disorders in Adult Women during the Covid-19 Quarantine: A Cross-Sectional Study in Colombia

Journal of Primary Care & Community Health ◽

10.1177/21501327211025170 ◽

2021 ◽

Vol 12 ◽

pp. 215013272110251

Author(s):

Álvaro Monterrosa-Castro ◽

Angélica Monterrosa-Blanco ◽

Andrea González-Sequeda

Keyword(s):

Sleep Disorders ◽

Rating Scale ◽

Statistical Significance ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Adult Women ◽

Sectional Study ◽

Cross Sectional ◽

Emotional Loneliness ◽

Social Loneliness

Background: Quarantine is a measure to control COVID-19 spread, resulting in an increased perception of loneliness. In turn, sleep disorders (SD) may be more frequently reported in uncertain circumstances. Objectives: To identify the association between loneliness and severe SD, in women quarantined due to the COVID-19 pandemic. Methods: A cross-sectional study carried out in women, between 40 and 79 years and living in Colombia. The women were invited through social network to complete 5 digital instruments: de Jong Gierveld Loneliness Scale, Menopause Rating Scale, Fear of COVID-19 Five-item Version, Coronavirus Anxiety Scale, and Francis Religion Scale. Bivariate analysis and adjusted logistic regression between loneliness and SD were performed. Results: 1133 women participated, half of them under 50 years old. 43.1% had emotional loneliness, 39.9% social loneliness and 43.3% general loneliness. SD were identified in 6 out of 10 women, those with mild SD presented an OR of 1.84, 1.85, and 1.64, for emotional, social and general loneliness, respectively. Loneliness was associated twice with moderate SD, and more than twice with severe SD. Very severe SD reached OR:5.81 for emotional loneliness, OR:4.38 social loneliness and OR:4.02 general loneliness. In the presence of religiosity, fear and anxiety due to COVID-19, statistical significance was retained for associations, except intense SD with general loneliness. Conclusions: SD were significantly associated with loneliness in our study population. It is important to assess sleep quality and perception of loneliness in middle-aged women, especially during periods of quarantine due to a pandemic to avoid health implications.

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Frequency, severity, and impact on daily life of delayed and intercycle chemotherapy-induced nausea, vomiting, and retching

Tumori Journal ◽

10.1177/0300891621990434 ◽

2021 ◽

pp. 030089162199043

Author(s):

Silvia Gonella ◽

Dino S. Di Massimo ◽

Marinella Mistrangelo ◽

Gianmauro Numico ◽

Paola Berchialla ◽

...

Keyword(s):

Rating Scale ◽

Daily Life ◽

Numeric Rating Scale ◽

Cross Sectional Study ◽

Common Side Effect ◽

Cross Sectional ◽

Chemotherapy Administration ◽

Effect Of Treatment ◽

Numeric Rating ◽

Observation Period

Introduction: Chemotherapy-induced nausea, vomiting, and retching (CINVR) remains a common side effect of treatment. Most previous studies have focused on vomiting control; nausea and retching have been less explored. This study aimed at describing the incidence, severity, and impact on daily life (IDL) of CINVR in the acute (0–24 hours), delayed (>24–120 hours), and overall (0–120 hours) postchemotherapy periods and beyond 120 hours (until next chemotherapy administration); and the pharmacologic and nonpharmacologic strategies adopted by patients to relieve symptoms. Methods: This was a single-center, cross-sectional study of 60 patients undergoing chemotherapy. Participants reported the frequency, severity, and IDL of CINVR from the day of chemotherapy administration up to 120 hours thereafter and nausea and vomiting that occurred beyond 120 hours, as well as pharmacologic and nonpharmacologic remedies used. Results: Forty-seven (78.3%, 95% confidence interval [CI] 66.4–86.9), 37 (61.7%, 95% CI 49.0–72.9), and 35 (58.3%, 95% CI 45.7–69.9) patients reported no nausea (Numeric Rating Scale ⩽1), vomiting, or retching in the acute, delayed, and overall periods, respectively. Nausea was more frequent, more severe, and had a greater IDL than did vomiting and retching across the overall observation period; beyond 120 hours, 11 (18.3%, 95% CI 10.6–29.9) patients reported nausea and none reported vomiting, with a median IDL of 1/10 (interquartile range: 0.75–5.00; 95% CI 0–7.6). Metoclopramide (n = 57 administrations), dexamethasone (n = 28), eating small servings of food (n = 13), and aloe (n = 11) were the most commonly used rescue therapies. Conclusions: Future studies should set hard outcomes, such as the absence of any symptoms, as a primary end point, and these should be assessed across and beyond the 120-hour period.

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