Cognitive disorders as risk factors for falls in Parkinson's patients
Parkinson's disease (PD) is a disorder that affects the central nervous system, caused by the depletion of dopamine in the substantia nigra pars compacta. Cognitive impairment initially manifests as executive dysfunction, and may progress to dementia. Between 38% and 87% of patients wi...
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| Autores principales: | , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25713 |
| Aporte de: |
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I10-R10article-25713 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
parkinson cognitive impairment falls parkinson deterioro cognitivo caídas |
| spellingShingle |
parkinson cognitive impairment falls parkinson deterioro cognitivo caídas Marcolin, GA Barasi, PF GORDO, RG Barral, E Buenanotte, CF Cognitive disorders as risk factors for falls in Parkinson's patients |
| topic_facet |
parkinson cognitive impairment falls parkinson deterioro cognitivo caídas |
| author |
Marcolin, GA Barasi, PF GORDO, RG Barral, E Buenanotte, CF |
| author_facet |
Marcolin, GA Barasi, PF GORDO, RG Barral, E Buenanotte, CF |
| author_sort |
Marcolin, GA |
| title |
Cognitive disorders as risk factors for falls in Parkinson's patients |
| title_short |
Cognitive disorders as risk factors for falls in Parkinson's patients |
| title_full |
Cognitive disorders as risk factors for falls in Parkinson's patients |
| title_fullStr |
Cognitive disorders as risk factors for falls in Parkinson's patients |
| title_full_unstemmed |
Cognitive disorders as risk factors for falls in Parkinson's patients |
| title_sort |
cognitive disorders as risk factors for falls in parkinson's patients |
| description |
Parkinson's disease (PD) is a disorder that affects the central nervous system, caused by the depletion of dopamine in the substantia nigra pars compacta. Cognitive impairment initially manifests as executive dysfunction, and may progress to dementia. Between 38% and 87% of patients with PD suffer at least one fall during the disease.
The objective was to analyze the relationship between the risk of falls and the overall cognitive function of patients with PD. To relate the occurrence of falls in the last 6 months and the risk of falls, with the global cognitive function, and the presence of gait freezing.
A descriptive cross-sectional study was conducted, with 35 patients diagnosed with Parkinson's disease aged 65 to 90 years, who attended the Neurology Service of the National Hospital of Clinics between May 2018 and 2019. Age, sex, presence of falls in the last 6 months and presence of freezing of the march were investigated. Applied instruments: Hoehn and Yahr stadiums. Montreal Cognitive Assessment. Tinetti scale for balance and walking.
The 66% were male. The average age was 71.37 years. The overall cognitive function, assessed with MoCA, averaged 22.2 points, with a minimum of 10 and a maximum of 28. 43% of patients reported the presence of freezing of gate. 31% reported at least one fall in the previous six months. Patients with MoCA values equal to or greater than 26 had higher scores on the Tinetti scale (p=0.04) and in the gait subscale (p=0.03). There was no significant difference between MoCA scores of patients with and without a history of falls. (p= 0.11). A significant difference was observed in the values of the tests assessing executive and visuospatial functions (p 0.05). The association between freezing of gait and occurrence of falls was statistically significant (p=0.02).
Patients with cognitive dysfunction had a higher risk of falls. In patients with a history of falls, performance in executive and visuospatial function was worse |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25713 |
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