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Orthostatic hypotension, balance and falls in Parkinson's disease.
Mov Disord. 2009 Apr 15; 24(5):745-51.MD

Abstract

Orthostatic hypotension (OH) is a common feature in Parkinson's disease (PD). As the control of balance and gait is already affected by PD per se, OH may further predispose patients to falls and accidents. The study was conducted to evaluate the clinical correlates of OH and its association with mobility and balance in PD. From a total population of 205,000 inhabitants, 120 PD patients were included in the study. Medical data including history of recent falls were collected, and patients were clinically examined using the orthostatic test, the Timed Up & Go test, walking speed, and the quantitative measurement of postural sway. Sixty-three (52.5%) patients had OH in the orthostatic test. Twenty-five (39.5%) patients with and 16 (28.1%) patients without OH (P = 0.614) had fallen during the past 3 months. Patients with OH had significantly increased postural sway in standing compared with patients without OH. However, OH was not associated with mobility or walking speed. The current results support the concept that the control of body balance and OH may be closely linked.

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Authors+Show Affiliations

Matinolli M
Department of Neurology, University of Oulu, Oulu, Finland. maarit.matinolli@oulu.fi
Korpelainen JT
No affiliation info available
Korpelainen R
No affiliation info available
Sotaniemi KA
No affiliation info available
Myllylä VV
No affiliation info available

MeSH

Accidental FallsAgedAged, 80 and overBlood PressureFemaleHeart RateHumansHypotension, OrthostaticMaleMiddle AgedParkinson DiseasePostural BalanceWalking

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19133666

Clinical Trial Links

Effects of AMPS on Cardiovascular Variables in Patients With Parkinson's Disease

Citation

Matinolli, Maarit, et al. "Orthostatic Hypotension, Balance and Falls in Parkinson's Disease." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 24, no. 5, 2009, pp. 745-51.
Matinolli M, Korpelainen JT, Korpelainen R, et al. Orthostatic hypotension, balance and falls in Parkinson's disease. Mov Disord. 2009;24(5):745-51.
Matinolli, M., Korpelainen, J. T., Korpelainen, R., Sotaniemi, K. A., & Myllylä, V. V. (2009). Orthostatic hypotension, balance and falls in Parkinson's disease. Movement Disorders : Official Journal of the Movement Disorder Society, 24(5), 745-51. https://doi.org/10.1002/mds.22457
Matinolli M, et al. Orthostatic Hypotension, Balance and Falls in Parkinson's Disease. Mov Disord. 2009 Apr 15;24(5):745-51. PubMed PMID: 19133666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Orthostatic hypotension, balance and falls in Parkinson's disease. AU - Matinolli,Maarit, AU - Korpelainen,Juha T, AU - Korpelainen,Raija, AU - Sotaniemi,Kyösti A, AU - Myllylä,Vilho V, PY - 2009/1/13/entrez PY - 2009/1/13/pubmed PY - 2009/7/29/medline SP - 745 EP - 51 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 24 IS - 5 N2 - Orthostatic hypotension (OH) is a common feature in Parkinson's disease (PD). As the control of balance and gait is already affected by PD per se, OH may further predispose patients to falls and accidents. The study was conducted to evaluate the clinical correlates of OH and its association with mobility and balance in PD. From a total population of 205,000 inhabitants, 120 PD patients were included in the study. Medical data including history of recent falls were collected, and patients were clinically examined using the orthostatic test, the Timed Up & Go test, walking speed, and the quantitative measurement of postural sway. Sixty-three (52.5%) patients had OH in the orthostatic test. Twenty-five (39.5%) patients with and 16 (28.1%) patients without OH (P = 0.614) had fallen during the past 3 months. Patients with OH had significantly increased postural sway in standing compared with patients without OH. However, OH was not associated with mobility or walking speed. The current results support the concept that the control of body balance and OH may be closely linked. SN - 1531-8257 UR - https://www.unboundmedicine.com/medline/citation/19133666/Orthostatic_hypotension_balance_and_falls_in_Parkinson's_disease_ L2 - https://doi.org/10.1002/mds.22457 DB - PRIME DP - Unbound Medicine ER -