Associations Between Falls, Balance Confidence, Driving Speed, Braking, and Other Driving Practices in Parkinson's Disease

作者: Alexander M. Crizzle , Anita M. Myers , Eric A. Roy , Quincy J. Almeida

DOI: 10.3109/02703181.2014.991057

关键词: Injury preventionAffect (psychology)Balance (ability)Poison controlOccupational safety and healthMedicinePhysical medicine and rehabilitationSuicide preventionHuman factors and ergonomicsParkinson's disease

摘要: ABSTRACTAims: Factors related to fall risk (balance confidence, motor, visual, and cognitive deficits) may also affect the driving practices of people with Parkinson's disease (PD). The purpose this study was explore these potential associations. Methods: A sample 11 self-reported fallers (mean age 72.3 ± 6.0 years; 55% men) 16 non-fallers 71.1 7.2 years; 100% were assessed on a battery clinical measures brake reaction response time. Electronic devices installed in vehicles examine naturalistic practices. Results: In overall, lower balance confidence scores associated worse contrast sensitivity, higher levodopa equivalency dosage, more reported avoidance. Fallers had significantly (p < 0.01), episodes hard braking 0.05), drove at slower speeds (km/hour) most roadways 0.05). Conclusions: Researchers clinicians should consider mobility problems, particularly recurre...

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