认知状态和睡眠质量可以解释帕金森病患者对跌倒的恐惧和跌倒史。

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-08-15 DOI:10.1097/MRR.0000000000000596
Nesreen Alissa, Reem Rehan, Alham Al-Sharman, Mariem Latrous, Ala' S Aburub, Khalid El-Salem, Linzette Morris, Hanan Khalil
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引用次数: 0

摘要

对跌倒的恐惧(FOF)在帕金森病(PwPD)患者中非常普遍,并导致高跌倒风险。关于帕金森病患者跌倒、FOF和认知功能和睡眠质量等非运动因素之间关系的研究报道有限。本研究旨在探讨(1)认知功能和睡眠质量与PwPD患者FOF和跌倒史的关系;(2) 帕金森病跌倒者和非跌倒者认知功能和睡眠质量的差异;以及(3)认知功能和睡眠质量的临界分数,以区分帕金森病患者和非患者。对50名PwPD进行了FOF[国际跌倒疗效量表(FES-I)]、认知[蒙特利尔认知评估(MOCA)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]和跌倒史评估。MOCA与FES-I评分显著相关(R2 = 0.429,P
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Cognitive status and sleep quality can explain the fear of falling and fall history in people with Parkinson's disease.

Fear of falling (FOF) is highly prevalent in people with Parkinson's disease (PwPD) and contributes to high fall risk. Studies reporting on the relationship between falls, FOF, and non-motor factors such as cognitive function and sleep quality in Parkinson's disease are limited. This study aimed to investigate (1) the relationship of cognitive function and sleep quality with FOF, and history of falls in PwPD; (2) differences in cognitive function and sleep quality between Parkinson's disease fallers and non-fallers; and (3) a cut-off score for cognitive function and sleep quality to discriminate Parkinson's disease fallers from non-fallers. Fifty PwPD were assessed for FOF [Falls Efficacy Scale-International (FES-I)], cognition [Montréal Cognitive Assessment (MOCA)], sleep quality [Pittsburgh Sleep Quality Index (PSQI)], and falls history. The MOCA is significantly associated with FES-I scores ( R2  = 0.429, P  < 0.0001). Both MOCA ( P  = 0.012) and PSQI ( P  = 0.027) were associated with falls history even after adjusting for confounding factors (age, sex, L-dopa use, Parkinson's disease severity). Both MOCA and PSQI scores were able to distinguish fallers from non-fallers with cut-off scores of 15.5 and 7.5, respectively. Although our findings revealed that both cognitive function and sleep quality are important factors influencing falls and FOF in PwPD, it remains to be determined if addressing cognitive impairments and poor sleep quality may favorably impact balance before integrating such screenings into fall prevention programs.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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