ArticleClinical parkinsonism & related disorders2021
A vicious cycle of fear of falling avoidance behavior in Parkinson's disease: A path analysis.
Article in Clinical parkinsonism & related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Fear-related psychological experiences in people with Parkinson's disease: a systematic review of qualitative studies.BMC psychology · 2026Pooled it
- External sensory cueing on gait in Parkinson's disease: a systematic review and network meta-analysis.Journal of neurology · 2026Pooled it
- Functional reserve mitigates cognitive-motor dual-task costs in older adults: insights from age, cohort, and behavioural strategies.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026Article
- Sedentary behavior modifies the effect of balance rehabilitation on balance discordance in Parkinson's disease.NPJ Parkinson's disease · 2026Article
- Classification of fallers in Parkinson's disease through machine learning based feature analysis.NPJ Parkinson's disease · 2026Article
- Article
- Brazilian version of the Fear of Falls Scale: translation, cross-cultural adaptation and validation.Arquivos de neuro-psiquiatria · 2026Article
- Parkinson's disease gait rehabilitation at scale: Insights on personalised smartphone-based music cueing.PloS one · 2026Article
- Identifying gait characteristics associated with freezing of gait in Parkinson's disease: An analysis of on and off medication states.Gait & posture · 2025Article
- Discordance Between Balance Ability and Perception and Its Relation to Falls in Parkinson's Disease: A Replication Analysis.Neurorehabilitation and neural repair · 2025Article
- Neural correlates of concern about falling in multiple sclerosis: resting-state functional connectivity in amygdala-hippocampal and amygdala-cerebellar circuits.Experimental brain research · 2025Article
- Discordance Between Balance Ability and Perception Is Associated With Falls in Parkinson's Disease: A Coordinated Analysis.Neurorehabilitation and neural repair · 2025Article
- Cerebellar Volume Measures Differentiate Multiple Sclerosis Fallers from Non-Fallers.Brain sciences · 2025Article
- Cognition and Activity of Daily Living Function in people with Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2024Review
- Article
- Cerebellar volume measures may differentiate multiple sclerosis fallers from non-fallers.Research square · 2024Article
- Relationship between fear of falling and fall risk among older patients with stroke: a structural equation modeling.BMC geriatrics · 2023Article
- Gait Characteristics Associated with Fear of Falling in Hospitalized People with Parkinson's Disease.Sensors (Basel, Switzerland) · 2023Article
- Article
- Adverse events related to physiotherapy practice: a scoping review.Archives of physiotherapyArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostural instability (PI) in Parkinson's disease (PD) is associated with several negative downstream consequences.
objectiveThe purpose was to explore the validity of a theoretical model of these downstream consequences arranged in a vicious cycle wherein PI leads to decreased balance confidence, which in turn leads to increased fear of falling (FOF) avoidance behavior, which in turn leads to decreased physical conditioning, which then feeds back and negatively affects PI.
methodsA path analysis of cross-sectional data from 55 participants with PD was conducted. The four constructs in the model connected in succession were: 1. PI (principal components analysis (PCA) composite of the Unified Parkinson's Disease Rating Scale PI and Gait Difficulty score, Timed Up and Go test, and Berg Balance Scale); 2. balance confidence (Activities-Specific Balance Confidence Scale); 3. FOF avoidance behavior (PCA composite of the FOF Avoidance Behavior Questionnaire and average number of steps per day); and, 4. physical conditioning (2-Minute Step Test).
resultsThe path model was an excellent fit to the data, χ2 (7) = 7.910, p = .341, CFI = 0.985, TLI = 0.968, RMSEA = 0.049 (90% CI: 0.000 to 0.179). The moderate to strong and uniformly significant parameter estimates were -0.519, -0.651, -0.653, and -0.570, respectively (ps < 0.01).
conclusionsPI directly and inversely predicted balance confidence, which in turn directly and inversely predicted FOF avoidance behavior. Furthermore, FOF avoidance behavior directly and inversely predicted physical conditioning, which directly and inversely predicted PI, thereby closing the cycle. These findings highlight the downstream consequences of PI in PD and support the notion of a vicious cycle of FOF avoidance behavior.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.