Evidence map›Paper›PMID 37868930›Full record

ReviewMovement disorders clinical practice2023

Prevention of Falls in Parkinson's Disease: Guidelines and Gaps.

Richard Camicioli, Meg E Morris, Frederico Pieruccini-Faria, Manuel Montero-Odasso, Surim Son, David Buzaglo, Jeffrey M Hausdorff, Alice Nieuwboer

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07148700 (Which Tools Better Predict Fall Risk in Parkinson's Disease), which is not on this map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07148700 completednot on this mapstarted 2025, after this paper: background citation

Which Tools Better Predict Fall Risk in Parkinson's Disease: A Comparative Study of Objective, Self-Reported, and Functional Balance Assessment

TypeobservationalSponsorBezmialem Vakif UniversityRan2025 to 2025Enrolled40ConditionsPARKINSON DISEASE (Disorder), Parkinson, Parkinson s Disease, Parkinson Disease
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 5 countries.

Richard CamicioliDepartment of Medicine (Neurology) and Neuroscience and Mental Health Institute University of Alberta Edmonton Alberta Canada.ORCID https://orcid.org/0000-0003-2977-8660
Meg E MorrisLa Trobe University, Academic and Research Collaborative in Health & Healthscope Melbourne Victoria Australia.ORCID https://orcid.org/0000-0002-0114-4175
Frederico Pieruccini-FariaGait and Brain Lab, Parkwood Institute Lawson Health Research Institute London Ontario Canada.
Manuel Montero-OdassoGait and Brain Lab, Parkwood Institute Lawson Health Research Institute London Ontario Canada.
Surim SonGait and Brain Lab, Parkwood Institute Lawson Health Research Institute London Ontario Canada.
David BuzagloCenter for the Study of Movement, Cognition and Mobility, Neurological Institute Tel Aviv Sourasky Medical Center Tel Aviv Israel.
Jeffrey M HausdorffCenter for the Study of Movement, Cognition and Mobility, Neurological Institute Tel Aviv Sourasky Medical Center Tel Aviv Israel.ORCID https://orcid.org/0000-0002-1608-0776
Alice NieuwboerDepartment of Rehabilitation Sciences, Neurorehabilitation Research Group (eNRGy) KU Leuven Leuven Belgium.ORCID https://orcid.org/0000-0003-1193-6229
Western University · CALa Trobe University · AUNeuroelectronics Research Flanders · BERush University Medical Center · USTel Aviv Sourasky Medical Center · ILUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: People living with Parkinson's disease (PD) have a high risk for falls. Objective: To examine gaps in falls prevention targeting people with PD as part of the Task Force on Global Guidelines for Falls in Older Adults. Methods: A Delphi consensus process was used to identify specific recommendations for falls in PD. The current narrative review was conducted as educational background with a view to identifying gaps in fall prevention. Results: A recent Cochrane review recommended exercises and structured physical activities for PD; however, the types of exercises and activities to recommend and PD subgroups likely to benefit require further consideration. Freezing of gait, reduced gait speed, and a prior history of falls are risk factors for falls in PD and should be incorporated in assessments to identify fall risk and target interventions. Multimodal and multi-domain fall prevention interventions may be beneficial. With advanced or complex PD, balance and strength training should be administered under supervision. Medications, particularly cholinesterase inhibitors, show promise for falls prevention. Identifying how to engage people with PD, their families, and health professionals in falls education and implementation remains a challenge. Barriers to the prevention of falls occur at individual, environmental, policy, and health system levels. Conclusion: Effective mitigation of fall risk requires specific targeting and strategies to reduce this debilitating and common problem in PD. While exercise is recommended, the types and modalities of exercise and how to combine them as interventions for different PD subgroups (cognitive impairment, freezing, advanced disease) need further study.

Indexed as

accidental fallsexercisefallsfreezinggait speedParkinson's disease

Identifiers

PMID37868930
PMCPMC10585979
OpenAlexW4385879246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.