1/11/2024 0 Comments Tug cognitive![]() Automaticity is a component of skilled movement that is used to evaluate whether a skill is performed with little demand on attentional resources. 8, 9 Decreased automaticity and impaired attentional flexibility resulting from cortical and basal ganglion dysfunction may play a role in this gait impairment. 7 These gait changes include reduced gait speed, reduced stride length, and stride pattern. People with PD have been shown to be significantly more susceptible to gait changes when carrying out dual tasks than age-matched controls. 6 The most useful outcome measures to include in an assessment of falls in people with PD remain unclear, but components such as a history of falling, disease severity, and mobility or balance measures have been recommended. 4, 5 Therefore, a combination of clinical and physiological measures is recommended to allow a comprehensive evaluation. The multifactorial nature of falls in people with PD means that the use of individual measures of balance or gait may be insufficient to accurately identify the risk of falls. 3 Given the high prevalence and the negative impact of falls, it is critical to continue improving methods for accurately identifying people with the greatest risk of falls. ![]() 1 Prevalence rates for falls in these patients greatly exceed those in age-matched controls 2 and were reported to be as high as 87% in a longitudinal study of PD. Falls among patients with Parkinson disease (PD) lead to progressive loss of mobility, independence, and confidence that ultimately may reduce survival. ![]()
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