PDF herunterladen
neuroreha 2016; 08(04): 180-185
DOI: 10.1055/s-0042-118061
Schwerpunkt Balance und Gehen
Aus der Praxis
Georg Thieme Verlag KG Stuttgart · New York

Störungen des Gleichgewichts und Sturzgefahr bei idiopathischem Parkinson-Syndrom

Kerstin Ziegler
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
02. Dezember 2016 (online)

    Lizenzen und Reprints

Zusammenfassung

Menschen mit idiopathischem Parkinson-Syndrom erleben in fortgeschrittenen Erkrankungsstadien bedeutsame Alltagseinschränkungen. Defizite der Balance, dadurch bedingte Sturzgefahr und Stürze begründen Mobilitätsverluste. Stürze resultieren häufig in rumpfnahen Frakturen und erfordern Krankenhauseinweisungen. Physiotherapeutisch angeleitete Übungsprogramme sind erfolgreich und können kurz- und langfristig die ansteigenden Krankheitskosten dämpfen.

 

  • Literatur

  • 1 Alexander GE, Crutcher MD, DeLong MR. Basal ganglia-thalamocortical circuits: Parallel substrates for motor, oculomotor, „prefrontal” and „limbic” functions. Prog Brain Res 1990; 85: 119-146
    CrossrefPubMedGoogle Scholar
  • 2 Allen NE, Canning CG, Sherrington C. et al. The effects of an exercise program on fall risk factors in people with Parkinson’s disease: A randomized controlled trial. Mov Disord Off J Mov Disord Soc 2010; 25: 1217-1225
    CrossrefPubMedGoogle Scholar
  • 3 Allen NE, Sherrington C, Paul SS. et al. Balance and falls in Parkinson’s disease: A meta-analysis of the effect of exercise and motor training. Mov Disord Off J Mov Disord Soc 2011; 26: 1605-1615
    CrossrefPubMedGoogle Scholar
  • 4 Allen NE, Schwarzel AK, Canning CG. Recurrent falls in Parkinson’s disease: A systematic review. Park Dis 2013; 2013: 906274
    Google Scholar
  • 5 Amboni M, Barone P, Hausdorff JM. Cognitive contributions to gait and falls: Evidence and implications. Mov Disord Off J Mov Disord Soc 2013; 28: 1520-1533
    CrossrefPubMedGoogle Scholar
  • 6 Ashburn A, Fazakarley L, Ballinger C. et al. A randomised controlled trial of a home based exercise programme to reduce the risk of falling among people with Parkinson’s disease. J Neurol Neurosurg Psychiatry 2007; 78: 678-684
    PubMedGoogle Scholar
  • 7 Ashburn A, Stack E, Ballinger C. et al. The circumstances of falls among people with Parkinson’s disease and the use of Falls Diaries to facilitate reporting. Disabil Rehabil 2008; 30: 1205-1212
    CrossrefPubMedGoogle Scholar
  • 8 Bhattacharya RK, Dubinsky RM, Lai SM. et al. Is there an increased risk of hip fracture in Parkinson’s disease? A nationwide inpatient sample. Mov Disord Off J Mov Disord Soc 2012; 27: 1440-1443
    CrossrefPubMedGoogle Scholar
  • 9 Bloem BR, Grimbergen YAM, van Dijk JG. et al. The „posture second” strategy: A review of wrong priorities in Parkinson’s disease. J Neurol Sci 2006; 248: 196-204
    CrossrefPubMedGoogle Scholar
  • 10 Bloem BR, Marinus J, Almeida Q. et al. Measurement instruments to assess posture, gait, and balance in Parkinson’s disease: Critique and recommendations. Mov Disord Off J Mov Disord Soc 2016; 0
    Google Scholar
  • 11 Bohnen NI, Müller MLTM, Koeppe RA. et al. History of falls in Parkinson disease is associated with reduced cholinergic activity. Neurology 2009; 73: 1670-1676
    CrossrefPubMedGoogle Scholar
  • 12 Braak H, Del Tredici K, Bratzke H. et al. Staging of the intracerebral inclusion body pathology associated with idiopathic Parkinson’s disease (preclinical and clinical stages). J Neurol 2002; 249 (Suppl. 03) III/1-5
    CrossrefPubMedGoogle Scholar
  • 13 Cakit BD, Saracoglu M, Genc H. et al. The effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson’s disease. Clin Rehabil 2007; 21: 698-705
    CrossrefPubMedGoogle Scholar
  • 14 Von Campenhausen S, Bornschein B, Wick R. et al. Prevalence and incidence of Parkinson’s disease in Europe. Eur Neuropsychopharmacol 2005; 15: 473-490
    CrossrefPubMedGoogle Scholar
  • 15 Canning CG, Sherrington C, Lord SR. et al. Exercise for falls prevention in Parkinson disease: A randomized controlled trial. Neurology 2015; 84: 304-312
    CrossrefPubMedGoogle Scholar
  • 16 Ceballos-Baumann A, Ebersbach G. Hrsg. Aktivierende Therapien bei Parkinson-Syndromen. 2. Aufl.. Stuttgart: Thieme; 2012
    Google Scholar
  • 17 Chastan N, Do MC, Bonneville F. et al. Gait and balance disorders in Parkinson’s disease: Impaired active braking of the fall of centre of gravity. Mov Disord Off J Mov Disord Soc 2009; 24: 188-195
    CrossrefPubMedGoogle Scholar
  • 18 Conradsson D, Löfgren N, Stahle A. et al. A novel conceptual framework for balance training in Parkinson’s disease-study protocol for a randomised controlled trial. BMC Neurol 2012; 12: 111
    CrossrefPubMedGoogle Scholar
  • 19 Conradsson D, Löfgren N, Nero H. et al. The effects of highly challenging balance training in elderly with Parkinson’s disease: A randomized controlled trial. Neurorehabil Neural Repair 2015; 29: 827-836
    CrossrefPubMedGoogle Scholar
  • 20 Dorsey ER, Constantinescu R, Thompson JP. et al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology 2007; 68: 384-386
    CrossrefPubMedGoogle Scholar
  • 21 Duncan RP, Earhart GM. Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease. Neurorehabil Neural Repair 2012; 26: 132-143
    CrossrefPubMedGoogle Scholar
  • 22 Ellis T, Cavanaugh JT, Earhart GM. et al. Which measures of physical function and motor impairment best predict quality of life in Parkinson’s disease?. Parkinsonism Relat Disord 2011; 17: 693-697
    CrossrefPubMedGoogle Scholar
  • 23 Farag I, Sherrington C, Hayes A. et al. Economic evaluation of a falls prevention exercise program among people with Parkinson’s disease. Mov Disord Off J Mov Disord Soc 2016; 31: 53-61
    CrossrefPubMedGoogle Scholar
  • 24 Franchignoni F, Horak F, Godi M. et al. Using psychometric techniques to improve the Balance Evaluation Systems Test: The mini-BESTest. J Rehabil Med Off J UEMS Eur Board Phys Rehabil Med 2010; 42: 323-331
    Google Scholar
  • 25 Giladi N, Nieuwboer A. Understanding and treating freezing of gait in parkinsonism, proposed working definition, and setting the stage. Mov Disord 2008; 23 (Suppl. 02) S423-425
    CrossrefPubMedGoogle Scholar
  • 26 Goodwin VA, Richards SH, Henley W. et al. An exercise intervention to prevent falls in people with Parkinson’s disease: A pragmatic randomised controlled trial. J Neurol Neurosurg Psychiatry 2011; 82: 1232-1238
    CrossrefPubMedGoogle Scholar
  • 27 Goodwin VA, Pickering R, Ballinger C. et al. A multi-centre, randomised controlled trial of the effectiveness of PDSAFE to prevent falls among people with Parkinson’s: Study protocol. BMC Neurol 2015; 15: 81
    CrossrefPubMedGoogle Scholar
  • 28 Heinzel S, Maechtel M, Hasmann SE. et al. Motor dual-tasking deficits predict falls in Parkinson’s disease: A prospective study. Parkinsonism Relat Disord 2016; 0
    Google Scholar
  • 29 Hiorth YH, Larsen JP, Lode K. et al. Natural history of falls in a population-based cohort of patients with Parkinson’s disease: An 8-year prospective study. Parkinsonism Relat Disord 2014; 20: 1059-1064
    CrossrefPubMedGoogle Scholar
  • 30 Jöbges M, Heuschkel G, Pretzel C. et al. Repetitive training of compensatory steps: A therapeutic approach for postural instability in Parkinson’s disease. J Neurol Neurosurg Psychiatry 2004; 75: 1682-1687
    CrossrefPubMedGoogle Scholar
  • 31 Kerr GK, Worringham CJ, Cole MH. et al. Predictors of future falls in Parkinson disease. Neurology 2010; 75: 116-124
    CrossrefPubMedGoogle Scholar
  • 32 Keus S, Munneke M, Graziano M. European Physiotherapy Guideline for Parkinson’s disease 2014 – penultimate version for review. KNGF/ParkinsonNet, the Netherlands [Internet] 2014; Im Internet: www.ParkinsonNet.info Stand: 20.09.2016 0
    Google Scholar
  • 33 Konczak J, Corcos DM, Horak F. et al. Proprioception and motor control in Parkinson’s disease. J Mot Behav 2009; 41: 543-552
    CrossrefPubMedGoogle Scholar
  • 34 Li F, Harmer P, Fitzgerald K. et al. Tai Chi and postural stability in patients with Parkinson’s disease. N Engl J Med 2012; 366: 511-519
    CrossrefPubMedGoogle Scholar
  • 35 Liao YY, Yang YR, Cheng SJ. et al. Virtual reality-based training to improve obstacle-crossing performance and dynamic balance in patients with Parkinson’s disease. Neurorehabil Neural Repair 2015; 29: 658-667
    CrossrefPubMedGoogle Scholar
  • 36 Matinolli M, Korpelainen JT, Korpelainen R. et al. Postural sway and falls in Parkinson’s disease: A regression approach. Mov Disord Off J Mov Disord Soc 2007; 22: 1927-1935
    CrossrefPubMedGoogle Scholar
  • 37 Melton LJ, Leibson CL, Achenbach SJ. et al. Fracture risk after the diagnosis of Parkinson’s disease: Influence of concomitant dementia. Mov Disord 2006; 21: 1361-1367
    CrossrefPubMedGoogle Scholar
  • 38 Mirelman A, Maidan I, Deutsch JE. Virtual reality and motor imagery: Promising tools for assessment and therapy in Parkinson’s disease. Mov Disord Off J Mov Disord Soc 2013; 28: 1597-1608
    CrossrefPubMedGoogle Scholar
  • 39 Morris ME, Iansek R, Matyas TA. et al. The pathogenesis of gait hypokinesia in Parkinson’s disease. Brain J Neurol 1994; 117 (Pt 5) 1169-1181
    CrossrefPubMedGoogle Scholar
  • 40 Morris ME, Menz HB, McGinley JL. et al. A randomized controlled trial to reduce falls in people with Parkinson’s Disease. Neurorehabil Neural Repair 2015; 29: 777-785
    CrossrefPubMedGoogle Scholar
  • 41 Nallegowda M, Singh U, Handa G. et al. Role of sensory input and muscle strength in maintenance of balance, gait, and posture in Parkinson’s disease: A pilot study. Am J Phys Med Rehabil Assoc Acad Physiatr 2004; 83: 898-908
    Google Scholar
  • 42 Paul SS, Canning CG, Sherrington C. et al. Three simple clinical tests to accurately predict falls in people with Parkinson’s disease. Mov Disord Off J Mov Disord Soc 2013; 28: 655-662
    CrossrefPubMedGoogle Scholar
  • 43 Petzinger GM, Fisher BE, McEwen S. et al. Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson’s disease. Lancet Neurol 2013; 12: 716-726
    CrossrefPubMedGoogle Scholar
  • 44 Pickering RM, Grimbergen YA, Rigney U. et al. A meta-analysis of six prospective studies of falling in Parkinson’s disease [Internet]. Mov Disord 2007; 22 (13) 1892-1900
    CrossrefPubMedGoogle Scholar
  • 45 Pompeu JE, Mendes FADS, da Silva KG. et al. Effect of Nintendo WiiTM-based motor and cognitive training on activities of daily living in patients with Parkinson’s disease: A randomised clinical trial. Physiotherapy 2012; 98: 196-204
    CrossrefPubMedGoogle Scholar
  • 46 Pompeu JE, Arduini LA, Botelho AR. et al. Feasibility, safety and outcomes of playing Kinect Adventures!TM for people with Parkinson’s disease: A pilot study. Physiotherapy 2014; 100: 162-168
    CrossrefPubMedGoogle Scholar
  • 47 Protas EJ, Mitchell K, Williams A. et al. Gait and step training to reduce falls in Parkinson’s disease. NeuroRehabilitation 2005; 20: 183-190
    PubMedGoogle Scholar
  • 48 Rahman S, Griffin HJ, Quinn NP. et al. Quality of life in Parkinson’s disease: The relative importance of the symptoms. Mov Disord 2008; 23: 1428-1434
    CrossrefPubMedGoogle Scholar
  • 49 Reese JP, Winter Y, Balzer-Geldsetzer M. et al. Parkinson’s disease: Cost-of-illness in an outpatient cohort. Gesundheitswesen Bundesverb. Ärzte Öffentlichen Gesundheitsdienstes Ger 2011; 73: 22-29
    Google Scholar
  • 50 Schoneburg B, Mancini M, Horak F. et al. Framework for understanding balance dysfunction in Parkinson’s disease. Mov Disord Off J Mov Disord Soc 2013; 28: 1474-1482
    CrossrefPubMedGoogle Scholar
  • 51 Schrag A, Hovris A, Morley D. et al. Caregiver-burden in Parkinson’s disease is closely associated with psychiatric symptoms, falls, and disability. Parkinsonism Relat Disord 2006; 12: 35-41
    PubMedGoogle Scholar
  • 52 Shen X, Wong-Yu ISK, Mak MKY. Effects of exercise on falls, balance, and gait ability in Parkinson’s disease: A meta-analysis. Neurorehabil Neural Repair 2016; 30: 512-527
    CrossrefPubMedGoogle Scholar
  • 53 Smania N, Corato E, Tinazzi M. et al. Effect of balance training on postural instability in patients with idiopathic Parkinson’s disease. Neurorehabil Neural Repair 2010; 24: 826-834
    CrossrefPubMedGoogle Scholar
  • 54 Spottke AE, Reuter M, Machat O. et al. Cost of illness and its predictors for Parkinson’s disease in Germany. PharmacoEconomics 2005; 23: 817-836
    CrossrefPubMedGoogle Scholar
  • 55 Strouwen C, Molenaar EALM, Keus SHJ. et al. Protocol for a randomized comparison of integrated versus consecutive dual task practice in Parkinson’s disease: The DUALITY trial. BMC Neurol 2014; 14: 61
    CrossrefPubMedGoogle Scholar
  • 56 Takakusaki K. Neurophysiology of gait: From the spinal cord to the frontal lobe. Mov Disord Off J Mov Disord Soc 2013; 28: 1483-1491
    CrossrefPubMedGoogle Scholar
  • 57 Van den Bos F, Speelman AD, Samson M. et al. Parkinson’s disease and osteoporosis. Age Ageing 2013; 42: 156-162
    CrossrefPubMedGoogle Scholar
  • 58 Van der Marck MA, Klok MPC, Okun MS. et al. Consensus-based clinical practice recommendations for the examination and management of falls in patients with Parkinson’s disease. Parkinsonism Relat Disord 2014; 20: 360-369
    CrossrefPubMedGoogle Scholar
  • 59 Vervoort G, Bengevoord A, Strouwen C. et al. Progression of postural control and gait deficits in Parkinson’s disease and freezing of gait: A longitudinal study. Parkinsonism Relat Disord 2016; 28: 73-79
    CrossrefPubMedGoogle Scholar
  • 60 Ziemssen T, Reichmann H. Non-motor dysfunction in Parkinson’s disease. Parkinsonism Relat Disord 2007; 13: 323-332
    CrossrefPubMedGoogle Scholar
  • 61 S3 LL DGN IPS, 2016 [Internet]. Im Internet: www.awmf.org/uploads/tx_szleitlinien/030–010k_S3_Parkinson_Syndrome_Idiopathisch_2016–06.pdf Stand: 20.09.2016
    Google Scholar