Why Do Elderly People With Parkinson's Disease Fall More Easily? How To Prevent It?
Feb 28, 2022
For more information:ali.ma@wecistanche.com
As a common senile neurodegenerative disease, Parkinson's disease is caused by the progressive loss and death of dopaminergic neurons. Most patients with Parkinson's disease have decreased motor autonomy and coordination, and are prone to accidents such as falls, falls, bruises falls from bed, etc. Foreign studies have found that about 70% of PD patients fall at least once a year, and nearly 50% of patients fall every year. With more than 2 falls, the incidence of falls continued to increase over the long-term follow-up. One of our studies found that the incidence of falls in PD patients was close to 20%. All of these seriously affect the patient's ability to exercise and live, and greatly reduce the quality of life of Parkinson's patients. Although the disease itself does not pose a threat to life, pneumonia and fractures caused by falls are often the direct cause of death. protection is very important!
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Why do people with Parkinson's disease fall more easily?
Falls in patients with Parkinson's disease are not only related to the cognitive dysfunction, motor dysfunction, and living environment of the patients; they are also related to the patients themselves and their family members' weak awareness of prevention, lack of attention, and lack of necessary tools such as walkers and wheelchairs. Incomplete inspections, rehabilitation training, safety assessment of activities, and escort systems are also some of the main causes of falls. The common factors for falls in patients with Parkinson's disease are: incorrect standing and walking posture, especially those who have accidents when turning around; lack of independent movement ability, lack of people around to take care of them or people who move without authorization; visual space structure obstacles, environmental layout obstacles, "On-off" phenomena, decreased concentration, freezing episodes, delayed medication administration, and inappropriate clothing and shoes, inappropriate bed heights, slippery floors in toilets, and excessively high stair steps. Therefore, it is very important to guard against these factors!
How to prevent falls in patients with Parkinson's disease?
In daily life, the clothes and trousers of patients with Parkinson’s disease should not be too large. It is recommended to wear suitable cloth shoes; keep the ground flat and dry; indoor lighting is sufficient; common items are placed properly; Remove or lower the threshold steps to facilitate walking; make beds, chairs, and toilets slightly higher, suitable for sitting and standing up; if necessary, install handrails around the walls and furniture for assistance or support at any time; the bathroom is laid with non-slip Pads and wooden armchairs are added to facilitate undressing and changing in case of instability or falls.
Encourage patients who can take care of themselves or who can take care of themselves to take advantage of the existing environmental facilities at home and community to actively exercise, and allow patients to participate in the formulation of daily exercise plans according to work conditions, living habits, and family and community environments: playing Tai Chi, walking, running, doing Gymnastics and other sports can enhance the flexibility and balance of patients.
Before exercising, help the patient to massage the muscles of the lower limbs for 5 minutes, and at the same time encourage self-massage; provide the patient with crutches and encourage the use of crutches; insist on the training of walking and gait; the walking training is twice a day, 10 minutes each time. METHODS: When walking, the patient's eyes looked directly, and the upper and lower limbs kept the coordinated movements. At the same time, the toes were raised as high as possible, the heels first landed on the ground, and the patient walked as far as possible. When the step is stiff, let the patient stop, stand up straight, encourage the patient to raise one leg, then take a big step forward, then change the other leg, raise it again, take a big step forward, repeat the exercise 3 ~5 times. The above training methods can reduce the gravity of the legs, reduce fatigue, loosen shoulder and hand joints, correct small steps and panic gait, and prevent falls!
Patients who need to be escorted can sit up, stand, walk, and do other activities under the support of the escort. Gradually transition from relying on no dependence to self-exercise, stepping on the spot, climbing steps, crossing obstacles, etc., to increase the muscle strength of the upper and lower limbs, and also to improve daily activities and daily life ability.
Medications for Parkinson's disease:
Traditional Chinese medicine, as a traditional medical technique, is also very good in the treatment of Parkinson's patients with frozen gait. After years of clinical verification, Dr. Wang concluded that "Wulong Tremor Decoction" analyzes the lesions and pathology of Parkinson's disease, and analyzes it. Type, classification, and staging evaluation, using "pure traditional Chinese medicine conditioning, improve the symptoms of Parkinson's disease such as tremor and limb stiffness. It can achieve a good inhibitory effect on the treatment of Parkinson's disease! It can minimize the treatment of Parkinson's disease with western medicine. side effects during the process.
