Neurorehabil Neural Repair. 2025 May 6:15459683251335316. doi: 10.1177/15459683251335316. Online ahead of print.
ABSTRACT
BACKGROUND: Falls are a common challenge for people with Parkinson’s disease (PwPD), driven by balance impairments and misaligned perceptions of balance abilities.
OBJECTIVE: This study investigated the replicability and generalizability of the relationship between balance ability and perception discordance and fall risk.
METHODS: Using baseline data from 2 clinical trials involving 171 PwPD, discordance was calculated using the Activities Specific Balance Confidence Scale and Timed Up and Go (TUG) or the Mini Balance Evaluation System’s Test (MiniBEST).
RESULTS: Findings supported the replicability of discordance as a predictor of fall risk, with results consistent across measures. While TUG-derived discordance was statistically significant, MiniBEST-derived discordance showed generalizability without statistical inferiority.
CONCLUSION: These results emphasize the relevance of balance perception and its misalignment with ability as fall risk predictors.
PMID:40326378 | DOI:10.1177/15459683251335316
