Fortschr Neurol Psychiatr 2022; 90(12): 589-599
DOI: 10.1055/a-1801-3310
Fort- und Weiterbildung

Konzepte der Sturzrisikoabschätzung bei neurogeriatrischen Patienten

Fall risk assessment in patients with neurogeriatric disorders
Ken Möhwald
,
Roman Schniepp

Neurogeriatrische Patienten sind sturzgefährdet. Dieser Beitrag beschreibt allgemeine, klinische und mobilitätsbezogene Sturzrisikofaktoren und gibt eine Übersicht zur Identifikation von sturzgefährdeten Patienten sowie praxisbezogene Instruktionen zur Durchführung eines strukturierten, multimodalen Sturzassessments. Die Routinediagnostik wird dadurch um standardisierte klinische Untersuchungen sowie apparative und mobile Bewegungsanalysen erweitert.

Abstract

Neurogeriatric patients are prone to falls. Particularly, patients with central neurological diseases (e. g., Parkinson’s disease, cerebellar disorders) fall more often and more severe compared to patients with peripheral neurological disorders (e. g., peripheral neuropathy, bilateral vestibulopathy). Falls can lead to severe injuries with prolonged hospital treatment with subsequently impaired mobility, reduced quality of life and fear of falling. This article depicts general, clinical and mobility-based fall risk factors in neurogeriatric patients and gives an overview how to identify patients with a high risk of falling. Furthermore, a multimodal fall risk assessment is illustrated, which expands the diagnostic approach utilising clinical, instrument-based and mobile motion analysis.



Publication History

Article published online:
02 December 2022

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