Indicator 9: Frequent Falls
Frequent falls are a common and troublesome feature of DLB. They are not just a result of the Parkinsonian symptoms, such as rigidity or imbalance, but can also occur due to fluctuations in attention, visual-spatial problems, and autonomic dysfunction leading to dizziness or fainting.
The falls in DLB can have serious consequences, including fractures, head injuries, and increased dependency. They can also lead to a fear of falling, causing the individual to limit their physical activities, leading to reduced mobility, loss of fitness, and social isolation.
Addressing the issue of falls involves a multifaceted approach. It includes managing the motor and autonomic symptoms, regular review of the person’s medications, physical therapies to improve strength and balance, and making environmental modifications to ensure safety.
The issue of falls in DLB underscores the importance of a comprehensive, multidisciplinary approach to care. Physical therapists, occupational therapists, and nursing staff all play a crucial role alongside neurologists and primary care doctors in managing DLB effectively. (9)
