Abstract

FALLS AND INJURIES IN PATIENTS WITH MOVEMENT DISORDERS: EXPLORING THE MENTAL HEALTH

Accidental falls in patients with Movement Disorders (MDs) present complex challenges that extend beyond the realms of traumatology and neurology. This commentary explores the findings of a recent systematic review by Homann, which found that falls and injuries in patients with diverse hyperkinetic MDs are both prevalent and serious. While the primary focus of the review is on the neurological aspects of falls, it also highlights significant connections between MDs and mental health. Predisposing factors such as cognitive decline, emotional and behavioral alterations, and psychiatric comorbidities heavily contribute to falls in this population. The consequences of falls extend beyond physical injuries, encompassing psychosocial implications such as fear of falling, reduced self-confidence, and isolation. Psychiatrists and other mental health professionals play a crucial role in the comprehensive care of these patients, addressing both the neurological and mental health aspects. This commentary emphasizes the importance of a multidisciplinary approach in acute treatment, especially in medication optimization, as well as psychoeducation and psychological support in mitigating fall-related complications. By integrating these findings into clinical practice, mental health professionals can contribute to enhanced outcomes for patients with MDs, recognizing and addressing their mental health needs in the aftermath of a potentially life-threatening, traumatizing, and often life-changing experience

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