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Update on Impact and Treatment of Falls in Parkinson’s Disease - page 5 / 27

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Physiology of falls

Walking = “Controlled falling”

Balance requires integration of multiple inputs and outputs

Sensory perception

Vestibular, Visual, Proprioceptive

Higher Processing

Basal ganglia, premotor cortex, SMA, PPN, cerebellum

Signals to muscles

Multiple muscles – appendicular                                          and axial

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