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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis

Published on: July 19, 2019

Falls in multiple sclerosis.

Patricia N Matsuda¹, Anne Shumway-Cook, Alyssa M Bamer

¹Department of Rehabilitation Medicine, Division of Physical Therapy, University of Washington, 1959 NE Pacific St, Box 356490, Seattle, WA 98195, USA. pmatsuda@uw.edu

PM & R : the Journal of Injury, Function, and Rehabilitation

|July 23, 2011

Summary

This summary is machine-generated.

Over half of people with multiple sclerosis (MS) experience falls, often due to walking issues and weakness. Less than 50% of those who fall receive fall prevention advice from healthcare providers (HCPs).

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Area of Science:

Neurology
Epidemiology
Rehabilitation Science

Background:

Falls are a significant concern for individuals with multiple sclerosis (MS), impacting their quality of life and independence.
Understanding the incidence, contributing factors, and healthcare provider (HCP) engagement regarding falls in MS is crucial for developing effective interventions.

Purpose of the Study:

To determine the incidence of falls in community-dwelling persons with MS.
To identify factors associated with falls in this population.
To examine the response of healthcare providers to falls experienced by individuals with MS.

Main Methods:

A cross-sectional, retrospective study design was employed.
A mailed survey questionnaire was administered to 474 community-dwelling persons with MS.
Univariate and multiple ordinal regression analyses were used to identify variables associated with falls.

Main Results:

58.2% of participants reported at least one fall in the preceding six months, with 58.5% of these falls being medically injurious.
Key factors associated with falls included use of walking aids (OR 2.62), low income (OR 1.85), balance problems (OR 1.28), and leg weakness (OR 1.26).
Only 51% of individuals who fell reported discussing it with an HCP, who recommended strategies like safety measures, assistive devices, exercise, and home modifications.

Conclusions:

The factors contributing to falls in MS are comparable to those observed in other neurological conditions.
A significant gap exists in HCP-provided fall prevention information, with fewer than 50% of individuals with MS receiving such guidance despite a high fall incidence.