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Falls and physical activity in persons with multiple sclerosis.

J J Sosnoff1, B M Sandroff, J H Pula

  • 1Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 301 Freer Hall, 906 South Goodwin Avenue, Urbana, IL 61801, USA.

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Falls history in individuals with multiple sclerosis (MS) did not significantly impact their daily physical activity levels when accounting for disability. This suggests fall history alone may not be a major factor in reduced mobility for MS patients.

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Area of Science:

  • Neurology
  • Rehabilitation Science
  • Movement Science

Background:

  • Falls are a significant concern for individuals with multiple sclerosis (MS), potentially impacting mobility and quality of life.
  • Understanding the relationship between fall history and objective physical activity measures is crucial for effective intervention strategies in MS management.

Purpose of the Study:

  • To investigate the association between a history of falls and objectively measured physical activity in ambulatory individuals with multiple sclerosis.
  • To determine if fall history influences current physical activity levels, considering disability status.

Main Methods:

  • A community-based sample of 75 ambulatory individuals with MS participated.
  • Participants reported their fall history over the past year.
  • Objective physical activity was measured using accelerometry over 7 consecutive days.
  • Neurological disability was assessed using the Expanded Disability Status Scale (EDSS).

Main Results:

  • Nearly half of the participants (49.3%) reported at least one fall in the past year, with a majority experiencing multiple falls.
  • Individuals with a fall history showed significantly fewer steps per day compared to non-fallers (3510 vs. 4940 steps/day).
  • However, this difference in daily steps was not statistically significant when controlling for Expanded Disability Status Scale scores (4092 vs. 4373 steps/day).

Conclusions:

  • Fall history appears to have a limited independent impact on current physical activity levels in persons with multiple sclerosis.
  • Disability status is a more critical factor than fall history alone in modulating physical activity in this population.
  • Future research should explore multifactorial influences on physical activity in MS, beyond just fall history.