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Falls among adults aging with disability.

Patricia Noritake Matsuda1, Aimee M Verrall1, Marcia L Finlayson2

  • 1Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA.

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|December 3, 2014
PubMed
Summary
This summary is machine-generated.

Individuals with multiple sclerosis, muscular dystrophy, postpolio syndrome, and spinal cord injury face unique fall risks. Factors like mobility, balance, and age significantly influence fall prevalence in these populations.

Keywords:
Accidental fallsMobility limitationMultiple sclerosisMuscular dystrophyPostpoliomyelitis syndromeRehabilitationSpinal cord injuries

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Gerontology

Background:

  • Aging with long-term physical disabilities presents unique challenges.
  • Falls are a significant concern for individuals with neurological and mobility impairments.

Purpose of the Study:

  • To determine the prevalence of falls among individuals with multiple sclerosis (MS), muscular dystrophy (MD), postpolio syndrome (PPS), and spinal cord injury (SCI).
  • To identify risk factors associated with falling in these specific populations.

Main Methods:

  • A cross-sectional survey was conducted with 1862 community-dwelling adults diagnosed with MS, MD, PPS, or SCI in the United States.
  • Forward logistic regression models analyzed data from 2009-2010 to identify fall risk factors.
  • Key factors examined included age, sex, mobility, diagnosis duration, vision, balance, weakness, comorbidities, and physical activity.

Main Results:

  • Fall prevalence varied across conditions: MS (54%), MD (70%), PPS (55%), and SCI (40%).
  • Fall rates were highest in middle-aged adults (45-64 years) and those with moderate mobility limitations.
  • Significant risk factors for falls included mobility level, imbalance, age (including curvilinear effects), number of comorbidities, diagnosis duration, and sex, with variations across diagnostic groups.

Conclusions:

  • People aging with long-term physical disabilities experience distinct challenges contributing to fall risk.
  • Understanding the nuances of fall frequency and risk factors is crucial for developing tailored prevention and management strategies.
  • Customized interventions are needed to effectively address falls in diverse disability populations.