A walking aid selection, training, and education program (ADSTEP) to prevent falls in multiple sclerosis: A...

Area of Science:

• Rehabilitation science
• Neurology
• Assistive technology

Background:

• Frequent falls are a significant concern for individuals with multiple sclerosis (MS).
• Improper selection, fit, and use of walking aids contribute to falls in MS patients who rely on them.

Purpose of the Study:

• To evaluate the effectiveness of the Assistive Device Selection, Training, and Education Program (ADSTEP) in preventing falls among people with MS.
• To determine if ADSTEP improves other outcomes, such as physical activity and walking aid fit, in individuals with MS who use walking aids but still experience falls.

Main Methods:

• A randomized controlled trial involving 78 participants with MS who use walking aids and have a history of falls.
• Participants were assigned to either the ADSTEP intervention group or a control group.
• Falls were recorded daily for 6 months post-intervention, with other outcomes assessed at baseline, intervention completion, and 6-month follow-up.

Main Results:

• The ADSTEP group demonstrated a significant reduction in fall rates compared to the control group, both at intervention completion and at 6 months post-intervention.
• Participants in the ADSTEP group showed significant improvements in physical activity levels, including increased weekly walking time and decreased daily sitting time.
• The ADSTEP intervention led to a significant improvement in walking aid fit among participants compared to the control group.

Conclusions:

• The Assistive Device Selection, Training, and Education Program (ADSTEP) is likely effective in reducing falls in individuals with multiple sclerosis who use walking aids.
• ADSTEP also appears to enhance physical activity and improve the fit of walking aids for this population.
• These findings suggest ADSTEP is a valuable intervention for managing fall risk and improving functional outcomes in people with MS.