全国更新关于跌倒的发生率,伤害性跌倒,对跌倒的担忧,以及多发性硬化症患者的跌倒预防
Libak Abou1, Chloe McCloskey, Cory Wernimont
1From the Department of Physical Medicine & Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, Michigan (LA, CW, ALK); Department of Physical Medicine and Rehabilitation, Kaiser Permanente Health System, Redwood City, California (CM); and Departments of Health Care Sciences & Neurology, Wayne State University, Detroit, Michigan (NEF).
American journal of physical medicine & rehabilitation
|March 11, 2024
概括
超过一半的患有多发性硬化症 (MS) 的人会跌倒,许多人会受伤. 担心跌倒会对日常生活产生重大影响,但正式的预防跌倒教育对这一群体来说很少.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 康复科学 康复科学 康复科学
背景情况:
- 跌倒对于患有多发性硬化症 (MS) 的人来说是一个重大而持久的挑战.
- 以前的研究强调了跌倒对独立性和日常活动的影响.
- 了解目前的跌倒和MS相关因素的患病率对于有针对性的干预措施至关重要.
研究的目的:
- 确定国家范围内的跌倒,伤害性跌倒,以及成年人中患有多发性硬化症的跌倒问题.
- 评估该人群中防摔信息的可用性和接收情况.
主要方法:
- 进行了一项跨部门,全国性的基于网络的调查.
- 在过去的六个月中,有965名患有多发性硬化症的成年人自我报告了跌倒,受伤的跌倒,担心跌倒,并获得了预防跌倒的信息.
主要成果:
- 据估计,全国跌倒的发病率在53%至59%之间,其中56%的人报告在过去六个月内跌倒.
- 大约30%的跌倒造成伤害,87%的受访者表示担心跌倒,导致68%的人减少活动.
- 虽然64%的受访者获得了有关摔倒的信息,但只有9%的受访者参加了正式的预防摔倒课程.
结论:
- 对于患有多发性硬化症的人来说,跌倒仍然非常普遍和有问题的,大约三分之一的跌倒导致伤害.
- 对于患有多发性硬化症的人来说,担心跌倒会对日常活动和独立性产生负面影响.
- 在MS人口的正式防摔教育和培训中存在很大的差距.
相关概念视频
Bone Disorders
8.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
8.0K
Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K
Pharmaceutical Poisoning: Potential Scenarios
116
Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
116
Herniated Intervertebral Disc l: Introduction
40
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
40
Degenerative Disc Disease I: Introduction
29
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
29
Degenerative Disc Disease ll: Pathophysiology
30
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
30


