Cognitive processing speed is related to fall frequency in older adults with multiple sclerosis

To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency. Retrospective, cross-sectional design. University research laboratory. Community-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 group...

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Vydané v:Archives of physical medicine and rehabilitation Ročník 94; číslo 8; s. 1567
Hlavní autori: Sosnoff, Jacob J, Balantrapu, Swathi, Pilutti, Lara A, Sandroff, Brian M, Morrison, Steven, Motl, Robert W
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.08.2013
Predmet:
Accidental Falls - statistics & numerical data
Age Factors
Aged
Aged, 80 and over
Cognition Disorders - complications
Cognition Disorders - physiopathology
Cognition Disorders - psychology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Multiple Sclerosis - complications
Multiple Sclerosis - physiopathology
Multiple Sclerosis - psychology
Postural Balance - physiology
Recurrence
Retrospective Studies
Risk Factors
PPA
MS
multiple sclerosis
Paced Auditory Serial Addition Test
Posture
Falls
Locomotion
BBS
PASAT
Berg Balance Scale
Rehabilitation
Symbol Digit Modalities Test
Balance
SDMT
Physiological Profile Assessment
ISSN:1532-821X, 1532-821X
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Abstract To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency. Retrospective, cross-sectional design. University research laboratory. Community-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 groups-single-time (n=11) and recurrent (n=16; >2 falls/12 mo) fallers-on the basis of fall history. Not applicable. Mobility was assessed using a variety of measures including Multiple Sclerosis Walking Scale-12, walking speed (Timed 25-Foot Walk test), endurance (6-Minute Walk test), and functional mobility (Timed Up and Go test). Balance was assessed with the Berg Balance Scale, posturography, and self-reported balance confidence. Fall risk was assessed with the Physiological Profile Assessment. Cognitive processing speed was quantified with the Symbol Digit Modalities Test and the Paced Auditory Serial Addition Test. Recurrent fallers had slower cognitive processing speed than single-time fallers (P ≤.01). There was no difference in mobility, balance, or fall risk between recurrent and single-time fallers (P>.05). Results indicated that cognitive processing speed is associated with fall frequency and may have implications for fall prevention strategies targeting recurrent fallers with MS.
AbstractList To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency. Retrospective, cross-sectional design. University research laboratory. Community-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 groups-single-time (n=11) and recurrent (n=16; >2 falls/12 mo) fallers-on the basis of fall history. Not applicable. Mobility was assessed using a variety of measures including Multiple Sclerosis Walking Scale-12, walking speed (Timed 25-Foot Walk test), endurance (6-Minute Walk test), and functional mobility (Timed Up and Go test). Balance was assessed with the Berg Balance Scale, posturography, and self-reported balance confidence. Fall risk was assessed with the Physiological Profile Assessment. Cognitive processing speed was quantified with the Symbol Digit Modalities Test and the Paced Auditory Serial Addition Test. Recurrent fallers had slower cognitive processing speed than single-time fallers (P ≤.01). There was no difference in mobility, balance, or fall risk between recurrent and single-time fallers (P>.05). Results indicated that cognitive processing speed is associated with fall frequency and may have implications for fall prevention strategies targeting recurrent fallers with MS.
To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency.OBJECTIVETo examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency.Retrospective, cross-sectional design.DESIGNRetrospective, cross-sectional design.University research laboratory.SETTINGUniversity research laboratory.Community-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 groups-single-time (n=11) and recurrent (n=16; >2 falls/12 mo) fallers-on the basis of fall history.PARTICIPANTSCommunity-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 groups-single-time (n=11) and recurrent (n=16; >2 falls/12 mo) fallers-on the basis of fall history.Not applicable.INTERVENTIONNot applicable.Mobility was assessed using a variety of measures including Multiple Sclerosis Walking Scale-12, walking speed (Timed 25-Foot Walk test), endurance (6-Minute Walk test), and functional mobility (Timed Up and Go test). Balance was assessed with the Berg Balance Scale, posturography, and self-reported balance confidence. Fall risk was assessed with the Physiological Profile Assessment. Cognitive processing speed was quantified with the Symbol Digit Modalities Test and the Paced Auditory Serial Addition Test.MAIN OUTCOME MEASURESMobility was assessed using a variety of measures including Multiple Sclerosis Walking Scale-12, walking speed (Timed 25-Foot Walk test), endurance (6-Minute Walk test), and functional mobility (Timed Up and Go test). Balance was assessed with the Berg Balance Scale, posturography, and self-reported balance confidence. Fall risk was assessed with the Physiological Profile Assessment. Cognitive processing speed was quantified with the Symbol Digit Modalities Test and the Paced Auditory Serial Addition Test.Recurrent fallers had slower cognitive processing speed than single-time fallers (P ≤.01). There was no difference in mobility, balance, or fall risk between recurrent and single-time fallers (P>.05).RESULTSRecurrent fallers had slower cognitive processing speed than single-time fallers (P ≤.01). There was no difference in mobility, balance, or fall risk between recurrent and single-time fallers (P>.05).Results indicated that cognitive processing speed is associated with fall frequency and may have implications for fall prevention strategies targeting recurrent fallers with MS.CONCLUSIONSResults indicated that cognitive processing speed is associated with fall frequency and may have implications for fall prevention strategies targeting recurrent fallers with MS.
Author Sandroff, Brian M
Pilutti, Lara A
Morrison, Steven
Sosnoff, Jacob J
Motl, Robert W
Balantrapu, Swathi
Author_xml – sequence: 1
  givenname: Jacob J
  surname: Sosnoff
  fullname: Sosnoff, Jacob J
  email: jsosnoff@illinois.edu
  organization: Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, USA. jsosnoff@illinois.edu
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  givenname: Swathi
  surname: Balantrapu
  fullname: Balantrapu, Swathi
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  givenname: Brian M
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  givenname: Steven
  surname: Morrison
  fullname: Morrison, Steven
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  givenname: Robert W
  surname: Motl
  fullname: Motl, Robert W
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23422407$$D View this record in MEDLINE/PubMed
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Copyright Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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Keywords PPA
MS
multiple sclerosis
Paced Auditory Serial Addition Test
Posture
Falls
Locomotion
BBS
PASAT
Berg Balance Scale
Rehabilitation
Symbol Digit Modalities Test
Balance
SDMT
Physiological Profile Assessment
Language English
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Snippet To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency. Retrospective,...
To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency.OBJECTIVETo examine...
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SubjectTerms Accidental Falls - statistics & numerical data
Age Factors
Aged
Aged, 80 and over
Cognition Disorders - complications
Cognition Disorders - physiopathology
Cognition Disorders - psychology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Multiple Sclerosis - complications
Multiple Sclerosis - physiopathology
Multiple Sclerosis - psychology
Postural Balance - physiology
Recurrence
Retrospective Studies
Risk Factors
Title Cognitive processing speed is related to fall frequency in older adults with multiple sclerosis
URI https://www.ncbi.nlm.nih.gov/pubmed/23422407
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