Mobility, Balance and Falls in Persons with Multiple Sclerosis

There is a lack of information concerning the relation between objective measures of gait and balance and fall history in persons with MS (PwMS). This investigation assessed the relation between demographic, clinical, mobility and balance metrics and falls history in persons with multiple sclerosis...

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Vydáno v:PloS one Ročník 6; číslo 11; s. e28021
Hlavní autoři: Sosnoff, Jacob J., Socie, Michael J., Boes, Morgan K., Sandroff, Brian M., Pula, John H., Suh, Yoojin, Weikert, Madeline, Balantrapu, Swathi, Morrison, Steven, Motl, Robert W.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Public Library of Science 22.11.2011
Public Library of Science (PLoS)
Témata:
Accidental Falls
Adult
Age
Aged
Autoimmune diseases
Balance
Bioengineering
Biology
Bladder
Cerebellum
Clinical trials
Coordination
Demographics
Demography
Diabetes
Engineering
Falls
Fatigue tests
Female
Gait
Gender
Humans
Intestine
Kinesiology
Male
Medical schools
Medicine
Middle Aged
Mobility
Movement - physiology
Multiple sclerosis
Multiple Sclerosis - physiopathology
Older people
Physical fitness
Physical therapy
Physiology
Population
Postural Balance - physiology
Posture
Review boards
Social and Behavioral Sciences
Urinary bladder
Walking
United States > US
Illinois
ISSN:1932-6203, 1932-6203
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Popis
Shrnutí:There is a lack of information concerning the relation between objective measures of gait and balance and fall history in persons with MS (PwMS). This investigation assessed the relation between demographic, clinical, mobility and balance metrics and falls history in persons with multiple sclerosis (MS). 52 ambulatory persons with MS (PwMS) participated in the investigation. All persons provided demographic information including fall history over the last 12 months. Disease status was assessed with Expanded Disability Status Scale (EDSS). Walking speed, coordination, endurance and postural control were quantified with a multidimensional mobility battery. Over 51% of the participants fell in the previous year with 79% of these people being suffering recurrent falls. Overall, fallers were older, had a greater prevalence of assistive devices use, worse disability, decreased walking endurance, and greater postural sway velocity with eyes closed compared to non-fallers. Additionally, fallers had greater impairment in cerebellar, sensory, pyramidal, and bladder/bowel subscales of the EDSS. The current observations suggest that PwMS who are older, more disabled, utilize an assistive device, have decreased walking coordination and endurance and have diminished balance have fallen in the previous year. This suggests that individuals who meet these criteria need to be carefully monitored for future falls. Future research is needed to determine a prospective model of falls specific to PwMS. Additionally, the utility of interventions aimed at reducing falls and fall risk in PwMS needs to be established.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Conceived and designed the experiments: JS JP SM RM. Performed the experiments: JS MS MB BS JP YS MW SB RM. Analyzed the data: JS MS MB BS JP YS MW SB RM. Contributed reagents/materials/analysis tools: JS JP SM RM. Wrote the paper: JS SM RM.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0028021