期刊
JOURNAL OF REHABILITATION MEDICINE
卷 45, 期 5, 页码 452-457出版社
FOUNDATION REHABILITATION INFORMATION
DOI: 10.2340/16501977-1129
关键词
multiple sclerosis; accidental falls; risk factors; walking; balance, sense of coherence
资金
- Centre for Health Care Sciences (CfV)
- Health Care Sciences Postgraduate School
- Strategic Research Program in Care Sciences (SFO-V)
- Swedish Association of Persons with Neurological Disabilities (NHR)
- Swedish Research Council [K2002-27VX-14316-01A]
- Vardal Foundation [1998/52, 2001/0036]
Objective: To identify factors associated with increased likelihood of reporting a recent fall among people with multiple sclerosis. This study was exploratory in its intent to examine sense of coherence as a contextual influence on fall risk. The study also sought to confirm that variables previously identified as fall risk factors for people with multiple sclerosis persist when tested in a population-based sample. Design: The study was cross-sectional and data was obtained in the context of a population-based study of people with multiple sclerosis living in Stockholm. Subjects: A total of 164 people with multiple sclerosis, age range 19-79 years. Methods: Data were gathered through established instruments. Key instruments utilized included the sense of coherence scale, the Lindmark Motor Capacity Assessment's sub-scale for balance, and the 10-metre walking test. A logistic regression model examined factors associated with reporting a fall in the past 3 months. Results: Of the participants, 62 (38%) reported experiencing at least one fall in the past 3 months. Reduced walking speed, impaired balance, and weak sense of coherence were associated with falls in the past 3 months. Conclusion: These findings underscore the importance of examining diverse and modifiable influences on fall risk, including walking speed, balance and sense of coherence, in future studies involving people with multiple sclerosis.
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