Neuropsychological, Balance, and Mobility Risk Factors for Falls in People With Multiple Sclerosis: A Prospective Cohort Study

Hoang, Phu; Cameron, Michelle; Gandevia, Simon C.; Lord, Stephen R.

doi:10.1016/j.apmr.2013.09.017

Cited by 117 publications

(103 citation statements)

References 32 publications

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“…Between-limb synchronization during quiet standing, variability during walking, and reactive stepping measures have been related to falls in individuals with stroke [6,12]. Measures such as COP excursion during eyes-open quiet standing, walking velocity, and double support time are related to falls in older adults [13][14][15], as is postural sway during eyes-closed quiet standing in individuals with multiple sclerosis [16]. Given the relationships between falls risk and balance confidence [4] and between falls risk and features of balance and gait, it is warranted to explore balance confidence and these balance and gait features to better understand the strength of these relationships.…”

Section: Introductionmentioning

confidence: 99%

Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke

Schinkel-Ivy

Wong

Mansfield

2017

Journal of Stroke and Cerebrovascular Diseases

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Reduced balance confidence is associated with impairments in features of balance and gait in individuals with sub-acute stroke. However, an understanding of these relationships in individuals at the chronic stage of stroke recovery is lacking. This study aimed to quantify relationships between balance confidence and specific features of balance and gait in individuals with chronic stroke. Participants completed a balance confidence questionnaire and clinical balance assessment (quiet standing, walking, and reactive stepping) at 6 months post-discharge from inpatient stroke rehabilitation. Regression analyses were performed using balance confidence as a predictor variable and quiet standing, walking, and reactive stepping outcome measures as the dependent variables. Walking velocity was positively correlated with balance confidence, while medio-lateral centre of pressure excursion (quiet standing) and double support time, step width variability, and step time variability (walking) were negatively correlated with balance confidence. This study provides insight into the relationships between balance confidence and balance and gait measures in individuals with chronic stroke, suggesting that individuals with low balance confidence exhibited impaired control of quiet standing as well as walking characteristics associated with cautious gait strategies. Future work should identify the direction of these relationships to inform community-based stroke rehabilitation programs for individuals with chronic stroke, and determine the potential utility of incorporating interventions to improve balance confidence into these programs.

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Section: Introductionmentioning

confidence: 99%

Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke

Schinkel-Ivy

Wong

Mansfield

2017

Journal of Stroke and Cerebrovascular Diseases

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“…4 Falls represent a major mobility-related health issue for people with MS, as demonstrated by an epidemiologic study showing that approximately 60% of people with MS fall one or more times over 3 months. 5 Recent studies have identified a range of neuropsychological, physical, health, and lifestyle risk factors for falls in people with MS. 6,7 Although fatigue and physical activity levels have been extensively investigated in people with MS, few studies have examined relationships between fatigue and falls in this group. Some studies have documented that people with MS are likely to attribute their falls to fatigue.…”

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confidence: 99%

Fatigue, Physical Activity, Quality of Life, and Fall Risk in People with Multiple Sclerosis

Vister¹,

Tijsma²,

Hoang³

et al. 2017

International Journal of MS Care

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“…[1][2][3][4][5] More than 50% of people with MS fall in a 3-to 6-month period, and approximately 30% to 50% fall multiple times. [4][5][6] Falls in people with MS are associated with injuries 3,7,8 and adversely affect quality of life. 9 Fall risk in MS is generally attributed to impairments in the wide range of functions affected by the disease, including balance, cognition, vision, muscle strength and tone, coordination, and sensation.…”

mentioning

confidence: 99%

Medications Are Associated with Falls in People with Multiple Sclerosis

Cameron¹,

Karstens²,

Hoang³

et al. 2015

International Journal of MS Care

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Neuropsychological, Balance, and Mobility Risk Factors for Falls in People With Multiple Sclerosis: A Prospective Cohort Study

Cited by 117 publications

References 32 publications

Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke

Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke

Fatigue, Physical Activity, Quality of Life, and Fall Risk in People with Multiple Sclerosis

Medications Are Associated with Falls in People with Multiple Sclerosis

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