Reducing falls and improving mobility in multiple sclerosis

Sosnoff, Jacob J.; Sung, JongHun

doi:10.1586/14737175.2015.1046377

Cited by 30 publications

(27 citation statements)

References 52 publications

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“…Two systematic reviews of interventions to reduce falls exist. 72,73 Sosnoff and Sung (2015) identified 10 studies, four were randomised controlled trials with a total of 524 participants. The increased focus on this topic resulted in 13 RCT's being included in the recently published Cochrane review.…”

Section: Treatmentmentioning

confidence: 99%

Falls in People with Multiple Sclerosis

Coote¹,

Comber²,

Quinn³

et al. 2020

International Journal of MS Care

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Falls are highly prevalent for people with Multiple Sclerosis (MS) and result in a range of negative consequences such as injury, activity curtailment, reduced quality of life, increased need for care and time off work. This narrative review aims to summarise key literature and to discuss future work needed in the area of falls prevention for people with MS. The incidence of falls is estimated to be over 50%; similar to the rate of falls in adults over 80 years. The consequences of falls are considerable as rate of injury is high, and fear of falling and low self-efficacy are significant problems that lead to activity curtailment. A wide range of physiological, personal and environmental factors have been highlighted as potential risk factors and predictors of falls. Falls are individual and multifactorial, and hence approaches to interventions will likely need to adopt a multi-factorial approach. However, the literature to date has largely focused on exercise-based interventions, with newer more comprehensive interventions using both education and exercise showing promising results. Several gaps remain in the topic of falls in MS and in particular the lack of standardisation of definitions and outcome measures to enable data pooling and comparison. In future, the involvement of people with MS in the design and evaluation of programmes is essential, as are approaches to intervention development that consider implementation from the outset.

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Section: Treatmentmentioning

confidence: 99%

Falls in People with Multiple Sclerosis

Coote¹,

Comber²,

Quinn³

et al. 2020

International Journal of MS Care

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“…Much like the clinical presentation of the disease itself, risk factors for falls in pwMS are diverse [7]. The potential physical [8], psychological [9] and social [10] impact associated with falls in pwMS have led to falls prevention becoming a rapidly developing research area in rehabilitation for pwMS [11].…”

Section: Introductionmentioning

confidence: 99%

Postural control deficits in people with Multiple Sclerosis: A systematic review and meta-analysis

et al. 2018

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“…The adverse physical and psychosocial impact of falls in PwMS has led to a growing amount of research examining predictors (eg, poor balance, gait impairment, cognitive impairment, and so on [ 4 , 6 , 13 – 15 ] ), consequences (eg, injury, fear of falling, and so on [ 7 , 8 , 11 , 16 ] ), and prevention strategies. [ 17 ] Overall, this work has highlighted that some fall risk factors are modifiable and there is great potential to prevent falls among people with MS using targeted rehabilitation interventions. [ 18 – 21 ]…”

Section: Introductionmentioning

confidence: 99%