Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study
| Autor: | Claes Hultling, Agneta Ståhle, Åke Seiger, Vivien Jørgensen, Johan K. Stanghelle, Kerstin Wahman, Erika Franzén, Emelie Butler Forslund, Kirsti Skavberg Roaldsen, Arve Opheim |
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| Rok vydání: | 2017 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Population Poison control Physical Therapy Sports Therapy and Rehabilitation Walking Risk Assessment Fear of falling 03 medical and health sciences 0302 clinical medicine Fall-related injury Risk Factors Activities of Daily Living Injury prevention Humans Medicine Longitudinal Studies Mobility Limitation education Spinal cord injury Spinal Cord Injuries Aged education.field_of_study Rehabilitation Incomplete spinal cord injury business.industry Incidence lcsh:RM1-950 Fear Middle Aged medicine.disease lcsh:Therapeutics. Pharmacology Ambulatory Cohort Physical therapy Accidental Falls Female Multivariate logistic regression medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Physiotherapy, Vol 63, Iss 2, Pp 108-113 (2017) |
| ISSN: | 1836-9553 |
| DOI: | 10.1016/j.jphys.2016.11.010 |
| Popis: | Questions: What is the 1-year incidence of falls and injurious falls in a representative cohort of community-dwelling ambulatory individuals with chronic spinal cord injury? What are the predictors of recurrent falls (more than two/year) and injurious falls in this population? Design: One-year longitudinal observational multi-centre study. Participants: A representative sample of 68 (of 73 included) community-dwelling ambulatory individuals with traumatic SCI attending regular follow-up programs at rehabilitation centres. Outcome measures: Primary outcome measures were incidence and predictors of recurrent falls (more than two/year) and injurious falls reported every 2 weeks for 1 year. Results: A total of 48% of participants reported recurrent falls. Of the 272 reported falls, 41% were injurious. Serious injuries were experienced by 4% of participants, all of whom were women. Multivariate logistic regression analysis showed that recurrent falls in the previous year (OR = 111, 95% CI = 8.6 to 1425), fear of falling (OR = 6.1, 95% CI = 1.43 to 26) and longer time taken to walk 10 m (OR = 1.3, 95% CI = 1.0 to 1.7) were predictors of recurrent falls. Fear of falling (OR = 4.3, 95% CI = 1.3 to 14) and recurrent falls in the previous year (OR = 4.2, 95% CI = 1.2 to 14) were predictors of injurious falls. Conclusion: Ambulatory individuals have a high risk of falling and of fall-related injuries. Fall history, fear of falling and walking speed could predict recurrent falls and injurious falls. Further studies with larger samples are needed to validate these findings. [Jørgensen V, Butler Forslund E, Opheim A, Franzén E, Wahman K, Hultling C, Seiger Å, Ståhle A, Stanghelle JK, Roaldsen KS (2017) Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study. Journal of Physiotherapy 63: 108–113] |
| Databáze: | OpenAIRE |
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