Fall Prevention for People With Multiple Sclerosis Who Use Wheelchairs and Scooters

Rice, Laura A.; Yarnot, Rebecca; Peterson, Elizabeth; Backus, Deborah; Sosnoff, Jacob J.

doi:10.1016/j.apmr.2020.10.107

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…The Tinetti test, clinical tests (e.g., standing on one foot, standing with eyes closed, standing with legs open and closed), and walking time test have shown that patients with MS have serious trouble with balance. Balance depends on visual, proprioceptive, and vestibular senses, as well as appropriate motor responses, which are impaired in patients with MS and diminish their balance (15,16).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Multiple Sclerosis Severity and Fear of Falling Through the Mediating Role of Disability: A Correlational Study

Kohestani

Sadati

Abolghasemi

2022

Jundishapur J Chronic Dis Care

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Background: Problems with balance and controlling the body’s position are the most common challenges experienced by patients with multiple sclerosis (MS) who experience a high rate of falls. Objectives: The present study aimed to investigate the relationship between the severity and fear of falling (FOF) mediated by disability in patients with MS. Methods: This was a correlational study based on structural equation modeling (SEM). The statistical population consisted of all patients with MS who visited the neurology centers of hospitals in Sari, Iran, of whom 200 cases were selected as the sample using convenience sampling. The research instruments included the Falls Efficacy Scale-International (FES-I), MS Severity Scale, and the Expanded Disability Status Scale (EDSS). The data were analyzed using SEM by SPSS AMOS 25. Results: The participants included 200 patients with MS aged 33.67 ± 6.42 years. In addition, 41.5% were male, and 58.5% of female. The results of SEM indicated that the proposed model had a good fit. There was a direct and positive relationship between the severity of MS and FOF (β = 0.69; P = 0.002). Moreover, there was a direct relationship between disability and FOF (β = 0.71; P = 0.011), and between the severity of MS and disability (β = 0.63; P = 0.001) in patients with MS. The findings confirmed the relationship between the severity of MS and FOF mediated by disability in patients with MS (P < 0.001). Conclusions: Based on the results, FOF was markedly higher in patients with severer MS. Due to the consequences of FOF, counseling training programs should be offered to patients with MS who visit medical centers to improve their health and level of activity and mitigate their FOF.

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Section: Introductionmentioning

confidence: 99%

The Relationship Between Multiple Sclerosis Severity and Fear of Falling Through the Mediating Role of Disability: A Correlational Study

Kohestani

Sadati

Abolghasemi

2022

Jundishapur J Chronic Dis Care

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How does classification score affect falls in wheelchair basketball? A video-based cross-sectional study on the Italian national team during the European Para Championships 2023

Farì,

Quarta,

Longo

et al. 2024

Physical Therapy in Sport

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Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review

Parab,

Arora,

Kang

et al. 2024

J Appl Gerontol

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In-home falls and fear of falling (FOF) are significant concerns among older adults and people with disabilities (PwD), impacting independence in daily lives. The indoor home environment (IHE) plays an important role in influencing FOF, as it is influenced by barriers and facilitators within the home. This systematic review provides an evidence-based list of IHE factors and investigates their association with FOF, especially in older adults, PwD, and wheelchair users. Examining 24 studies, we found associations between IHE factors and FOF, suggesting the importance of home modifications to live in a supportive environment to reduce FOF. Most studies were experimental and intervened for either single or multiple IHE factors, indicating reasonably strong evidence. Our findings highlight the importance of considering psychological factors when evaluating home environments to reduce FOF. The list of barriers and facilitators we provide can help healthcare professionals conduct evidence-based home assessments.

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Fall Prevention for People With Multiple Sclerosis Who Use Wheelchairs and Scooters

Cited by 3 publications

References 11 publications

The Relationship Between Multiple Sclerosis Severity and Fear of Falling Through the Mediating Role of Disability: A Correlational Study

The Relationship Between Multiple Sclerosis Severity and Fear of Falling Through the Mediating Role of Disability: A Correlational Study

How does classification score affect falls in wheelchair basketball? A video-based cross-sectional study on the Italian national team during the European Para Championships 2023

Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review

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