Fear of Falling in People With Multiple Sclerosis: Which Clinical Characteristics Are Important?

Abstract

Fear of falling in patients with MS is multifactorial and includes motor and nonmotor factors. Thus, therapies that aim to reduce risk of falling in this population should address motor functions, cognitive abilities, and sleep quality.

State of the Art and Future Challenges in Multiple Sclerosis Research and Medical Management: An Insight into the 5th International Porto Congress of Multiple Sclerosis

“…In terms of neurological outcomes, cognitive impairment is known to be related with the risk of conversion to MS after CIS [57], while cognitive deficits assessed immediately after diagnosis can predict the degree of disability and disease progression several years later [58,59]. Regarding morbidity risks, cognition is known to be related with medication adherence [60], decision-making ability and speed [61,62], symptom management [63], fear of falling and actual falls [64][65][66][67][68][69][70][71] and driving safety [72][73][74][75]. Finally, with respect to psychosocial risks, cognition has been reported as being linked to employment and working status [76], psychiatric disturbances and associated co-morbidities [77,78], financial abilities [79,80], participation in domestic, leisure and outdoor activities [81][82][83][84][85], social cognition and emotional awareness [86,87] and caregivers' QOL [88,89].…”

Nursing interventions in autologous stem cell transplantation for autoimmune diseases

“…In addition, data were registered as standard practice in our centre and collected retrospectively from patient records. Data registration forms were therefore not designed specifically for this study and some information were missing, such as urinary bladder retention and injuries from falls in MS patients, episodes of hypoglycaemia in type 1 DM, all of which are described as disease‐associated events (Khalil et al., 2017; Pettus et al., 2019; Stoffel, 2017). Future studies on this subject should be conducted prospectively and other autoimmune diseases should be included.…”

Medo de cair e risco de quedas em idosos assistidos por uma clínica escola de reabilitação

“…A percepção de um bom equilíbrio (maiores pontuações na BERG) pela pessoa idosa esteve associada a menor preocupação com a possibilidade de queda (associação moderada e negativa entre a pontuação da Escala de Equilíbrio de BERG e o FES-I). As pontuações de FES-I e da BERG são consideradas fatores preditivos independentes para ocorrência de quedas 19 . A associação entre FES-I e BERG foi, anteriormente, relatada por outros estudos que encontraram que pessoas com baixa capacidade de equilíbrio, ou seja, baixa pontuação no BERG, apresentam maior medo de cair 20 e coeficiente de correlação de Spearman de -0,740 21 .…”