Free From Falls education and exercise program for reducing falls in people with multiple sclerosis: A randomized controlled trial

Cameron, Michelle; Hildebrand, Andrea; Hugos, Cinda L; Judd, Grace I.; McMillan, Garnett P.; Jacobs, Peter G.

doi:10.1177/13524585211046898

Cited by 8 publications

(13 citation statements)

References 28 publications

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“…Evidence to date suggests that fall prevention interventions for people with multiple sclerosis that utilize self-management strategies are promising. Although the three randomized controlled trials did not show any difference between control and intervention groups regarding falls, 37,41,42 the NEUROFALL program improved participants' ability to carry out activities of daily living and decreased participation restrictions, 41 and in the Online Spaced Education program both groups reduced their fall rates. 42 The five pilot and feasibility studies 31,32,34,38,40 also point to the potential value of self-management approaches to fall prevention for people with multiple sclerosis.…”

Section: Discussionmentioning

confidence: 83%

“…The articles were published during the years 2009 to 2022 and originated in the United States of America, n = 8 13 , 31 – 37 ; the United Kingdom, n = 3 38 – 40 ; Italy n = 1 41 ; Brazil, n = 1 42 ; and Germany, n = 1. 43 Original articles included randomized controlled trials, n = 3 37 , 41 , 42 ; pilot/feasibility studies, n = 5 31 , 32 , 34 , 38 , 40 ; observational cohort studies, n = 2 33 , 35 ; qualitative studies, n = 3 13 , 36 , 43 ; and mixed methods study, n = 1. 39 An overview of the extent and nature of all publications including key findings, and self-management tasks and skills are presented in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…33 The Free From Falls program has been evaluated in a randomized controlled trial which did not indicate that in-person group exercise and education were superior to written education and neurologist-initiated interventions. 37 Findings from the pilot randomized controlled trial did not indicate that the Free From Falls Online program was associated with a lower probability of falling. 34 The Balance Right in Multiple Sclerosis is a home balance exercise and fall prevention education program.…”

Section: Extent and Nature Of The Publicationsmentioning

confidence: 91%

“…Of the 14 included publications, 10 original articles represented six different fall prevention interventions: Safe at Home Behavioral Attitude Activity Symptoms, 31 an exercise/education program, 32 Free From Falls and Free From Falls Online, 33,34,37 Balance Right in Multiple Sclerosis, [38][39][40] NEUROFALL, 41 and Online Spaced Education. 42 Safe at Home Behavioral Attitude Activity Symptoms is a fall risk management program.…”

Section: Extent and Nature Of The Publicationsmentioning

confidence: 99%

“…32 Both Free From Falls and Free From Falls Online are balancing exercise and education fall prevention programs delivered either face-to-face (Free From Falls) or online via webinars, and home exercises (Free From Falls Online). The three publications associated with Free From Falls and Free From Falls Online were: a retrospective observational study, 33 a randomized controlled trial, 37 and a pilot randomized controlled trial. 34 Both programs aim to increase knowledge of fall risk factors, and knowledge and skills about fall prevention strategies, and are described as selfmanagement programs.…”

Section: Extent and Nature Of The Publicationsmentioning

confidence: 99%

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Self-management of falls in people with multiple sclerosis: A scoping review

et al. 2022

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Objective Falls are common in people with multiple sclerosis. There is rising interest in how the multifactorial and chronic nature of fall risk among people with multiple sclerosis can be addressed through self-management. Thus, the aims were to investigate the extent and the scope of publications on self-management of falls in people with multiple sclerosis, and to identify how the concept of self-management was defined and used. Data sources A systematic literature search in Medline, Cochrane, Web of Science and PsycInfo was conducted to identify publications until July 2022. Review methods Published methodological guidance was followed. Articles targeting: (1) people with multiple sclerosis, (2) falls, and (3) self-management were selected. Of 1656 records, 203 publications were assessed for eligibility, of which 173 did not meet the inclusion criteria, and 16 publications did not contain empirical data. The type of publication, study focus, and study design was extracted. If applicable, key findings, self-management tasks and skills, and the definition of self-management were extracted. Results Fourteen original articles met all inclusion criteria. Ten articles represented six different fall prevention interventions. Three publications were randomized controlled trials. Self-management content was variable and not comprehensive in nature. None of the 14 publications included a self-management definition. Conclusion The limited number of original articles and the even fewer intervention studies show that the research on self-management of falls in people with multiple sclerosis is in its infancy. To progress in the research area of self-management of falls, a more robust, consensus-based description of self-management frameworks and activities is needed.

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