Interventions for preventing falls in people with multiple sclerosis

Hayes, Sara; Kennedy, Catriona; Galvin, Rose; Finlayson, Marcia; McGuigan, Christopher; Walsh, Cathal; Coote, Susan

doi:10.1002/14651858.cd012475

Cited by 21 publications

(11 citation statements)

References 36 publications

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“…[23] Educational interventions to prevent falls contribute to increase the perception of personal and environmental risk factors that can be modified, in addition to raising awareness of the need to maintain preventive care to prevent falls and associated injuries and increase adherence to the guidelines received. [24] In this perspective, the flipchart stands out as a tool to be used in health education that favors the expansion of patients' knowledge through interactive, dialogic and playful learning.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of educational technology in the prevention of falls in the surgical medical clinic

Barbosa

Macêdo

Cavalcante

et al. 2020

JNEP

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Objective: To evaluate the effectiveness of a flipchart as an educational technology for patient education on preventing falls in hospitalized patients.Methods: This is a quasi-experimental study, being a pilot study type, with a quantitative approach, carried out in a hospital in the northern region of the State of Ceará, Brazil. Thirty-one patients represented the sample from August to November 2019. For the collection of information, it has been applied a structured instrument that includes two parts: a) Clinical-epidemiological data; b) Fall prevention knowledge test.Results: In the pre-test, there was a median of correct answers of 17 (interquartile range = 8), while in the post-test the median of correct answers was 20 (interquartile range = 6). Significance was observed in the increase in average of theoretical correct answers (p < .000).Conclusions: The flipchart is an effective technology to be used in health education to prevent falls, favoring an increased perception of risks in the hospital environment.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of educational technology in the prevention of falls in the surgical medical clinic

Barbosa

Macêdo

Cavalcante

et al. 2020

JNEP

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“…MS is an immune-mediated disease characterized by inflammatory demyelination and neurodegeneration within the CNS. In MS, falls continue to present as a common and serious health concern that can be as high as 56% (Hayes et al, 2017 ). People with MS with a history of falls report significantly poorer physical and psychological health status compared with non-fallers with MS therefore prevention of falls is critical for the quality of life with MS.…”

Section: Discussionmentioning

confidence: 99%

Systems Analysis of Human Visuo-Myoelectric Control Facilitated by Anodal Transcranial Direct Current Stimulation in Healthy Humans

et al. 2018

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Induction of neuroplasticity by transcranial direct current stimulation (tDCS) applied to the primary motor cortex facilitates motor learning of the upper extremities in healthy humans. The impact of tDCS on lower limb functions has not been studied extensively so far. In this study, we applied a system identification approach to investigate the impact of anodal transcranial direct current stimulation of the leg area of the motor cortex via the human visuo-myoelectric controller. The visuo-myoelectric reaching task (VMT) involves ballistic muscle contraction after a visual cue. We applied a black box approach using a linear ARX (Auto-regressive with eXogenous input) model for a visuomotor myoelectric reaching task. We found that a 20th order finite impulse response (FIR) model captured the TARGET (single input)—CURSOR (single output) dynamics during a VMT. The 20th order FIR model was investigated based on gain/phase margin analysis, which showed a significant (p < 0.01) effect of anodal tDCS on the gain margin of the VMT system. Also, response latency and the corticomuscular coherence (CMC) time delay were affected (p < 0.05) by anodal tDCS when compared to sham tDCS. Furthermore, gray box simulation results from a Simplified Spinal-Like Controller (SSLC) model demonstrated that the input-output function for motor evoked potentials (MEP) played an essential role in increasing muscle activation levels and response time improvement post-tDCS when compared to pre-tDCS baseline performance. This computational approach can be used to simulate the behavior of the neuromuscular controller during VMT to elucidate the effects of adjuvant treatment with tDCS.

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“…If the patient had been provided with such an exercise program and strategies for adherence and motivation, he would have been able to perform physical exercises during the COVID-19-related lockdown to stop or slow down his functional decline. Several structured home-based exercise programs for people with PD or MS have been developed [32,33]. The effectiveness of these different programs on physical functional and mobility related outcomes varies, but we are convinced that home-based exercise programs should be prescribed for people with chronic neurological conditions to support self-care and to improve functional abilities [34].…”

Section: Strengths and Limitations Of The Management Of This Casementioning

confidence: 99%

The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report

et al. 2021

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Background Regular outpatient rehabilitation is prescribed for many patients with chronic neurological disorders, such as Parkinson’s disease or multiple sclerosis, to constantly support patients and their proxies in disease management. Due to the coronavirus disease 2019 pandemic, federal institutions and governments worldwide have directed local or nationwide lockdowns. During these times, the provision of regular outpatient rehabilitation service is drastically limited, making it actually impossible for community-dwelling patients with neurological disorders to receive prescribed rehabilitation interventions. Case presentation A 67-year-old White Swiss man with two chronic neurological diseases, Parkinson’s disease and multiple sclerosis, underwent a 4-week inpatient rehabilitation in our hospital. The main rehabilitation goals were related to improvements of mobility and a decrease in the risk of falls. The patient gained significant functional improvements that he maintained over the following months, supported by the continuation of physiotherapy in the domestic environment. Due to a coronavirus disease 2019 pandemic-related interruption of the regular ambulatory rehabilitation for several weeks during the first coronavirus disease 2019 wave in Switzerland, the patient’s functional abilities decreased significantly. Thus, the patient was again referred to our hospital for intensive inpatient rehabilitation to regain his physical functioning and mobility capacity. At hospital discharge, the patient improved most of his physical functioning to a prepandemic level. Conclusions The interruption of a rehabilitation service due to a pandemic-related lockdown can significantly impact the functional abilities of patients with chronic neurological diseases. This case report supports the claim for continuous access to rehabilitation services for all people with rehabilitation needs.

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Interventions for preventing falls in people with multiple sclerosis

Cited by 21 publications

References 36 publications

Evaluation of the effectiveness of educational technology in the prevention of falls in the surgical medical clinic

Evaluation of the effectiveness of educational technology in the prevention of falls in the surgical medical clinic

Systems Analysis of Human Visuo-Myoelectric Control Facilitated by Anodal Transcranial Direct Current Stimulation in Healthy Humans

The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report

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