Postural control and fear of falling in persons with low-level paraplegia

John, Ligie T.; Cherian, Binu; Babu, A. B. Karthick Anand

doi:10.1682/jrrd.2009.09.0150

Cited by 32 publications

(21 citation statements)

References 22 publications

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“…The balance training is an effective therapy in reducing the fear of falling. Moreover, it improves dynamic balance and isometric strength in elderly (John et al 2010). The gradual reduction of response time and improving locomotion occurs.…”

Section: Physical Activitymentioning

confidence: 99%

Elimination of the risks of falls in the elderly from the point of view of physiotherapy

Rottermund

Knapik

Wancisiewicz

et al. 2015

Physiotherapy and Health Activity

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Background:Man is exposed to falls performing daily activities, their effects turn out to be more severe especially in the later decades of life. After 60 years, it appears to be a larger number of fractures resulting in the limitation of physical fitness, health complications and life threatening. Therefore, prevention efforts conducted in the form of an in-depth analysis of the falls' causes which already happened, control of health and proper treatment, conducting systematic, interesting and varied physical activities -in conjunction with education and mental change in a determined way they can and should reduce the risk of falls of the elderly.

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Section: Physical Activitymentioning

confidence: 99%

Elimination of the risks of falls in the elderly from the point of view of physiotherapy

Rottermund

Knapik

Wancisiewicz

et al. 2015

Physiotherapy and Health Activity

View full text Add to dashboard Cite

show abstract

“…3 Lack of postural control is regarded as one of the main reasons for causing a fear of falling among the people with SCI during their rehabilitation programs that are designed to improve their ability to walk and stand. 4,5 Brotherton et al 6 stated that falls by individuals with SCI often occurred in the home, especially during the day. The incidence of fractures has been reported as being 18%; (5-6% greater than that experienced by healthy older adults).…”

Section: Introductionmentioning

confidence: 99%

The influence of ankle joint mobility when using an orthosis on stability in patients with spinal cord injury: a pilot study

et al. 2013

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Objectives: Perceived risk of falling is an important factor for people with spinal cord injury (SCI). This study investigated the influence of ankle joint motion on postural stability and walking in people with SCI when using an orthosis. Methods: Volunteer subjects with SCI (n ¼ 5) participated in this study. Each subject was fitted with an advanced reciprocating gait orthosis (ARGO) equipped with either solid or dorsiflexion-assist type ankle-foot orthosis (AFOs) and walked at their self-selected speed along a flat walkway to enable the comparison of walking speed, cadence and endurance. A force plate system and a modified Falls Efficacy Scale (MFES) were utilized to measure postural sway and the perceived fear of falling, respectively. Results: There were significant differences in the mean MFES scores between two types of orthosis (P ¼ 0.023). When using two crutches, there was no significant difference in static standing postural sway in the medio-lateral (M/L) direction (P ¼ 0.799), but significant difference in the antero-posterior (A/P) direction (P ¼ 0.014). However, during single crutch support, there was a significant difference in both M/L (P ¼ 0.019) and A/P (P ¼ 0.022) directions. Walking speed (7%) and endurance (5%) significantly increased when using the ARGO with dorsi flexion assisted AFOs. There was no significant deference between two types of orthoses in cadence (P ¼ 0.54). Conclusions: Using an ARGO with dorsiflexion-assisted AFOs increased the fear of falling, but improved static postural stability and increased walking speed and endurance, and should therefore be considered as an effective orthosis during the rehabilitation of people with SCI.

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“…It is possible that transfer training for Veterans occurs more frequently in acute SCI rehabilitation than for Veterans with progressive diseases or those with amputation and TBI. Veterans with low paraplegia (injury level ranges from T8 to L4 [30]) and tetraplegia were more likely than Veterans with other disabilities to set themselves up for a level transfer. Because these individuals have reduced trunk control and persons with tetraplegia lack triceps and handgrip function, transfers to higher and even lower surfaces are much more difficult [47].…”

Section: Relationship Between Subjects' Characteristics and Transfer mentioning

confidence: 99%

Transfer component skill deficit rates among Veterans who use wheelchairs

et al. 2016

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Abstract-The purpose of this study was to quantify the deficit rates for transfer component skills in a Veteran cohort and explore the relationship between deficit rates and subject characteristics. Seventy-four men and 18 women performed up to four transfers independently from their wheelchair to a mat table while a therapist evaluated their transfer techniques using the Transfer Assessment Instrument. The highest deficit rates concerned the improper use of handgrips (63%). Other common problems included not setting the wheelchair up at the proper angle (50%) and not removing the armrest (58%). Veterans over 60 yr old and Veterans with moderate shoulder pain were more likely to set up their wheelchairs inappropriately than younger Veterans (p = 0.003) and Veterans with mild shoulder pain (p = 0.004). Women were less likely to remove their armrests than men (p = 0.03). Subjects with disabilities other than spinal cord injury were less inclined to set themselves up for a safe and easy transfer than the subjects with spinal cord injury (p  0.001). The results provide insight into the disparities present in transfer skills among Veterans and will inform the development of future transfer training programs both within and outside of the Department of Veterans Affairs.

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Postural control and fear of falling in persons with low-level paraplegia

Cited by 32 publications

References 22 publications

Elimination of the risks of falls in the elderly from the point of view of physiotherapy

Elimination of the risks of falls in the elderly from the point of view of physiotherapy

The influence of ankle joint mobility when using an orthosis on stability in patients with spinal cord injury: a pilot study

Transfer component skill deficit rates among Veterans who use wheelchairs

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