| Titre : | Fall Attributions Among Middle-Aged and Older Adults With Multiple Sclerosis (2013) |
| Auteurs : | Elizabeth Peterson ; Eynat Ben Ari ; Miho Asano ; et al. |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2013/5, 2013) |
| Article en page(s) : | pp. 890-895 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Sclérose en plaques ; Sujet âgé |
| Mots-clés: | Accidental Falls ; Chutes accidentelles ; Aged ; Middle Aged ; Adulte d'âge moyen ; Multiple Sclerosis ; Accident Prevention ; Prévention des accidents |
| Résumé : |
Objectives To (1) explore the falls attributions of middle-aged and older adults with multiple sclerosis (MS); and (2) examine the personal, health, and MS-related factors associated with the 3 most common attributions. Design A cross-sectional, descriptive study using data collected through a telephone interview. Falls attributions were obtained through an open-ended question to elicit participants' stories about their most recent fall. Recruitment was done through a national volunteer MS registry. Setting Community. Participants People (N=354) who were ≥55 years of age were interviewed; 313 provided a falls story. Respondents were primarily married, community-dwelling women who had been living with MS for 21 years, on average. Interventions Not applicable. Main Outcome Measures The 3 most common fall attributions were used as dependent variables to address the second research objective. Results A total of 14 falls attributions were identified. The most common were balance (41.5%), lower extremity malfunction (31%), and assistive technology (AT; 29.7%). Falls control was significantly associated with the balance attribution (odds ratio [OR]=.51; 95% confidence interval [CI], .29–.88), no variables were associated with lower extremity malfunction attribution, and use of multiple mobility devices was significantly associated with the AT attribution (OR=3.78; 95% CI, 2.09–6.85). Conclusions Findings highlight the complex nature of falls among middle-aged and older adults with MS and point to the need for comprehensive fall prevention interventions for this population. Further investigation of the role that perceived control over falls plays in this population is warranted. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |
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