Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Neuropsychological, Balance, and Mobility Risk Factors for Falls in People With Multiple Sclerosis: A Prospective Cohort Study (2014) |
Auteurs : | Phu D. Hoang ; Michelle H. Cameron ; Simon C. Gandevia |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/3, 2014) |
Article en page(s) : | p. 480-486 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Facteurs de risque ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Accidental falls ; Chutes accidentelles ; Multiple sclerosis ; Neuropsychological tests ; Tests neuropsychologiques ; Postural balance ; Équilibre postural ; Risk factors |
Résumé : |
Objectives To determine whether impaired performance in a range of vision, proprioception, neuropsychological, balance, and mobility tests and pain and fatigue are associated with falls in people with multiple sclerosis (PwMS). Design Prospective cohort study with 6-month follow-up. Setting A multiple sclerosis (MS) physiotherapy clinic. Participants Community-dwelling people (N=210; age range, 2174y) with MS (Disease Steps 05). Interventions Not applicable. Main Outcome Measures Incidence of falls during 6 months' follow-up. Results In the 6-month follow-up period, 83 participants (39.7%) experienced no falls, 57 (27.3%) fell once or twice, and 69 (33.0%) fell 3 or more times. Frequent falling (≥3) was associated with increased postural sway (eyes open and closed), poor leaning balance (as assessed with the coordinated stability task), slow choice stepping reaction time, reduced walking speed, reduced executive functioning (as assessed with the difference between Trail Making Test Part B and Trail Making Test Part A), reduced fine motor control (performance on the 9-Hole Peg Test [9-HPT]), and reported leg pain. Increased sway with the eyes closed, poor coordinated stability, and reduced performance in the 9-HPT were identified as variables that significantly and independently discriminated between frequent fallers and nonfrequent fallers (model χ23=30.1, P<.001 the area under receiver operating characteristic curve for this model was .712 confidence interval .638> Conclusions The study reveals important balance, coordination, and cognitive determinants of falls in PwMS. These should assist the development of effective strategies for prevention of falls in this high-risk group. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999313010083 |