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 : | Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management (2018) |
Auteurs : | Hilary Gunn ; Michelle Cameron ; Phu Hoang |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 10, 2018) |
Article en page(s) : | p. 2022-2029 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Accidental falls ; Chutes accidentelles ; Cohort studies ; Études de cohortes ; Multiple sclerosis |
Résumé : |
Objective This study evaluated the relationship between physiological and perceived fall risk in people with multiple sclerosis (MS). Design Secondary analysis of data from prospective cohort studies undertaken in Australia, the United Kingdom, and the United States. Setting Community. Participants Ambulatory people with MS (N=416) (age 51.5+12.0 years; 73% female; 62% relapsing-remitting MS; 13.7+9.9 years disease duration). Interventions Not applicable. Main Outcome Measures All participants completed measures of physiological (Physiological Profile Assessment [PPA]) and perceived (Falls Efficacy Scale-international [FESi]) fall risk and prospectively recorded falls for 3 months. Results 155 (37%) of the participants were recurrent fallers (≥2 falls). Mean PPA and FESi scores were high (PPA 2.14+1.87, FESi 34.27+11.18). The PPA and the FESi independently predicted faller classification in logistic regression, which indicated that the odds of being classified as a recurrent faller significantly increased with increasing scores (PPA odds ratio [OR] 1.30 [95% CI 1.17-1.46], FESi OR 1.05 [95% CI 1.03-1.07]). Classification and regression tree analysis divided the sample into four groups based on cutoff values for the PPA: (1) low physiological/low perceived risk (PPA 27.5), (3) high physiological/low perceived risk (PPA >2.83, FESi 35.5). Over 50% of participants had a disparity between perceived and physiological fall risk; most were in group 2. It is possible that physiological risk factors not detected by the PPA may also be influential. Conclusions This study highlights the importance of considering both physiological and perceived fall risk in MS and the need for further research to explore the complex interrelationships of perceptual and physiological risk factors in this population. This study also supports the importance of developing behavioral and physical interventions that can be tailored to the individuals needs. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |