Postural control, falls and fear of falling in people with multiple sclerosis without mobility aids
Postural control, falls and fear of falling in people with multiple sclerosis without mobility aids
复制标题
DOI：
10.1016/j.jns.2013.09.029
复制
发表时间：
2013-12-15
影响因子：
4.4
通讯作者：
Achiron, Anat
中科院分区：
文献类型：
--
作者：
Kalron, Alon;Achiron, Anat
本研究的目的是确定静态姿势控制参数与无活动辅助装置的多发性硬化症（MS）患者的跌倒恐惧和跌倒史之间的关系。107名复发缓解型多发性硬化症患者，62名42.8岁的女性（sd = 12.0）参与了这项研究。参与者根据秋季历史被分成几组；47人在过去6个月内没有跌倒史，60人在同一时期内至少有一次跌倒史。静态姿势控制参数从Zebris FDM-T跑步机（Zebris (R) Medical GmbH，德国）获得。患者的自我报告问卷，即国际跌倒效能量表（FES-I），用于评估与跌倒有关的关注程度。归类为坠落者的MS患者表现出压力中心（CoP）路径长度、摇摆速度和更大的整体摇摆面积增加。发现睁着眼睛进行的CoP路径长度解释了过去六个月内至少一次跌倒相关的42%的方差；R-2 = 0.424, x -(1)(2) = 40.727, p < 0.01。FES-I与CoP路径长度的相关系数为0.620 （P < 0.001）。在管理多发性硬化症人群的跌倒风险时，应考虑使用器械体位照相测量CoP轨迹。(c) 2013 Elsevier B.V.版权所有
The purpose of the study was to determine the relationship between static postural control parameters to fear of falling and falling history in people with multiple sclerosis (MS) without mobility assistive devices. One-hundred and seven relapsing-remitting patients diagnosed with MS, 62 women aged 42.8 (S.D. = 12.0), participated in this investigation. Participants were divided into groups based on fall history; 47 had no history during the past 6 months and 60 had a history of at least one fall within the same period. Static postural control parameters were obtained from the Zebris FDM-T Treadmill (zebris (R) Medical GmbH, Germany). The patient's self-reported questionnaire, the Falls Efficacy Scale International (FES-I), was used to assess the level of concern relating to falls. People with MS classified as fallers exhibited increased center of pressure (CoP) path length, sway velocity and greater overall sway area. CoP path length performed with eyes open was found to explain 42% of the variance related to at least one fall during the past six months; R-2 = 0.424, X-(1)(2) = 40.727, P < 0.01. The correlation between the FES-I and CoP path length was 0.620 (P < 0.001). Measurement of the CoP trajectories with instrumented posturography should be considered in managing fall risk in the MS population. (c) 2013 Elsevier B.V. All rights reserved.