Prediction of Falls in Subjects Suffering From Parkinson Disease, Multiple Sclerosis, and Stroke

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Abstract

OBJECTIVE: To compare the risk of falls and fall predictors in patients with Parkinson disease (PD), multiple sclerosis (MS), and stroke using the same study design.DESIGN: Multicenter prospective cohort study.SETTING: Institutions for physical therapy and rehabilitation.PARTICIPANTS: Patients (N=299) with PD (n=94), MS (n=111), and stroke (n=94) seen for rehabilitation.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Functional scales were applied to investigate balance, disability, daily performance, self-confidence with balance, and social integration. Patients were followed for 6 months. Telephone interviews were organized at 2, 4, and 6 months to record falls and fall-related injuries. Incidence ratios, Kaplan-Meier survival curves, and Cox proportional hazards models were used.RESULTS: Of the 299 patients enrolled, 259 had complete follow-up. One hundred and twenty-two patients (47.1%) fell at least once; 82 (31.7%) were recurrent fallers and 44 (17.0%) suffered injuries; and 16%, 32%, and 40% fell at 2, 4, and 6 months. Risk of falls was associated with disease type (PD, MS, and stroke in decreasing order) and confidence with balance (Activities-specific Balance Confidence [ABC] scale). Recurrent fallers were 7%, 15%, and 24% at 2, 4, and 6 months. The risk of recurrent falls was associated with disease type, high educational level, and ABC score. Injured fallers were 3%, 8%, and 12% at 2, 4, and 6 months. The only predictor of falls with injuries was disease type (PD).CONCLUSIONS: PD, MS, and stroke carry a high risk of falls. Other predictors include perceived balance confidence and high educational level.
Original languageItalian
Pages (from-to)641-651
JournalArchives of Physical Medicine and Rehabilitation
Volume99
DOIs
Publication statusPublished - Jan 17 2018

Cite this

@article{7bd1cf7be6504a509506cd7e484cc0d4,
title = "Prediction of Falls in Subjects Suffering From Parkinson Disease, Multiple Sclerosis, and Stroke",
abstract = "OBJECTIVE: To compare the risk of falls and fall predictors in patients with Parkinson disease (PD), multiple sclerosis (MS), and stroke using the same study design.DESIGN: Multicenter prospective cohort study.SETTING: Institutions for physical therapy and rehabilitation.PARTICIPANTS: Patients (N=299) with PD (n=94), MS (n=111), and stroke (n=94) seen for rehabilitation.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Functional scales were applied to investigate balance, disability, daily performance, self-confidence with balance, and social integration. Patients were followed for 6 months. Telephone interviews were organized at 2, 4, and 6 months to record falls and fall-related injuries. Incidence ratios, Kaplan-Meier survival curves, and Cox proportional hazards models were used.RESULTS: Of the 299 patients enrolled, 259 had complete follow-up. One hundred and twenty-two patients (47.1{\%}) fell at least once; 82 (31.7{\%}) were recurrent fallers and 44 (17.0{\%}) suffered injuries; and 16{\%}, 32{\%}, and 40{\%} fell at 2, 4, and 6 months. Risk of falls was associated with disease type (PD, MS, and stroke in decreasing order) and confidence with balance (Activities-specific Balance Confidence [ABC] scale). Recurrent fallers were 7{\%}, 15{\%}, and 24{\%} at 2, 4, and 6 months. The risk of recurrent falls was associated with disease type, high educational level, and ABC score. Injured fallers were 3{\%}, 8{\%}, and 12{\%} at 2, 4, and 6 months. The only predictor of falls with injuries was disease type (PD).CONCLUSIONS: PD, MS, and stroke carry a high risk of falls. Other predictors include perceived balance confidence and high educational level.",
author = "NEUROFALL Group and Ettore Beghi and Elisa Gervasoni and Elisabetta Pupillo and Elisa Bianchi and Angelo Montesano and Irene Aprile and Michela Agostini and Marco Rovaris and Davide Cattaneo",
note = "Copyright {\circledC} 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.",
year = "2018",
month = "1",
day = "17",
doi = "10.1016/j.apmr.2017.10.009",
language = "Italian",
volume = "99",
pages = "641--651",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Prediction of Falls in Subjects Suffering From Parkinson Disease, Multiple Sclerosis, and Stroke

AU - Group, NEUROFALL

AU - Beghi, Ettore

AU - Gervasoni, Elisa

AU - Pupillo, Elisabetta

AU - Bianchi, Elisa

AU - Montesano, Angelo

AU - Aprile, Irene

AU - Agostini, Michela

AU - Rovaris, Marco

AU - Cattaneo, Davide

N1 - Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

PY - 2018/1/17

Y1 - 2018/1/17

N2 - OBJECTIVE: To compare the risk of falls and fall predictors in patients with Parkinson disease (PD), multiple sclerosis (MS), and stroke using the same study design.DESIGN: Multicenter prospective cohort study.SETTING: Institutions for physical therapy and rehabilitation.PARTICIPANTS: Patients (N=299) with PD (n=94), MS (n=111), and stroke (n=94) seen for rehabilitation.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Functional scales were applied to investigate balance, disability, daily performance, self-confidence with balance, and social integration. Patients were followed for 6 months. Telephone interviews were organized at 2, 4, and 6 months to record falls and fall-related injuries. Incidence ratios, Kaplan-Meier survival curves, and Cox proportional hazards models were used.RESULTS: Of the 299 patients enrolled, 259 had complete follow-up. One hundred and twenty-two patients (47.1%) fell at least once; 82 (31.7%) were recurrent fallers and 44 (17.0%) suffered injuries; and 16%, 32%, and 40% fell at 2, 4, and 6 months. Risk of falls was associated with disease type (PD, MS, and stroke in decreasing order) and confidence with balance (Activities-specific Balance Confidence [ABC] scale). Recurrent fallers were 7%, 15%, and 24% at 2, 4, and 6 months. The risk of recurrent falls was associated with disease type, high educational level, and ABC score. Injured fallers were 3%, 8%, and 12% at 2, 4, and 6 months. The only predictor of falls with injuries was disease type (PD).CONCLUSIONS: PD, MS, and stroke carry a high risk of falls. Other predictors include perceived balance confidence and high educational level.

AB - OBJECTIVE: To compare the risk of falls and fall predictors in patients with Parkinson disease (PD), multiple sclerosis (MS), and stroke using the same study design.DESIGN: Multicenter prospective cohort study.SETTING: Institutions for physical therapy and rehabilitation.PARTICIPANTS: Patients (N=299) with PD (n=94), MS (n=111), and stroke (n=94) seen for rehabilitation.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Functional scales were applied to investigate balance, disability, daily performance, self-confidence with balance, and social integration. Patients were followed for 6 months. Telephone interviews were organized at 2, 4, and 6 months to record falls and fall-related injuries. Incidence ratios, Kaplan-Meier survival curves, and Cox proportional hazards models were used.RESULTS: Of the 299 patients enrolled, 259 had complete follow-up. One hundred and twenty-two patients (47.1%) fell at least once; 82 (31.7%) were recurrent fallers and 44 (17.0%) suffered injuries; and 16%, 32%, and 40% fell at 2, 4, and 6 months. Risk of falls was associated with disease type (PD, MS, and stroke in decreasing order) and confidence with balance (Activities-specific Balance Confidence [ABC] scale). Recurrent fallers were 7%, 15%, and 24% at 2, 4, and 6 months. The risk of recurrent falls was associated with disease type, high educational level, and ABC score. Injured fallers were 3%, 8%, and 12% at 2, 4, and 6 months. The only predictor of falls with injuries was disease type (PD).CONCLUSIONS: PD, MS, and stroke carry a high risk of falls. Other predictors include perceived balance confidence and high educational level.

U2 - 10.1016/j.apmr.2017.10.009

DO - 10.1016/j.apmr.2017.10.009

M3 - Articolo

VL - 99

SP - 641

EP - 651

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

ER -