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脊髓损伤不完全患者的跌倒情况。

Falls in individuals with incomplete spinal cord injury.

作者信息

Brotherton S S, Krause J S, Nietert P J

机构信息

Department of Rehabilitation Sciences, College of Health Professions, Medical University of South Carolina, 151 Rutledge Avenue, Charleston, SC 29425, USA.

出版信息

Spinal Cord. 2007 Jan;45(1):37-40. doi: 10.1038/sj.sc.3101909. Epub 2006 Feb 21.

DOI:10.1038/sj.sc.3101909
PMID:16491105
Abstract

STUDY DESIGN

Mail survey of participants with incomplete spinal cord injury (SCI).

OBJECTIVE

To describe the incidence, circumstances, consequences, and perceived contributory factors associated with falls among ambulatory individuals with incomplete SCI.

SETTING

Southeast region of the United States.

METHODS

A survey instrument was developed largely from existing measures and mailed to individuals with incomplete SCI to collect self-reported information on participant characteristics and fall-related variables.

RESULTS

Seventy-five percent of study participants sustained at least one fall over the previous year. Even though most injuries were minor, 18% of fallers sustained a fracture and 45% reported reduced ability to get out into the community and engage in productive activity. Factors perceived to contribute to falls most often were decreased strength in the trunk and lower extremities, loss of balance, and hazards in the environment.

CONCLUSIONS

Falls occur frequently and often have significant consequences among ambulatory individuals with SCI. These data may assist rehabilitation professionals to identify those at risk and implement fall prevention strategies.

SPONSORSHIP

This project was supported by a grant from the South Carolina Spinal Cord Injury Research Fund Grant # 0703.

摘要

研究设计

对不完全性脊髓损伤(SCI)患者进行邮件调查。

目的

描述不完全性SCI的非卧床患者跌倒的发生率、情况、后果以及相关的促成因素。

地点

美国东南部地区。

方法

一份调查问卷主要基于现有测量方法编制而成,并邮寄给不完全性SCI患者,以收集有关参与者特征和跌倒相关变量的自我报告信息。

结果

75%的研究参与者在过去一年中至少跌倒过一次。尽管大多数损伤较轻,但18%的跌倒者发生了骨折,45%的人报告其外出进入社区和参与生产活动的能力下降。最常被认为导致跌倒的因素是躯干和下肢力量减弱、平衡能力丧失以及环境中的危险因素。

结论

在不完全性SCI的非卧床患者中,跌倒频繁发生且往往会产生重大后果。这些数据可能有助于康复专业人员识别有跌倒风险的患者并实施预防跌倒策略。

资助情况

本项目由南卡罗来纳州脊髓损伤研究基金资助(拨款编号0703)。

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