Saunders Lee L, Dipiro Nicole D, Krause James S, Brotherton Sandra, Kraft Sara
College of Health Professions, Medical University of South Carolina , Charleston, South Carolina.
Top Spinal Cord Inj Rehabil. 2013 Fall;19(4):259-66. doi: 10.1310/sci1904-259.
With medical and rehabilitation advances, many people are able to regain or maintain ambulation after spinal cord injury (SCI). However, those who are ambulatory may be at increased risk for falls.
To assess the relationships between walking devices and behaviors, including alcohol use, prescription medication use, and exercise, with falls among persons with SCI who are ambulatory.
A total of 515 adults with chronic SCI who were able to ambulate provided self-report of their use of assistive devices for ambulation, prescription medication use, alcohol use, exercise, and falls resulting in injury (FRI).
At least 1 FRI was reported by 20.3% of participants in the past year. Ambulatory participants who reported using a wheelchair as their primary mode of mobility were less likely to have an FRI than those who reported walking more than using a wheelchair. Those with perceived poor balance were 2.41 times more likely to have an FRI than those without poor balance. Those who reported less exercise than other persons with a comparable SCI severity were 2.77 times more likely to have an FRI than those reporting the same or more amount of exercise. Pain medication misuse also was associated with higher odds of an FRI.
Health care providers should be aware of the risk for FRI among those who are ambulatory. They should assess and consider not only ambulatory ability, but also behaviors, including prescription medication use and exercise, when recommending ambulation techniques.
随着医学和康复技术的进步，许多脊髓损伤（SCI）患者能够恢复或保持行走能力。然而，能够行走的患者跌倒风险可能会增加。
评估行走辅助设备与包括饮酒、使用处方药和运动在内的行为与能够行走的脊髓损伤患者跌倒之间的关系。
共有515名能够行走的慢性脊髓损伤成年患者自行报告了他们使用行走辅助设备、使用处方药、饮酒、运动以及因跌倒导致受伤（FRI）的情况。
在过去一年中，20.3%的参与者报告至少发生过一次因跌倒导致受伤的情况。报告以轮椅作为主要移动方式的行走参与者发生因跌倒导致受伤情况的可能性低于那些报告行走多于使用轮椅的参与者。感觉平衡能力差的参与者发生因跌倒导致受伤情况的可能性是平衡能力不差的参与者的2.41倍。与脊髓损伤严重程度相当的其他人相比，报告运动量较少的参与者发生因跌倒导致受伤情况的可能性是报告运动量相同或更多的参与者的2.77倍。滥用止痛药物也与因跌倒导致受伤的较高几率相关。
医疗保健提供者应意识到能够行走的患者中因跌倒导致受伤的风险。在推荐行走技术时，他们不仅应评估和考虑行走能力，还应评估和考虑包括使用处方药和运动在内的行为。
