Matsuda Patricia Noritake, Verrall Aimee M, Finlayson Marcia L, Molton Ivan R, Jensen Mark P
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA.
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA.
Arch Phys Med Rehabil. 2015 Mar;96(3):464-71. doi: 10.1016/j.apmr.2014.09.034. Epub 2014 Oct 19.
To investigate the prevalence of and risk factors for falling among individuals aging with multiple sclerosis (MS), muscular dystrophy (MD), postpolio syndrome (PPS), and spinal cord injury (SCI).
Cross-sectional survey data from 2009 to 2010 were analyzed. We used forward logistic regression models to examine whether risk factors such as age, sex, mobility level, years since diagnosis, vision, balance, weakness, number of comorbid conditions, and physical activity could distinguish participants who reported falling from those who did not.
Surveys were mailed to community-dwelling individuals who had 1 of 4 diagnoses (MS, MD, PPS, or SCI). The survey response rate was 91%.
A convenience sample of community-dwelling individuals (N=1862; age, 18-94y) with MS, MD, PPS, or SCI in the United States.
Not applicable.
Self-reported fall within the last 6 months.
Fall prevalence for people with MS (54%), MD (70%), PPS (55%), and SCI (40%). Across all 4 groups, fall rates peaked in middle age (45-64y) and among people with moderate mobility limitations. Seven risk factors differentiated participants who fell from those who did not: mobility level, imbalance, age, curvilinear age (age(2)), number of comorbid conditions, duration of diagnosis, and sex. The models differed across diagnostic groups.
People aging with long-term physical disabilities experience unique challenges that affect their risk of falls. A better understanding of the frequency, severity, and risk factors of falls across diagnostic groups is needed to design and implement customized, effective fall prevention and management programs for these individuals.
调查患有多发性硬化症（MS）、肌肉萎缩症（MD）、小儿麻痹后遗症（PPS）和脊髓损伤（SCI）的老年人跌倒的患病率及危险因素。
分析2009年至2010年的横断面调查数据。我们使用向前逻辑回归模型来检验年龄、性别、活动能力水平、确诊年限、视力、平衡能力、虚弱程度、共病数量和身体活动等危险因素是否能够区分报告有跌倒经历的参与者和未跌倒的参与者。
向患有四种诊断疾病（MS、MD、PPS或SCI）之一的社区居住个体邮寄调查问卷。调查回复率为91%。
美国患有MS、MD、PPS或SCI的社区居住个体的便利样本（N = 1862；年龄18 - 94岁）。
不适用。
过去6个月内自我报告的跌倒情况。
MS患者的跌倒患病率为54%，MD患者为70%，PPS患者为55%，SCI患者为40%。在所有四组中，跌倒率在中年（45 - 64岁）及活动能力有中度受限的人群中达到峰值。七个危险因素能够区分跌倒的参与者和未跌倒的参与者：活动能力水平、平衡失调、年龄、曲线年龄（年龄的平方）、共病数量、确诊时长和性别。不同诊断组的模型有所不同。
患有长期身体残疾的老年人面临影响其跌倒风险的独特挑战。需要更好地了解不同诊断组跌倒的频率、严重程度和危险因素，以便为这些个体设计和实施定制的、有效的跌倒预防和管理方案。
