Hugos Cinda L, Frankel Debra, Tompkins Sara A, Cameron Michelle
Portland VA Medical Center, Portland, OR, USA (CLH, MC); Departments of Neurology (CLH, MC) and Rehabilitation (CLH), Oregon Health & Science University, Portland, OR, USA; Department of Advocacy, Services, and Research, National Multiple Sclerosis Society, New York, NY, USA (DF); and Madipen, LLC, Program Planning and Evaluation Consulting, Fort Collins, CO, USA (SAT).
Int J MS Care. 2016 Jan-Feb;18(1):42-8. doi: 10.7224/1537-2073.2014-086.
People with multiple sclerosis (MS) fall frequently. In 2011, the National Multiple Sclerosis Society launched a multifactorial fall-prevention group exercise and education program, Free From Falls (FFF), to prevent falls in MS. The objective of this study was to assess the impact of participation in the FFF program on balance, mobility, and falls in people with MS.
This was a retrospective evaluation of assessments from community delivery of FFF. Changes in Activities-specific Balance Confidence scale scores, Berg Balance Scale scores, 8-foot Timed Up and Go performance, and falls were assessed.
A total of 134 participants completed the measures at the first and last FFF sessions, and 109 completed a 6-month follow-up assessment. Group mean scores on the Activities-specific Balance Confidence scale (F1,66 = 17.14, P < .05, η(2) = 0.21), Berg Balance Scale (F1,68 = 23.39, P < .05, η(2) = 0.26), and 8-foot Timed Up and Go (F1,79 = 4.83, P < .05, η(2) = 0.06) all improved significantly from the first to the last session. At the 6-month follow-up, fewer falls were reported (χ(2) [4, N = 239] = 10.56, P < .05, Phi = 0.21).
These observational data suggest that the FFF group education and exercise program improves balance confidence, balance performance, and functional mobility and reduces falls in people with MS.
多发性硬化症（MS）患者经常跌倒。2011年，美国国家多发性硬化症协会发起了一项多因素防跌倒团体运动和教育项目，即“免于跌倒”（FFF），以预防MS患者跌倒。本研究的目的是评估参与FFF项目对MS患者平衡能力、活动能力和跌倒情况的影响。
这是一项对FFF社区服务评估的回顾性评价。评估了特定活动平衡信心量表得分、伯格平衡量表得分、8英尺定时起立行走测试表现和跌倒情况的变化。
共有134名参与者在FFF项目的第一次和最后一次课程中完成了测量，109名参与者完成了6个月的随访评估。特定活动平衡信心量表（F1,66 = 17.14，P <.05，η(2) = 0.21）、伯格平衡量表（F1,68 = 23.39，P <.05，η(2) = 0.26）和8英尺定时起立行走测试（F1,79 = 4.83，P <.05，η(2) = 0.06）的组平均得分从第一次课程到最后一次课程均有显著改善。在6个月的随访中，报告的跌倒次数减少（χ(2) [4, N = 239] = 10.56，P <.05，Phi = 0.21）。
这些观察数据表明，FFF团体教育和运动项目可提高平衡信心、平衡能力和功能活动能力，并减少MS患者的跌倒次数。
