Document Detail


Circumstances and consequences of falls in polio survivors.
MedLine Citation:
PMID:  21031286     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Many polio survivors have symptoms that are known risk factors for falls in elderly people. This study aims to determine the: (i) frequency; (ii) consequences; (iii) circumstances; and (iv) factors associated with falls in polio survivors.
METHODS: A survey was conducted among 376 polio survivors. Participants completed a falls history questionnaire and additional information was obtained from their medical files.
RESULTS: Of the 305 respondents, 74% reported at least one fall in the past year and 60% two or more. Sixteen percent of fallers described a major injury after a fall in the last year and 69% reported fear of falling. One-third of fallers had reduced the amount they walked because of their fear of falling. Most reported falls in a familiar environment (86%), during ambulation (72%) and in the afternoon (50%). Quadriceps weakness of the weakest leg (Medical Research Council (MRC) ≤ 3), fear of falling and complaints of problems maintaining balance were independently associated with both falls and recurrent falls, while increasing age and medication use were not.
CONCLUSION: The high rate of falls and consequences thereof, merit the implementation of fall intervention strategies. To maximize effect, they should be tailor-made and target the fall mechanisms specific to polio survivors.
Authors:
Alice Bickerstaffe; Anita Beelen; Frans Nollet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  42     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2010-11-12     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  908-15     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls* / prevention & control,  statistics & numerical data
Adult
Aged
Aged, 80 and over
Cohort Studies
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Muscle Weakness / etiology
Postpoliomyelitis Syndrome / complications*,  physiopathology,  psychology
Questionnaires
Risk Factors
Survivors / psychology
Walking / physiology,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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