Document Detail


Postural control in multiple sclerosis: implications for fall prevention.
MedLine Citation:
PMID:  20567946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
People with multiple sclerosis (MS) often have poor postural control, which likely underlies their increased risk of falls. Based on several studies of balance and gait in MS, it appears that the primary mechanisms underlying the observed changes are slowed somatosensory conduction and impaired central integration. This review of the published research on balance, gait, and falls in people with MS demonstrates that people with MS have balance impairments characterized by increased sway in quiet stance, delayed responses to postural perturbations, and a reduced ability to move toward their limits of stability. These impairments are likely causes of falls in people with MS and are consistent with the reduced gait speed, as well as decreased stride length, cadence, and joint movement, observed in most studies of gait in MS. Based on these findings, we identify several factors that may be amenable to intervention to prevent falls in people with MS.
Authors:
Michelle H Cameron; Stephen Lord
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current neurology and neuroscience reports     Volume:  10     ISSN:  1534-6293     ISO Abbreviation:  Curr Neurol Neurosci Rep     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100931790     Medline TA:  Curr Neurol Neurosci Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  407-12     Citation Subset:  IM    
Affiliation:
Department of Neurology, Oregon Health and Science University, CR120, Portland, OR 97239, USA. cameromi@ohsu.edu
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MeSH Terms
Descriptor/Qualifier:
Gait / physiology
Humans
Multiple Sclerosis / complications*
Postural Balance / physiology*
Sensation Disorders / etiology*
Walking / physiology

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


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