An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen / Laura Comber in The British Journal of Occupational Therapy, Vol.80 Issue 10 (October 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 587-595 Titre : An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen Type de document : texte imprimé Auteurs : Laura Comber ; Susan Coote ; Marcia Finlayson ; [et al...] Année de publication : 2017 Article en page(s) : p. 587-595 Langues : Anglais (eng) Mots-clés : sclérose en plaques  chute Résumé : An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen Show all authors Laura Comber, Susan Coote, Marcia Finlayson, ... First Published August 31, 2017 Research Article Download PDFPDF download for An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen Article information Article has an altmetric score of 12 Free Access Abstract Introduction Psychosocial contributors to fall risk for people with multiple sclerosis are often overlooked in falls prevention practice. This study explored several fall-related, psychosocial variables and their association with falls self-efficacy in a sample of people with multiple sclerosis reporting a fall. Method A cross-sectional, structured telephone survey was employed. The survey explored socio-demographics, multiple sclerosis characteristics, and fall-related psychosocial variables. Multiple linear regression was employed to investigate associations with Falls Efficacy Scale – International scores. Results The mean Falls Efficacy Scale – International score for 140 participants was 38.14(SD = 10.16), and the mean Falls Control Scale score was 5.38(SD = 2.22). Fear of falling was expressed by 129 (92%) participants, with 111 (79%) reporting associated activity curtailment. A regression model including six predictors explained 47% of the variance in the Falls Efficacy Scale – International scores. Results of the multiple linear regression showed that fear of falling, associated activity curtailment, balance interference, falls control, and health status were associated with falls self-efficacy. Conclusion Fear of falling and associated activity curtailment, low falls self-efficacy, and compromised falls control are common among people with multiple sclerosis who have fallen. These fall-related psychosocial variables are distinct and each warrants attention during assessment. Findings suggest that falls self-efficacy among people with multiple sclerosis who have fallen is a complex construct associated with physical and psychosocial factors. Permalink : ./index.php?lvl=notice_display&id=52706 [article] An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen [texte imprimé] / Laura Comber ; Susan Coote ; Marcia Finlayson ; [et al...] . - 2017 . - p. 587-595. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 587-595 Mots-clés : sclérose en plaques  chute Résumé : An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen Show all authors Laura Comber, Susan Coote, Marcia Finlayson, ... First Published August 31, 2017 Research Article Download PDFPDF download for An exploration of fall-related, psychosocial variables in people with multiple sclerosis who have fallen Article information Article has an altmetric score of 12 Free Access Abstract Introduction Psychosocial contributors to fall risk for people with multiple sclerosis are often overlooked in falls prevention practice. This study explored several fall-related, psychosocial variables and their association with falls self-efficacy in a sample of people with multiple sclerosis reporting a fall. Method A cross-sectional, structured telephone survey was employed. The survey explored socio-demographics, multiple sclerosis characteristics, and fall-related psychosocial variables. Multiple linear regression was employed to investigate associations with Falls Efficacy Scale – International scores. Results The mean Falls Efficacy Scale – International score for 140 participants was 38.14(SD = 10.16), and the mean Falls Control Scale score was 5.38(SD = 2.22). Fear of falling was expressed by 129 (92%) participants, with 111 (79%) reporting associated activity curtailment. A regression model including six predictors explained 47% of the variance in the Falls Efficacy Scale – International scores. Results of the multiple linear regression showed that fear of falling, associated activity curtailment, balance interference, falls control, and health status were associated with falls self-efficacy. Conclusion Fear of falling and associated activity curtailment, low falls self-efficacy, and compromised falls control are common among people with multiple sclerosis who have fallen. These fall-related psychosocial variables are distinct and each warrants attention during assessment. Findings suggest that falls self-efficacy among people with multiple sclerosis who have fallen is a complex construct associated with physical and psychosocial factors. Permalink : ./index.php?lvl=notice_display&id=52706

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Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial / Davide Cattaneo in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 93-98 Titre : Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial Type de document : texte imprimé Auteurs : Davide Cattaneo ; Susan Coote ; Kamila Rasova ; Elisa Gervasoni ; Elisabetta Groppo ; Terezie Prokopiusova ; Jitka Reznickova ; Angelo Montesano ; Johanna Jonsdottir Année de publication : 2020 Article en page(s) : p. 93-98 Note générale : doi.org/10.1016/j.rehab.2019.05.007 Langues : Anglais (eng) Mots-clés : Multiple sclerosis  Rehabilitation  Outcome  Balance improvement Résumé : Objectives Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention. Methods We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥ +3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results Balance improved after rehabilitation: median (quartile 1 [Q1]–Q3) BBS score pre- and post-rehabilitation of 49 (45–53) and 52 (47–55) (P < 0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09–4.05]), inpatient therapy (0.41 [0.19–0.84]), using a walking aid (1.68 [1.06–2.69]), and low baseline BBS score (0.86 [0.81–0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74–0.89] and 5.66 [1.79–21.5]). Conclusion A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome. Permalink : ./index.php?lvl=notice_display&id=90777 [article] Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial [texte imprimé] / Davide Cattaneo ; Susan Coote ; Kamila Rasova ; Elisa Gervasoni ; Elisabetta Groppo ; Terezie Prokopiusova ; Jitka Reznickova ; Angelo Montesano ; Johanna Jonsdottir . - 2020 . - p. 93-98. doi.org/10.1016/j.rehab.2019.05.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 93-98 Mots-clés : Multiple sclerosis  Rehabilitation  Outcome  Balance improvement Résumé : Objectives Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention. Methods We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥ +3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs). Results Balance improved after rehabilitation: median (quartile 1 [Q1]–Q3) BBS score pre- and post-rehabilitation of 49 (45–53) and 52 (47–55) (P < 0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09–4.05]), inpatient therapy (0.41 [0.19–0.84]), using a walking aid (1.68 [1.06–2.69]), and low baseline BBS score (0.86 [0.81–0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74–0.89] and 5.66 [1.79–21.5]). Conclusion A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome. Permalink : ./index.php?lvl=notice_display&id=90777

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