UNIGE document Scientific Article
previous document  unige:99178  next document
add to browser collection
Title

Gait and cognitive impairments in multiple sclerosis: the specific contribution of falls and fear of falling

Authors
Kalron, Alon
Published in Journal of neural transmission. 2017, vol. 124, no. 11, p. 1407-1416
Abstract Our goal was to identify the specific contribution of fear of falling (FoF) and falls with quantitative gait impairments and cognition capabilities in multiple sclerosis (MS) patients. Patients were separated into four individual subgroups as to the presence of FoF and falls (i.e., fearless/non-fallers, fearless/fallers, FoF/non-fallers and FoF/fallers). The Falls Efficacy Scale International questionnaire was used to assess the level of concern of falling. Participants were defined as "fallers" and "non-fallers" based on their fall history. Spatio-temporal parameters of gait were analyzed using an electronic mat. Cognitive performance was assessed by a computerized cognitive battery of tests. The study included 540 MS patients, 47% were defined as fallers and 61.9% reported a FoF. Non-significant differences were found between the fearless/non-fallers and fearless/fallers in all clinical, gait and cognitive scores. FoF/non-fallers walked significantly slower compared to fearless MS individuals who had previously fallen. Furthermore, the same patient group exhibited a poorer performance in the motor skills cognitive subdomain. A significant reverse relationship was found between FoF and cognitive motor skills in the fallers and non-fallers groups. FoF characterizes a more disabling symptom than falling in the MS population.
Identifiers
PMID: 28735370
Full text
Article (Published version) (661 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Citation
(ISO format)
KALRON, Alon, ALLALI, Gilles. Gait and cognitive impairments in multiple sclerosis: the specific contribution of falls and fear of falling. In: Journal of neural transmission, 2017, vol. 124, n° 11, p. 1407-1416. https://archive-ouverte.unige.ch/unige:99178

79 hits

0 download

Update

Deposited on : 2017-11-17

Export document
Format :
Citation style :