@article{ref1,
title="Circumstances and consequences of falls in polio survivors",
journal="Journal of rehabilitation medicine",
year="2010",
author="Bickerstaffe, Alice and Beelen, Anita and Nollet, Frans",
volume="42",
number="10",
pages="908-915",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="1650-1977",
doi="10.2340/16501977-0620",
url="http://dx.doi.org/10.2340/16501977-0620"
}