@article{ref1,
title="Falls and fear of falling predict future falls and related injuries in ambulatory people with spinal cord injury: a longitudinal observational study",
journal="Journal of physiotherapy",
year="2017",
author="Jørgensen, Vivien and Butler Forslund, Emelie and Opheim, Arve and Franzén, Erika and Wahman, Kerstin and Hultling, Claes and Seiger, Åke and Ståhle, Agneta and Stanghelle, Johan K. and Skavberg Roaldsen, Kirsti",
volume="63",
number="2",
pages="108-113",
abstract="QUESTION: What is the 1-year incidence of falls and injurious falls in a representative cohort of community-dwelling ambulatory people with chronic spinal cord injury? What are the predictors of recurrent falls (more than two/year) and injurious falls in this population? DESIGN: One-year longitudinal observational multi-centre study. PARTICIPANTS: A representative sample of 68 (of 73 included) community-dwelling ambulatory people with traumatic spinal cord injury attending regular follow-up programs at rehabilitation centres. OUTCOME MEASURES: Primary outcome measures were incidence and predictors of recurrent falls (more than two/year) and injurious falls reported every 2 weeks for 1year. <br><br>RESULTS: A total of 48% of participants reported recurrent falls. Of the 272 reported falls, 41% were injurious. Serious injuries were experienced by 4% of participants, all of whom were women. Multivariate logistic regression analysis showed that recurrent falls in the previous year (OR 111, 95% CI 8.6 to 1425), fear of falling (OR 6.1, 95% CI 1.43 to 26) and longer time taken to walk 10m (OR 1.3, 95% CI 1.0 to 1.7) were predictors of recurrent falls. Fear of falling (OR 4.3, 95% CI 1.3 to 14) and recurrent falls in the previous year (OR 4.2, 95% CI 1.2 to 14) were predictors of injurious falls. <br><br>CONCLUSION: Ambulatory people with a spinal cord injury have a high risk of falling and of fall-related injuries. Fall history, fear of falling and walking speed could predict recurrent falls and injurious falls. Further studies with larger samples are needed to validate these findings. [Jørgensen V, Butler Forslund E, Opheim A, Franzén E, Wahman K, Hultling C, Seiger Å, Ståhle A, Stanghelle JK, Skavberg Roaldsen K (2017) Falls and fear of falling predict future falls and related injuries in ambulatory people with spinal cord injury: a longitudinal observational study. Journal of PhysiotherapyXX: XX-XX].<br><br>Copyright © 2017 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1836-9553",
doi="10.1016/j.jphys.2016.11.010",
url="http://dx.doi.org/10.1016/j.jphys.2016.11.010"
}