@article{ref1,
title="Life space assessment and falls in older adults with multiple sclerosis",
journal="Multiple sclerosis and related disorders",
year="2024",
author="Holtzer, Roee and Motl, Robert W. and Wagshul, Mark E. and Picone, Mary Ann and Hernandez, Manuel E. and Izzetoglu, Meltem and Lipton, Michael L. and Foley, Frederick W.",
volume="87",
number="",
pages="e105671-e105671",
abstract="BACKGROUND/OBJECTIVE: Falls research in older adults with MS (OAMS) is scarce, and no studies have reported on the association between life-space mobility and falls in this group. Herein, we hypothesized that higher baseline life-space scores would be associated with reduced odds of reporting falls during follow-up, and explored whether the association differed by MS subtype (progressive vs. relapsing-remitting). <br><br>METHODS: OAMS (n = 91, mean age = 64.7 ± 4.3ys, %female = 66.9,%progressive MS = 30.7) completed the University of Alabama at Birmingham Life-Space-Assessment (UAB-LSA) scale and reported falls during a structured monthly telephone interview during follow-up (mean = 16.39 ± 11.44 months). General Estimated Equations (GEE) models were utilized to determine whether UAB-LSA scores predicted falls during follow-up. <br><br>RESULTS: GEE models revealed that higher UAB-LSA scores were associated with a significant reduction in the odds of falling during follow-up (OR = 0.69, p = 0.012, 95 %CI = 0.51 to 0.92). Stratified analyses revealed that this association was significant in progressive (OR = 0.57, p = 0.004, 95 %CI = 0.39 to 0.84), but not relapsing-remitting (OR = 0.93, p = 0.779, 95 %CI = 0.57 to 1.53) MS. <br><br>CONCLUSION: Higher life-space mobility was associated with lower odds of falling among OAMS with progressive subtype. The UAB-LSA may complement existing mobility measures for predicting fall risk.<p /> <p>Language: en</p>",
language="en",
issn="2211-0348",
doi="10.1016/j.msard.2024.105671",
url="http://dx.doi.org/10.1016/j.msard.2024.105671"
}