TY  - JOUR
PY  - 2016//
TI  - Factors associated with recurrent falls in individuals with traumatic spinal cord injury - a multi-center study
JO  - Archives of physical medicine and rehabilitation
A1  - Jørgensen, Vivien
A1  - Forslund, Emelie Butler
A1  - Franzén, Erika
A1  - Opheim, Arve
A1  - Seiger, Åke
A1  - Ståhle, Agneta
A1  - Hultling, Claes
A1  - Stanghelle, Johan K.
A1  - Wahman, Kerstin
A1  - Roaldsen, Kirsti Skavberg
SP  - 1908
EP  - 1916
VL  - 97
IS  - 11
N2  - OBJECTIVE: To identify factors associated with recurrent falls in individuals with traumatic SCI. <br><br>DESIGN: Cross-sectional multi-center study. SETTING: Two specialized Rehabilitation Centers in Europe PARTICIPANTS: Included: individuals with traumatic SCI ≥1 year post-injury, ≥ 18 years of age. Excluded: individuals with motor complete injuries above C5 or below L5. Participants were consecutively recruited at regular follow-up. Totally 224 individuals (151 wheelchair users, 73 ambulatory), 77% men, mean age 50 (SD 15) years, median 15 (range 1-56) years since injury were included. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Primary outcome was factors associated with recurrent falls (defined as low frequent [0-2] or recurrent [>2]), the previous year. Independent variables were demographic data, wheelchair user or ambulatory, work, health-related quality of life, risk willingness, alcohol consumption, ability to get up from the ground, and exercise habits. <br><br>RESULTS: Fifty percent reported recurrent falls. In the final multiple logistic regression model, ambulation (odds ratio [OR] = 2.67, 95% confidence interval [CI] = 1.33-5.37), ability to get up from the ground (OR= 2.22, 95% CI= 1.21-4.10),) and regular exercise (OR= 1.86, 95% CI= 1.05-3.31), were associated with recurrent falls (p≤0.05), and with increasing age the OR decreased (OR= 0.97, 95% CI= 0.95-0.99). <br><br>CONCLUSION: Individuals with SCI should be considered at risk of recurrent falls, and thereby at risk of fall-related injuries. Fall prevention programs should be focused on ambulatory, younger and more active individuals who had the highest risks for recurrent falls.<br><br>Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2016.04.024
ID  - ref1
ER  -