This article aims to provide an overview of evidence which supports redesign of fall prevention programs for patients who have experienced a stroke. Included is a recommendation for fall risk screening and assessment that includes known stroke-specific risk factors such as hemiparesis, hemiplegia, aphasia and visual neglect or loss. Redesign should also be informed by knowledge of differences between left and right brain stroke manifestations.
This article describes a retrospective evaluation of assessments from the community delivery of the Free From Falls (FFF) multi-factorial fall prevention group exercise and education program that was launched in 2011 by the National Multiple Sclerosis Society. The findings suggest improved outcomes for people with MS such as improved balance confidence, balance performance, functional mobility and reduced falls.
The aim of this systematic review was to evaluate existing evidence on the effectiveness and safety of Tai Chi to inform guidelines to clinicians to improve symptom management in individuals with MS. While this review didn’t focus specifically on older adults, its findings regarding health outcomes particularly functional balance and quality of life can support its incorporation into individualized multifactorial fall prevention interventions.
This longitudinal cohort study investigated the validity of the 7-item Falls Efficacy Scale-International (FES-I) as a measure of fear of falling in people with MS. Scores were found significant in predicting recurrent falls in the following 3 months.
This study aimed to complete a comprehensive investigation of factors which contribute to a fear of falling in individuals with idiopathic Parkinson’s disease. Functional balance performance, dependence in ADLs, and fatigue were independently associated with fear of falling.
This study included 141 participants with the mean age of 68 years with Parkinson’s disease. Participant falls and near falls were tracked daily for a 6 month period. The investigators found that the strongest contributing factor was fear of falling followed by a history of near falls and retropulsion.