Prevalence and Associated Factors of Falls in Persons with Multiple Sclerosis: A Cross-Sectional Study

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Published Oct 30, 2024
https://doi.org/10.62438/tunismed.v102i11.5131
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Vol. 102 No. 11 (2024): Tunis Med nov 2024

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Soumaya Belghith
Physical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia
Najla Mouhli
Physical Medicine and rehabilitation Department, Military hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
Kais Ben Amor
Physical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia
Meriem Hfaidh
Physical Medicine and rehabilitation Department, Military hospital of Tunis, Tunisia
Hajer Derbali
Neurology Department, Military hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
Ridha Mrissa
Neurology Department, Military hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
Rim Maaoui
Physical Medicine and rehabilitation Department, Military hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
Hajer Rahali
Physical Medicine and rehabilitation Department, Military hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia

Abstract

Introduction: Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord. Falls are a serious health concern for persons with MS (PwMS).


Aim: To determine the frequency and associated factors of falls in PwMS.


Methods: A cross-sectional study was conducted in the Physical Medicine and Rehabilitation and Neurological Departments at the Military Hospital of Tunis between July and December 2022. Participants meeting the inclusion criteria completed a survey focusing on the prevalence and related factors of falls. In addition to the survey and a thorough clinical and functional examination, we used the 12-item MS Walking Scale (MSWS-12), the Fall Efficacy Scale International (FES-I), the Short Physical Performance Battery (SPPB), and the 10-meter walk test for clinical assessment of balance. A baropodometric platform was employed for instrumental assessment.


Results: Thirty individuals with an average age of 33,6 [SD: 7,7], completed the survey with a mean Expanded Disability Status Scale = 2,5. Twenty-one patients reported falling at least once since the diagnosis. The MSWS-12 mean score was 61 % and the FES-I scored an average of 33.8. The average total score of the SPPB was 8. Total boli of corticosteroids prescribed during disease flare-ups (p=0,022), magnetic resonance imaging lesions of the basal ganglia (p=0,047), vestibular syndrome (p=0,048), MSWS-12 score (p=0,022), and the chair lift test of SPPB (p=0,018) were significantly associated with the prevalence of falling. No significant differences were observed for the instrumental assessment.


Conclusion: Falls are frequent in PwMS. MSWS ...( abstract truncated at 250 words).

Keywords:

Multiple sclerosis, Falls, Balance, Disability, Baropodometric Analysis, health concern

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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