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Perceived cause, environmental factors, and consequences of falls in adults with cerebral palsy: a preliminary mixed methods study.

Morgan P, McDonald R, McGinley J - Rehabil Res Pract (2015)

Bottom Line: Results.Discussion.Further investigation into the impact of falls on health-related quality of life and effective remediation strategies is warranted to provide comprehensive falls prevention programs for this population.

View Article: PubMed Central - PubMed

Affiliation: Department of Physiotherapy, School of Primary Health Care, Monash University, Frankston, VIC 3199, Australia.

ABSTRACT
Objective. Describe perceived cause, environmental influences, and consequences of falls or near-falls in ambulant adults with cerebral palsy (CP). Methods. Adults with CP completed postal surveys and follow-up semistructured interviews. Surveys sought information on demographic data, self-nominated Gross Motor Function Classification Score (GMFCS-E&R), falls, and near-falls. Interviews gathered additional information on falls experiences, near-falls, and physical and psychosocial consequences. Results. Thirty-four adults with CP participated. Thirty-three participants reported at least one fall in the previous year. Twenty-six participants reported near-falls. Most commonly, falls occurred indoors, at home, and whilst engaged in nonhazardous ambulation. Adults with CP experienced adverse falls consequences, lower limb injuries predominant (37%), and descriptions of fear, embarrassment, powerlessness, and isolation. Discussion. Adults with CP may experience injurious falls. Further investigation into the impact of falls on health-related quality of life and effective remediation strategies is warranted to provide comprehensive falls prevention programs for this population.

No MeSH data available.


Related in: MedlinePlus

Location of most recent fall (a), obstacle involved in most recent fall (b), and consequence of most recent fall (c).
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Related In: Results  -  Collection


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fig2: Location of most recent fall (a), obstacle involved in most recent fall (b), and consequence of most recent fall (c).

Mentions: Six participants were classified as infrequent/nonfallers (fell ≤ 2 times) and 28 participants were classified as frequent fallers (fell > 2 times). Frequent falls were experienced in individuals across all levels of mobility ability, with 5/5 frequent fallers at GMFCS-E&R Level I, 11/14 at GMFCS-E&R Level II, and 12/15 at GMFCS-E&R Level III. The activities being undertaken at the time of the most recent fall (n = 33) (Figure 1), location of fall, contributing obstacles, and falls consequence were explored in more detail (Figure 2). Two injuries to the face required general practitioner (GP) follow-up for sutures, and one participant sought physiotherapy treatment for a back sprain. Two more serious injuries resulting in emergency department (ED) admissions occurred whilst out in the community (fracture, severe bruising to hip/back) (Table 1).


Perceived cause, environmental factors, and consequences of falls in adults with cerebral palsy: a preliminary mixed methods study.

Morgan P, McDonald R, McGinley J - Rehabil Res Pract (2015)

Location of most recent fall (a), obstacle involved in most recent fall (b), and consequence of most recent fall (c).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352903&req=5

fig2: Location of most recent fall (a), obstacle involved in most recent fall (b), and consequence of most recent fall (c).
Mentions: Six participants were classified as infrequent/nonfallers (fell ≤ 2 times) and 28 participants were classified as frequent fallers (fell > 2 times). Frequent falls were experienced in individuals across all levels of mobility ability, with 5/5 frequent fallers at GMFCS-E&R Level I, 11/14 at GMFCS-E&R Level II, and 12/15 at GMFCS-E&R Level III. The activities being undertaken at the time of the most recent fall (n = 33) (Figure 1), location of fall, contributing obstacles, and falls consequence were explored in more detail (Figure 2). Two injuries to the face required general practitioner (GP) follow-up for sutures, and one participant sought physiotherapy treatment for a back sprain. Two more serious injuries resulting in emergency department (ED) admissions occurred whilst out in the community (fracture, severe bruising to hip/back) (Table 1).

Bottom Line: Results.Discussion.Further investigation into the impact of falls on health-related quality of life and effective remediation strategies is warranted to provide comprehensive falls prevention programs for this population.

View Article: PubMed Central - PubMed

Affiliation: Department of Physiotherapy, School of Primary Health Care, Monash University, Frankston, VIC 3199, Australia.

ABSTRACT
Objective. Describe perceived cause, environmental influences, and consequences of falls or near-falls in ambulant adults with cerebral palsy (CP). Methods. Adults with CP completed postal surveys and follow-up semistructured interviews. Surveys sought information on demographic data, self-nominated Gross Motor Function Classification Score (GMFCS-E&R), falls, and near-falls. Interviews gathered additional information on falls experiences, near-falls, and physical and psychosocial consequences. Results. Thirty-four adults with CP participated. Thirty-three participants reported at least one fall in the previous year. Twenty-six participants reported near-falls. Most commonly, falls occurred indoors, at home, and whilst engaged in nonhazardous ambulation. Adults with CP experienced adverse falls consequences, lower limb injuries predominant (37%), and descriptions of fear, embarrassment, powerlessness, and isolation. Discussion. Adults with CP may experience injurious falls. Further investigation into the impact of falls on health-related quality of life and effective remediation strategies is warranted to provide comprehensive falls prevention programs for this population.

No MeSH data available.


Related in: MedlinePlus