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  4. Relationship Between Lower Limb Function and Fall Prevalence in Ambulatory Adults With Spinal Cord Injury: A Systematic Review

Relationship Between Lower Limb Function and Fall Prevalence in Ambulatory Adults With Spinal Cord Injury: A Systematic Review

Top Spinal Cord Inj Rehabil, 2022 · DOI: 10.46292/sci21-00026 · Published: July 1, 2022

Spinal Cord InjuryAgingRehabilitation

Simple Explanation

Falls are a significant problem for people with spinal cord injuries (SCI) who can walk. After an SCI, changes in leg function can increase the risk of falls. This study reviewed existing research to see how leg function relates to falls in people with SCI. They looked at things like muscle strength and balance. The review found that there isn't a clear connection between how well someone's legs work (as measured by standard tests) and how often they fall. More research is needed to understand why.

Study Duration
5 to 12 months
Participants
1005 ambulatory individuals with SCI
Evidence Level
Systematic Review

Key Findings

  • 1
    The qualitative analysis provided little evidence to support the relationship between lower limb function recorded by clinical measures and fall prevalence.
  • 2
    Incongruent findings were observed across the relationships between fall prevalence and lower limb functions in ambulatory individuals with SCI.
  • 3
    Collectively, the clinical measures used were unable to identify lower limb impairments and how they relate to fall prevalence in this population.

Research Summary

This systematic review examined the relationship between lower limb function and fall prevalence in ambulatory individuals with spinal cord injury (SCI). The review included 13 studies, revealing inconsistent associations between clinical measures of lower limb function and fall prevalence. The authors suggest that a multifactorial approach, considering behavior, assistive device use, and environmental factors, may be more appropriate for understanding fall prevalence in this population.

Practical Implications

Rehabilitation strategies

Current rehabilitation programs should consider a broader range of factors beyond just lower limb function when addressing fall prevention in ambulatory individuals with SCI.

Future Research

Future studies should focus on a more comprehensive approach, including behavioral traits, assistive device usage, and environmental risk factors, to gain a better understanding of fall prevalence.

Clinical Practice

Clinicians should be aware that standard clinical tests of lower limb function may not be reliable predictors of fall risk in ambulatory individuals with SCI.

Study Limitations

  • 1
    Small number of included studies
  • 2
    Heterogeneity in the record-keeping of falls
  • 3
    Only journals published in English were considered

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