title: Changes of functional ability in patients with spinal cord injury with and without falls during 6 months after discharge.
abstract: BACKGROUND
  Ambulatory patients with spinal cord injury (SCI) encounter a high risk of falls. However, most of the fall data in the literature were subjectively reported, without evidence to confirm the functional ability of those with and without falls.
  
  
  OBJECTIVE
  The purpose of this study was to prospectively evaluate changes in functional ability relating to falls in participants with SCI who fell and those who did not fall during the 6-month period after discharge.
  
  
  METHODS
  A 6-month prospective design was used in the study.
  
  
  METHODS
  Fifty independent ambulatory participants with SCI were assessed for their functional ability using the Timed "Up & Go" Test, 10-Meter Walk Test, Berg Balance Scale, and Six-Minute Walk Test (6MWT) prior to discharge and 6 months afterward. After discharge, the participants' fall data were monitored monthly to categorize them into faller (≥1 fall in 6 months) and nonfaller (no fall) groups.
  
  
  RESULTS
  Twenty-seven participants (54%) fell, and their baseline functional abilities were obviously lower than those who did not fall. After 6 months, the functional ability of these participants showed significant improvement for every test, whereas those who did not fall demonstrated a significant improvement only for the 6MWT. After adjusting for the baseline data, the functional ability at 6 months showed no significant differences between the groups.
  
  
  CONCLUSIONS
  The study did not monitor physical activities of the participants during the follow-up period. The findings on fear of falling were subjectively reported by the participants.
  
  
  CONCLUSIONS
  Participants with SCI are commonly characterized as being active and enthusiastic, which may drive their physical activities. However, sensorimotor impairments following SCI hinder their ability to move safely, particularly in those with more functional deterioration. Therefore, greater functional improvement is accompanied by a higher risk of falls. Because falls can induce serious consequences, rehabilitation professionals may need to seek strategies to improve safety issues during movement for these patients, particularly in their own environments.
authors.affiliation: J. Wannapakhe, PT, PhD, School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Jirabhorn
authors.initials: J
authors.lastname: Wannapakhe
authors.forename: Preeda
authors.initials: P
authors.lastname: Arayawichanon
authors.forename: Jiamjit
authors.initials: J
authors.lastname: Saengsuwan
authors.forename: Sugalya
authors.initials: S
authors.lastname: Amatachaya
mesh_terms: D000058:Accidental Falls; D000328:Adult; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D004856:Postural Balance / Q000502:physiology; D011446:Prospective Studies; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D013997:Time Factors; D016138:Walking / Q000502:physiology