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Higher Disease and Pain Severity and Fatigue and Lower Balance Skills Are Associated With Higher Prevalence of Falling Among Individuals With the Inflammatory Disease of Neuromyelitis Optica Spectrum Disorder (Nmosd) Publisher



Barzegar M1, 2 ; Bahmani DS3, 4, 5 ; Mirmosayyeb O1, 2 ; Azarbayejani R1, 6 ; Afsharisafavi A7 ; Vaheb S1 ; Nehzat N1 ; Dana A1 ; Shaygannejad V1, 2 ; Motl RW3 ; Brand S4, 5, 8, 9, 10
Authors
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Authors Affiliations
  1. 1. Isfahan Neurosciences Research Center, Alzahra Research Institute, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  2. 2. Department of Neurology, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  3. 3. Departments of Physical Therapy, University of Alabama at Birmingham, Birmingham, 35209, AL, United States
  4. 4. Center of Affective, Stress and Sleep Disorders (ZASS), University of Basel, Psychiatric Clinics (UPK), Basel, 4002, Switzerland
  5. 5. Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, 67198-51351, Iran
  6. 6. School of Medicine, Isfahan University of Medical Sciences, Isfahan, 81746-73441, Iran
  7. 7. Department of Biostatistics and Epidemiology, Faculty of Health, North Khorasan University of Medical Sciences, Bojnurd, 74877-94149, Iran
  8. 8. Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences (KUMS), Kermanshah, 67198-51351, Iran
  9. 9. School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, 14117-13135, Iran
  10. 10. Department of Sport, Exercise, and Health, Division of Sport Science and Psychosocial Health, University of Basel, Basel, 4051, Switzerland

Source: Journal of Clinical Medicine Published:2020


Abstract

Background: Neuromyelitis optica spectrum disorder (NMOSD) is a chronic inflammatory and autoimmune disorder that is associated with impaired vision, sensory loss, pain, fatigue, and spasms in the upper and lower limbs. Typically, persons with this disorder are also at higher risks of falls. Given this, the aims of the study were to compare the prevalence rates of falling for NMOSD cases and healthy controls (HCs), and to predict falling in the former group based on sociodemographic, psychological, and illness-related factors. Method: A total of 95 adults with NMOSD (Mean age = 34.89 years; 70.5% females) and 100 matched HCs took part in the study. All participants completed a series of questionnaires covering sociodemographic information and falling rates. The NMOSD individuals also reported on disease duration, pain, fatigue, and fear of falling, while their balance performance was objectively assessed. Results: Compared to healthy controls, the NMOSD cases had a 2.5-fold higher risk of falling. In this latter group, higher scores for pain, fatigue, fear of falling, and higher EDSS scores were distinguished between fallers and non-fallers, and objective balance skills had no predictive value. Conclusions: Compared to healthy controls, NMOSD sufferers had a 2.5-fold higher risk of experiencing falls. In this group, disease impairments (EDSS, fatigue, pain) predicted falling. Specific interventions such as regular resistance training might reduce the risk of falling. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
6. Microorganisms in Pathogenesis and Management of Neuromyelitis Optica Spectrum Disorder, Role of Microorganisms in Pathogenesis and Management of Autoimmune Diseases: Volume II: Kidney# Central Nervous System# Eye# Blood# Blood Vessels and Bowel (2023)
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