Falls in Korean Polio Survivors: Incidence, Consequences, and Risk Factorsopen access
- Authors
- Nam, Ki Yeun; Lee, SeungYeol; Yang, Eun Joo; Kim, Keewon; Jung, Se Hee; Jang, Soong-Nang; Han, Soo Jeong; Kim, Wan-Ho; Lim, Jae-Young
- Issue Date
- Feb-2016
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- Poliomyelitis; Postpoliomyelitis Syndrome; Survivors; Accidental Falls; Risk Factors
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.31, no.2, pp 301 - 309
- Pages
- 9
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 31
- Number
- 2
- Start Page
- 301
- End Page
- 309
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/7316
- DOI
- 10.3346/jkms.2016.31.2.301
- ISSN
- 1011-8934
1598-6357
- Abstract
- Falls and fall-related injuries are important issue among polio survivors. The purpose of this study was to determine the incidence of, and consequences and factors associated with falls among Korean polio survivors. A total of 317 polio survivors participated in this study. All participants completed a questionnaire including fall history, symptoms related to postpolio syndrome and other information through a telephone interview. Among them, 80 participants visited our clinic for additional physical measurements and tests. Of the 317 respondents, 68.5% reported at least one fall in the past year. Of the fallers, 42.5% experienced at least one fall during one month. Most falls occurred during ambulation (76.6%), outside (75.2%) and by slipping down (29.7%). Of fallers, 45% reported any injuries caused by falls, and 23.3% reported fractures specifically. Female sex, old age, low bone mineral density, the presence of symptoms related to post-polio syndrome (PPS), poor balance confidence, short physical performance battery and weak muscle strength of knee extensor were not significantly associated with falls. Only leg-length discrepancy using spine-malleolar distance (SMD) was a significant factor associated with falls among Korean polio survivors. Our findings suggest that malalignment between the paralytic and non-paralytic limb length should be addressed in polio survivors for preventing falls.
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