Prévalence et Facteurs Associés aux Chutes chez les Personnes Atteintes de Sclérose en Plaques : Étude Transversale
DOI :
https://doi.org/10.62438/tunismed.v102i11.5131Mots-clés :
Sclérose en plaques, Chutes, Équilibre, Invalidité, Analyse baropodométrique, Préoccupation de santéRésumé
Introduction : La sclérose en plaques (SEP) est une maladie potentiellement invalidante du cerveau et de la moelle épinière. Les chutes représentent une préoccupation majeure pour la santé des personnes atteintes de SEP (PwMS).
Objectif : Déterminer la fréquence et les facteurs associés aux chutes chez les PwMS.
Méthodes : Une étude transversale a été menée dans les départements de Médecine Physique et de Réadaptation et de Neurologie de l'Hôpital Militaire de Tunis entre juillet et décembre 2022. Les participants répondant aux critères d'inclusion ont complété une enquête portant sur la prévalence et les facteurs liés aux chutes. En plus de l'enquête et d'un examen clinique et fonctionnel approfondi, nous avons utilisé l'échelle 12-item MS Walking Scale (MSWS-12), Fall Efficacy Scale International (FES-I), the Short Physical Performance Battery (SPPB) et le test de marche de 10 mètres pour une évaluation clinique de l'équilibre. Une plateforme baropodométrique a été utilisée pour l'évaluation instrumentale.
Résultats : Trente individus âgés en moyenne de 33,6 ans [SD : 7,7], ont complété l'enquête avec un score moyen à l'échelle Expanded Disability Status Scale (EDSS) de 2,5. Vingt et un patients ont déclaré être tombés au moins une fois depuis le diagnostic. Le score moyen du MSWS-12 était de 61 % et celui du FES-I était de 33,8 en moyenne. Le score total moyen du SPPB était de 8. Le nombre total de bolus de corticostéroïdes prescrits lors des poussées de la maladie (p=0,022), les lésions du ganglion basal à l'imagerie ...( résumé tronqué à 250 mots).
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Merci de créditer les auteurs lors de toute citation : La Tunisie Médicale (2024)
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