Increased Fear of Falling Linked to Decreased Physical Function

A study published in Multiple Sclerosis and Related Disorders highlights significant correlational and bidirectional predictive relationships be- tween fear of falling (FOF) and com- mon MS symptoms. To assess these relationships, Libak Abou, PhD, MPT, and colleagues reviewed 23 studies on correlations and/or predictions between FOF and common MS symptoms, including measures of gait, postural control, fatigue, cognition, pain, sleep, depression, and anxiety. A total of 2,819 patients were included in the review. Dr. Abou and col- leagues found a significant correlation between in- creased FOF and greater walking deficits, reduced mobility, and poorer balance. Increased FOF was also significantly correlated with higher cognitive impairments, more fatigue, sleep disturbances, and depression. Decreased gait parameters, reduced balance, lower physical functions, cognitive impairments, and sleep deficits were found as significant predictors of increased FOF. According to the re- searchers, further study is needed to develop a conceptual model to address FOF and risk for falls among patients with MS.