The risks for falls and fractures in multiple sclerosis

  title={The risks for falls and fractures in multiple sclerosis},
  author={Helen Tremlett and Robyn M. Lucas},
  pages={1902 - 1903}
Fractures, particularly hip fractures, are a major public health issue, being associated with high morbidity and mortality.[1][1] Less than half of all hip fracture patients will ever fully recover ability to perform basic activities of daily living.[1][1] A number of the risk factors for falls and 
High Frequency of Fractures in an Early Stage of MS
The prevalence of low-energy vertebrae fractures was notably high in the present cohort; however, the presence of osteoporosis was poorly evaluated in clinical practice for this cohort. Expand
Epidemiology of hip fracture in nursing home residents with multiple sclerosis.
In contrast to prior comparisons from non-NH populations, the incidence of hip fracture was lower in NH residents with MS as compared with matched controls, which likely explains these findings. Expand
Utility of Disease-Specific Measures and Clinical Balance Tests in Prediction of Falls in Persons With Multiple Sclerosis
Background and Purpose: The sensory and motor deficits associated with multiple sclerosis (MS) contribute to falls with the majority of persons with MS falling at least once annually. ToExpand
Understanding and Treating Balance Impairment in Multiple Sclerosis
The evidence, albeit preliminary, suggests thattherapeutic treatment options aimed at improving balance deficits in individuals with MS and treatment options associated with balance impairments should be considered. Expand


Fractures and falls in patients with newly diagnosed clinically isolated syndrome and multiple sclerosis
Fractures and falls in patients with newly diagnosed clinically isolated syndrome and multiple sclerosis and several sclerosis are studied. Expand
Hip Fractures
Treatment for a patient with a fractured hip focuses on getting the patient back to the preinjury activity level and the timing of internal fixation in relationship to morbidity has been studied and concluded that patients with one or two comorbidities received the best outcome if they received internal fixation within 2 days from the time of injury. Expand
Risk of fractures in patients with multiple sclerosis
Increased awareness of the risk of hip fracture is warranted in patients with MS, especially in those who have recently been prescribed antidepressants or hypnotics/anxiolytics. Expand
Bone health in multiple sclerosis
Antiresorptive therapy with bisphosphonates and optimising vitamin D levels are likely to be effective interventions although there are no randomised studies of this therapy. Expand
Incidence of fractures in patients with multiple sclerosis: the Danish National Health Registers
Fractures occurred more often in patients with MS, especially fractures of the tibia, hip and femur, which were elevated in MS patients versus controls. Expand
The Risk of Fracture in Patients With Multiple Sclerosis: The UK General Practice Research Database
It is concluded that MS is associated with an increased risk of fracture. Expand
Fracture risks of antidepressants
The group of other antidepressants did not seem to be systematically associated with fractures, although a small increase may be seen for some types early after initiation, and the alterations in risk of fractures were small. Expand
Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial.
Among older community-dwelling women, annual oral administration of high-dose cholecalciferol resulted in an increased risk of falls and fractures. Expand
Vitamin D and vitamin D analogues for preventing fractures associated with involutional and post-menopausal osteoporosis.
Uncertainty remains about the efficacy of regimens which include Vitamin D or its analogues in fracture prevention, and further randomised trials with economic evaluation are desirable before community fracture prevention programmes employing Vitamin D supplementation can be confidently introduced. Expand
Hip Fracture
The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians, including PIER (Physicians’ Information and Education Resource) and MKSAP (Medical Knowledge and Self Assessment Program). Expand