Addressing Community Needs: Who May Benefit?

Stroke

  • More than 750,000 per year in the US have a stroke(1)
  • Leading cause of long term disability(1)

Traumatic Brain Injury (TBI)

  • Estimated 1.7 million annually(6)
  • Leading cause is concussion

Multiple Sclerosis

  • Approx. 400,000 in the US living with MS
  • “Rehabilitation is an important component of comprehensive, quality health care for people with MS, at all stages of the disease”(2)
  • High prevalence of falls. A recent study reported more than 50% of study participants had fallen in the previous 6 months (3)
Dizziness/Disequilibrium

  • Estimated to affect 20-30% of the population (4)

Pharmacological / Ototoxicity

  • Link between medication use and falls in elderly(5)
  • Seniors taking multiple medications at increased risk(6)

Fall Prevention

Ladder

Unintentional falls affect a significant number of people ages 65 and older. The Centers for Disease Control and Prevention (CDC) estimate approximately 1 out of 3 people in this age group fall each year(7), resulting in approximately $30 billion in direct medical costs(8). These statistics can be decrease through early detection of those at-risk of falling coupled with prevention strategies such as exercise, change in medications, improvements to the home, and/or treatment for osteoporosis.

A wealth of online resources are available to help educate the public about what they can do to make their homes safer along with information on simple exercises that can be performed by just about anyone. For more information visit the following websites:

Home safety checklist (CDC)
What You Can Do to Prevent Falls (CDC)
CDC Fall Prevention Program Development Resources – STEADI Tool Kit
 

1. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;125(1):e2–220.
2. http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/treatments/index.aspx#rehab
3. Matsuda PN, Shumway-Cook A, Bamer AM, Johnson SL, Amtmann D, Kraft GH. Falls in Multiple Sclerosis. American Academy of Physical Medicine and Rehabilitation 2011;3(7):1934-1482.
4. Neurologist. 2008 Nov;14(6):355-64. doi: 10.1097/NRL.0b013e31817533a3. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Karatas M.
5. Riefkohl EZ, Bieber HL, et al. Medications and Falls in the Elderly: A Review of the Evidence and Practical Considerations.
6. Neutel CI, Perry S, Maxwell c. Medication use and risk of falls. Pharmacoepidemiology and Drug Safety 2002;11(2):97-104.
7. Hausdorff JM, Rios DA, Edelber HK. Gait variability and fall risk in community–living older adults: a 1–year prospective study. Archives of Physical Medicine and Rehabilitation 2001;82(8):1050–6.
8. Stevens JA.  Fatalities and injuries from falls among older adults – United States, 1993–2003 and 2001–2005. MMWR 2006a;55(45).
9. Faul M, Xu L, Wald MM, Coronado VG. Traumatic brain injury in the United States: emergency department visits, hospitalizations, and deaths. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010.
10. Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control. Report to Congress on mild traumatic brain injury in the United States: steps to prevent a serious public health problem. Atlanta (GA): Centers for Disease Control and Prevention; 2003.

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