Article

The purpose of this study was to identify potential items for an
observational screening tool to assess safe, effective and appropriate walking
aid use among people with multiple sclerosis (MS). Such a tool is needed because
of the association between fall risk and mobility aid use in this population.
METHODS: Four individuals with MS were videotaped using a one or two straight
canes, crutches or a rollator in different settings. Seventeen health care
professionals from Canada, Ireland and the United States were recruited, and
viewed the videos, and were then interviewed about the use of the devices by the
individuals in the videos. Interview questions addressed safety, effectiveness
and appropriateness of the device in the setting. Data were analyzed
qualitatively. Coding consistency across raters was evaluated and confirmed.
RESULTS: Nineteen codes were identified as possible items for the screening tool.
The most frequent issues raised regardless of setting and device were "device
used for duration/abandoned", "appropriate device", "balance and stability",
"device technique", "environmental modification" and "hands free." CONCLUSION:
With the identification of a number of potential tool items, researchers can now
move forward with the development of the tool. This will involve consultation
with both healthcare professionals and people with MS. Implications for
rehabilitation Falls among people with multiple sclerosis are associated with
mobility device use and use of multiple devices is associated with greater falls
risk. The ability to assess for safe, effective and efficient use of walking aids
is therefore important, no tools currently exist for this purpose. The codes
arising from this study will be used to develop a screening tool for safe,
effective and efficient walking aid use with the aim of reducing falls risk.

Langue : ANGLAIS