Many vulnerable sufferers of rheumatoid arthritis suffer a fall at least once a year, which can lead to independence, isolation and depression – regardless of age – a University of Manchester study shows.
The research, funded by Arthritis Research UK, followed the progress of 559 people with rheumatoid arthritis between the ages of 18 and 88, finding one in three were at risk.
The condition causes joint damage and muscle pain for around half a million people in the UK.
Researchers found that those who have fallen once are at a greater risk of repeat falls and one in ten falls caused fractures or serious head injuries.
Emma Stanmore, lead researcher of the study, said: “Increased fear of falling and injuries can lead to sedentary behaviour which in turn decreases muscle strength – one of the most common factors that contribute to falls.”
The study shows that those who fall once are three times more likely to suffer a further fall within a year of the first one.
Ms Stanmore points out that falls in people with the condition are not just ‘random’, she said: “Falls can be predicted and possibly prevented by assessing and treating a number of risk factors in adults with the condition.”
Professor Alan Silman, medical director at Arthritis Research UK, says that falls are a big problem for sufferers of rheumatoid arthritis and to the public health system.
“Falls and injuries lead to a reduction in the quality of life for many and can lead to a loss of independence, isolation and depression, as well as posing a public health cost challenge,” he said.
Currently over 800 patients are registered at Manchester Royal Infirmary’s Kellgren Centre for Rheumatology.
The centre treats patients from Greater Manchester and provides a specialist rheumatology service to the North West for less common rheumatic complaints such as lupus, vasculitis and Bechet’s disease.
Professor Ian Bruce, Consultant Rheumatologist, says it is important for patients and medical teams to work together to recognise the risk of falls and how to prevent them.
He said: “This may include better control of the joint disease by reviewing medications.
“It also will include assessing patients for good footwear and getting advice from physiotherapists about continuing to exercise regularly in order to maintain muscle strength and improve balance.”
It is hoped that the findings from the study can be used to further research to develop a falls prevention programme, which could include a review of medication and exercises.
Picture courtesy of Charlie Tillja, via Flickr, with thanks.
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