Balance disorders and falls in epilepsy
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Many patients with epilepsy report poor balance, however, limited studies of falls and balance in patients with epilepsy are available. Patients with epilepsy also have an increased fracture risk. The reasons for this association are likely multifactorial, and are likely to include fractures sustained during seizures, either due to biomechanics of seizures or falls, balance impairment potentially due to underlying neurological disorders, anti-epileptic medication toxicity or poly-pharmacy, leading to falls at other times, and in some patients, an impairment in bone quality or density leading to an increased risk of fractures from a fall. Falls may also result in other injuries. Falls risk assessment, and where indicated balance assessment or balance retraining should be considered in patients with epilepsy.
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Petty, S.; Hill, Keith; Haber, N.; Paton, L.; Lawrence, K.; Berkovic, S.; Seibel, M.; O'Brien, T.; Wark, J. (2010)Purpose: Patients taking antiepileptic drugs (AEDs) have an increased incidence of fractures. This study investigated chronic AEDuse and physical contributors to falls risk using an AED-discordant, twin and sibling ...
Burton, Elissa; Lewin, G.; O Connell, H.; Hill, Keith (2018)Background: A million older people living in Australia receive community care services each year due to experiencing functional or mental health difficulties. This group may be at greater risk of falling than similar-aged ...
Impact of falls on mental health outcomes for older adult mental health patients: An Australian study.Heslop, Karen; Wynaden, Dianne (2015)Sustaining a fall during hospitalization reduces a patient's ability to return home following discharge. It is well accepted that factors, such as alteration in balance, functional mobility, muscle strength, and fear of ...