What is a fall? There are many definitions of a fall that are used in healthcare and even definitions of “near-falls.” Both are very significant in assessing the health of a person with multiple sclerosis. It is probably the most important reason to see a physical therapist every year; even if you believe or you have been told that your MS is stable. Fall risk and balance deconditioning can occur slowly and typically patients only think they should see a fall-prevention specialist like the physical or occupational therapist, once a fall has occurred.

“Near falls” can be defined as losing one’s balance but managing to stay upright, for example by grabbing onto something when losing balance. In many cases, patients cause their own “near falls” by plopping down or twisting when sitting down or reaching for objects in their house to hold onto while walking.

Dr. Stephen Kanter, the Supervisor of Rehabilitation Services at the IMSMP, describes a fall in the following way: “If you are on the floor (or lower surface) and you did not choose to be there, that is a fall. Regardless of whether you tripped, slipped, went down nicely, and regardless of whether it hurt or not. If you did not choose to be on the floor, that is a fall.”

Falls are preventable through a good evaluation and implementation of a program that improves movement behaviors, balance, and awareness of the environment. For a full fall risk screening and individualized balance and fall prevention training, schedule an appointment today with a physical therapist at the IMSMP.