TY - JOUR T1 - The Association between Urinary Disorder, Hypertonia and Assistive Device Usage with Falling in Individual with Multiple Sclerosis TT - JF - USWR JO - USWR VL - 3 IS - 4 UR - http://ptj.uswr.ac.ir/article-1-122-en.html Y1 - 2014 SP - 24 EP - 28 KW - Urinary disorder KW - hypertonia KW - Assistive device KW - Falling KW - Multiple Sclerosis N2 - Objective: The purpose of this study was the association between urinary disorder (UD), spastic hypertonia and assistive device with falling. Methods: In this analytical cross sectional study, 140 participants with Expanded Disability Status Scale (EDSS) score below 7 aged 20 to 55 years were divided into two groups according to their reports of falls in the past 6 months. Participants selected from Tehran outpatient clinics by convenient sampling. The presence or absence of UD, fall history and using assistive device was recorded by self-report. In addition, spastic hypertonia was assessed by Ashworth scale in knee extensors and ankle plantar flexors muscles for lower extremities. Finally, we used Mann whitney, chi-square test and Spearman correlation coefficient for analyzing. Results: We found more UD, spastic hypertonia and using assistive device in MS with history of falling compared with MS without history of falls (P < 0.05). Additionally, the direct and significant relationship existed between UD, spastic hypertonia and using assistive device with falls. Conclusion: MS people with history of falls that have UD, spastic hypertonia and using assistive device are in risk of falling than MS patients without history of falling. M3 ER -