{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:10:07Z","timestamp":1788779407145,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Spinal and bulbar muscular atrophy (SBMA) is an adult\u2010onset X\u2010linked neuromuscular disorder associated with progressive weakness, sensory involvement and impaired mobility. Falls appear frequent in SBMA, but their real\u2010world frequency and circumstances have not been systematically described. This study investigated the frequency, context and perceived causes of falls and near\u2010falls in adults with SBMA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted in adults with genetically confirmed SBMA attending a UK specialist clinic. Participants completed a modified Falls Events Questionnaire, reporting fall and near\u2010fall frequency over the previous 12\u00a0months and describing up to three events of each type. Participant\u2010level analyses described prevalence and frequency, while event\u2010level analyses descriptively summarised circumstances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 83 questionnaires distributed, 61 were returned (73.5%). 55 participants (90%) reported at least 1 fall and 42 (69%) reported falls at least monthly; 51 (84%) reported at least one near\u2010fall. The 55 fallers described 153 fall events (up to three per participant). At event level, most occurred indoors (58%) and during walking, reaching\/bending or turning. Participants most commonly attributed falls to muscle weakness (44%), tripping (18%) and loss of balance (17%). Bruising and sprain\/strain were common, while fractures were rare (2%). The 51 participants reporting near\u2010falls described 153 events; walking was the most common activity at the time of the near\u2010fall, and grabbing a stable surface was the most commonly reported strategy used to avert a fall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Falls and near\u2010falls were frequently reported in this SBMA cohort and commonly occurred during everyday mobility tasks. Participants most often attributed events to weakness, loss of balance and tripping. These descriptive findings support greater clinical attention to falls in SBMA and may inform assessment and rehabilitation priorities, while prospective studies are needed to establish mechanisms and intervention effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70342","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:21:12Z","timestamp":1788776472000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Frequency and Circumstances of Falls Events in People Living With Spinal and Bulbar Muscular Atrophy: A Cross\u2010Sectional Survey"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8805-6188","authenticated-orcid":false,"given":"Laurence E.","family":"Lee","sequence":"first","affiliation":[{"name":"UCL Queen Square Institute of Neurology University College London  London UK"},{"name":"Queen Square Centre for Neuromuscular Diseases University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4242-8641","authenticated-orcid":false,"given":"Luca","family":"Zampedri","sequence":"additional","affiliation":[{"name":"UCL Queen Square Institute of Neurology University College London  London UK"},{"name":"Queen Square Centre for Neuromuscular Diseases University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1738-3402","authenticated-orcid":false,"given":"Dipa","family":"Jayaseelan","sequence":"additional","affiliation":[{"name":"UCL Queen Square Institute of Neurology University College London  London UK"},{"name":"Queen Square Centre for Neuromuscular Diseases University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"Queen Square Centre for Neuromuscular Diseases University College London Hospitals NHS Foundation Trust  London UK"},{"name":"Department of Paediatrics University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Fratta","sequence":"additional","affiliation":[{"name":"UCL Queen Square Institute of Neurology University College London  London UK"},{"name":"Queen Square Centre for Neuromuscular Diseases University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9344-0301","authenticated-orcid":false,"given":"Gita M.","family":"Ramdharry","sequence":"additional","affiliation":[{"name":"UCL Queen Square Institute of Neurology University College London  London UK"},{"name":"Queen Square Centre for Neuromuscular Diseases University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/906274"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000200213"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neulet.2019.04.044"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.70682"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/hmg\/6.12.2005"},{"key":"e_1_2_13_7_1","volume-title":"StatPearls [Internet]","author":"Appeadu M. 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