Response to the Letter to Editor Yuying Chen1, Ying Tang 1,2, Victoria Allen 1, Michael J. DeVivo 1 1

Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, 515 Spain Rehabilitation Center, 1717 6th Avenue South, Birmingham, AL, USA, 2Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA

“There is a need once again for a multifactorial assessment and intervention for fall prevention among the elderly” by Caronni and Sciumè We thank Caronni and Sciumè1 for their interest in our work2 and positive comments. There is growing evidence lately that shows not only an increasing age at the time of spinal cord injury (SCI), but also a trend toward increasing risk of SCI among the elderly.3–5 With falls the leading cause of SCI among people aged 45 years and older,6 fall prevention programs targeting older adults should underscore SCI as one of the serious consequences associated with falls. In addition to a compendium of evidencebased fall prevention programs7 mentioned in our article, the Stopping Elderly Accidents, Deaths and Injuries (STEADI)—Older Adult Fall Prevention is a tool kit created by the Center for Disease Control and Prevention (CDC) for health care providers to use in assessing and addressing fall risk with their older patients.8 In summary, we agree with our colleagues and strongly support a multi-dimensional risk assessment and multifactorial intervention to reduce falls and associated SCI in the aging population.


© The Academy of Spinal Cord Injury Professionals, Inc. 2015 DOI 10.1080/10790268.2015.1126443

References 1 Caronni A, Sciumè L. There is a need once again for a multifactorial assessment and intervention for fall prevention among the elderly. J Spinal Cord Med 2016;39(1):121. 2 Chen Y, Tang Y, Allen V, DeVivo MJ. Fall-induced spinal cord injury: external causes and implications for prevention. J. Spinal Cord Med 2015 Apr 1 [Epub ahead of print]. doi.10.1179/ 2045772315Y.0000000007. 3 DeVivo MJ, Chen Y. Trends in new injuries, prevalent cases, and aging with spinal cord injury. Arch Phys Med Rehabil 2011;92(3): 332–8. 4 Jain NB, Ayers GD, Peterson EN, Harris MB, Morse L, O’Connor KC et al. Traumatic spinal cord injury in the United States, 1993–2012. JAMA 2015;313(22):2236–43. 5 Selvarajah S, Hammond ER, Haider AH, Abularrage CJ, Becker D, Dhiman N, et al. The burden of acute traumatic spinal cord injury among adults in the United States: an update. J Neurotrauma 2014;31(3):228–38. 6 Chen Y, Tang Y, Vogel LC, DeVivo MJ. Causes of spinal cord injury. Top Spinal Cord Inj Rehabil 2013;19(1):1–8. 7 Centers for Disease Control and Prevention. CDC compendium of effective fall interventions: what works for community-dwelling older adults, 3rd Edition. creationalsafety/Falls/compendium.html. Accessed September 4, 2015. 8 Centers for Disease Control and Prevention. STEADI (Stopping Elderly Accidents, Deaths & Injuries)—older adult fall prevention. Accessed September 4, 2015.

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Response to the Letter to Editor.

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