AIM: To determine if the findings at month 1 could correctly identify stroke patients who fell in the 6 months post-stroke; and to describe the characteristics of fallers and non-fallers, and their courses of recovery. METHODS: Of 133 volunteers who had their first stroke, 98 participants completed the assessment three times. Fall incidence and history were collected by telephone every 2 weeks and recorded. Fear of falling measured by the Fall Efficacy Scale (FES-S), the amount of time that physical therapy was received, and standardized outcome measures according to the International Classification Functioning, Disability and Health model were measured at month 1, 3 and 6 after stroke. The Berg Balance Scale, Barthel Index, Timed Up & Go, 10-m (10mWT) and 2-min walks and participation subscore of Stroke Impact Scale were used for assessment. RESULTS: A total of 25 patients (25%) fell in the 6 months; 13 had multiple falls. Fallers showed less improvement in impairments, activity and community participation compared with non-fallers. The risk of falling was greater than 1 (odds ratio [OR]) when assessed by all outcome measures at month 1, and was double at month 3. The FES-S ≥ 33 at month 1 could accurately identify a faller (OR 2.99, 95% confidence interval 1.07-8.37), moderate to high sensitivity (76%), specificity (49%), and positive and negative predicted value (34% and 85%). CONCLUSIONS: Fear of falling was the best indicator of falling. Receiving physical therapy after a stroke seems to highly contribute to improved functional independence of activities in daily living, and increased self-confidence and cognitive function.
AIM: To determine if the findings at month 1 could correctly identify strokepatients who fell in the 6 months post-stroke; and to describe the characteristics of fallers and non-fallers, and their courses of recovery. METHODS: Of 133 volunteers who had their first stroke, 98 participants completed the assessment three times. Fall incidence and history were collected by telephone every 2 weeks and recorded. Fear of falling measured by the Fall Efficacy Scale (FES-S), the amount of time that physical therapy was received, and standardized outcome measures according to the International Classification Functioning, Disability and Health model were measured at month 1, 3 and 6 after stroke. The Berg Balance Scale, Barthel Index, Timed Up & Go, 10-m (10mWT) and 2-min walks and participation subscore of Stroke Impact Scale were used for assessment. RESULTS: A total of 25 patients (25%) fell in the 6 months; 13 had multiple falls. Fallers showed less improvement in impairments, activity and community participation compared with non-fallers. The risk of falling was greater than 1 (odds ratio [OR]) when assessed by all outcome measures at month 1, and was double at month 3. The FES-S ≥ 33 at month 1 could accurately identify a faller (OR 2.99, 95% confidence interval 1.07-8.37), moderate to high sensitivity (76%), specificity (49%), and positive and negative predicted value (34% and 85%). CONCLUSIONS: Fear of falling was the best indicator of falling. Receiving physical therapy after a stroke seems to highly contribute to improved functional independence of activities in daily living, and increased self-confidence and cognitive function.
Authors: Husna Ahmad Ainuddin; Muhammad Hibatullah Romli; Tengku Aizan Hamid; Mazatulfazura Sf Salim; Lynette Mackenzie Journal: Front Public Health Date: 2021-04-27
Authors: Emma J Foster; Raphae S Barlas; Joao H Bettencourt-Silva; Allan B Clark; Anthony K Metcalf; Kristian M Bowles; John F Potter; Phyo K Myint Journal: Front Neurol Date: 2018-04-03 Impact factor: 4.003