Giovanni Morone1, Alex Martino Cinnera2, Teresa Paolucci3, Henson Dianne Reyes Beatriz4, Stefano Paolucci1,5, Marco Iosa1. 1. Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina, 306, 00179, Rome, Italy. 2. Neurorehabilitation Unit F, IRCCS Santa Lucia Foundation, via Ardeatina 354, 00142, Roma, Italy. a.martino@hsantalucia.it. 3. Complex Unit of Physical Medicine and Rehabilitation, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy. 4. Neurorehabilitation Unit B, IRCCS Santa Lucia Foundation, Via Ardeatina, 306, 00179, Rome, Italy. 5. Neurorehabilitation Unit F, IRCCS Santa Lucia Foundation, via Ardeatina 354, 00142, Roma, Italy.
Abstract
BACKGROUND AND PURPOSE: The aim of this study is to observe the differences between fallers, common fallers, and non-fallers in stroke patients compared with the global ability in a rehabilitation setting. MATERIALS AND METHODS: An observational and prospective study has been carried out. A total of 476 subacute stroke patients have been observed. The main outcome measures were assessed using the Canadian Neurological Scale (CNS), Barthel Index (BI), Functional Ambulatory Category (FAC), and Trunk Control Test (TCT) at admission to the rehabilitation unit and after 90 days of the rehabilitation treatment (nearly 3 h for day for 5 days for week) at the discharge with intermediate evaluations after the first and second months. RESULTS: Out of 397 patients, 109 reported 1 or more falls (27.5%), of whom 67 fell 1 time (fallers) in the hospital (16.9%) and 42 fell 2 or more times (common fallers) (10.6%). For fallers, BI and FAC scores had a significant effect (p = 0.003 for both). Common fallers had statistically significant differences in BI (p = 0.002), FAC (p = 0.012), and TCT scores (0.023) compared with non-fallers. CONCLUSIONS: The severity of stroke may directly increase the risk of fall, and also indirectly, lengthening the hospitalization. Our study seems to suggest that patients with BI scores of between 21 and 30 on admission are more prone to fall in the first period of hospitalization, whereas in the second month, those with scores of between 11 and 20 on admission have a higher risk of falls. In the third month, patients with BI scores below 10 on admission are more susceptible to falls.
BACKGROUND AND PURPOSE: The aim of this study is to observe the differences between fallers, common fallers, and non-fallers in strokepatients compared with the global ability in a rehabilitation setting. MATERIALS AND METHODS: An observational and prospective study has been carried out. A total of 476 subacute strokepatients have been observed. The main outcome measures were assessed using the Canadian Neurological Scale (CNS), Barthel Index (BI), Functional Ambulatory Category (FAC), and Trunk Control Test (TCT) at admission to the rehabilitation unit and after 90 days of the rehabilitation treatment (nearly 3 h for day for 5 days for week) at the discharge with intermediate evaluations after the first and second months. RESULTS: Out of 397 patients, 109 reported 1 or more falls (27.5%), of whom 67 fell 1 time (fallers) in the hospital (16.9%) and 42 fell 2 or more times (common fallers) (10.6%). For fallers, BI and FAC scores had a significant effect (p = 0.003 for both). Common fallers had statistically significant differences in BI (p = 0.002), FAC (p = 0.012), and TCT scores (0.023) compared with non-fallers. CONCLUSIONS: The severity of stroke may directly increase the risk of fall, and also indirectly, lengthening the hospitalization. Our study seems to suggest that patients with BI scores of between 21 and 30 on admission are more prone to fall in the first period of hospitalization, whereas in the second month, those with scores of between 11 and 20 on admission have a higher risk of falls. In the third month, patients with BI scores below 10 on admission are more susceptible to falls.
Authors: P Langhorne; D J Stott; L Robertson; J MacDonald; L Jones; C McAlpine; F Dick; G S Taylor; G Murray Journal: Stroke Date: 2000-06 Impact factor: 7.914
Authors: Shylie F Mackintosh; Keith D Hill; Karen J Dodd; Patricia A Goldie; Elsie G Culham Journal: Arch Phys Med Rehabil Date: 2006-12 Impact factor: 3.966
Authors: Erwin Chiquete; Amado Jiménez-Ruiz; Miguel García-Grimshaw; Rogelio Domínguez-Moreno; Elizabeth Rodríguez-Perea; Paola Trejo-Romero; Eduardo Ruiz-Ruiz; Valeria Sandoval-Rodríguez; Juan José Gómez-Piña; Guillermo Ramírez-García; Ana Ochoa-Guzmán; Liz Toapanta-Yanchapaxi; Fernando Flores-Silva; José Luis Ruiz-Sandoval; Carlos Cantú-Brito Journal: Neurol Sci Date: 2020-11-25 Impact factor: 3.307