Six-month prospective study of fall risk factors identification in patients post-stroke
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 complete...
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| Main Authors: | , , |
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| Other Authors: | |
| Format: | Article |
| Language: | English |
| Published: |
2018
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| Subjects: | |
| Online Access: | https://repository.li.mahidol.ac.th/handle/123456789/10563 |
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| Institution: | Mahidol University |
| Language: | English |
| Summary: | 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. Geriatr Gerontol Int 2013 |
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