Falls and Fear of Falling After Stroke: A Case-Control Study
Falls and Fear of Falling After Stroke: A Case-Control Study
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DOI：
10.1016/j.pmrj.2016.05.012
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发表时间：
2016-12-01
期刊：
影响因子：
2.1
通讯作者：
Tan, Maw Pin
中科院分区：
文献类型：
--
作者：
Goh, Hui-Ting;Nadarajah, Mohanasuntharaam;Tan, Maw Pin
背景：中风后跌倒很常见，有潜在的严重后果。很少有调查包括年龄匹配的对照参与者来直接比较有和没有中风的老年人的跌倒特征。此外，对跌倒的恐惧是跌倒的一个重要心理后果，作为中风人群未来跌倒的风险因素，只在有限程度上进行了研究。目的：比较有和没有中风史的老年人的跌倒史，并确定老年中风幸存者中跌倒和害怕跌倒的决定因素。设计：病例对照观察性研究。单位：基层教学医院。参与者：75名卒中患者（平均年龄+/-标准差66 +/- 7岁）和50名年龄匹配且无卒中史的对照组参与者进行了测试。方法：评估跌倒史、跌倒恐惧、身体、认知和心理功能。采用chi(2)检验比较各组之间的特征，并采用logistic回归确定跌倒和害怕跌倒的危险因素。主要结果测量：测量所有参与者过去12个月的跌倒事件、国际跌倒效能量表、伯格平衡量表、功能行走分类、疲劳严重程度量表、蒙特利尔认知评估和患者健康问卷-9。Fugl-Meyer运动评估法用于量化。中风运动障碍。结果：23名患者和13名对照参与者报告在过去12个月内至少有一次跌倒（P =.58）。9名卒中参与者有复发性跌倒（>= 2次跌倒），而对照组参与者没有(P
Background: Falls are common after stroke, with potentially serious consequences. Few investigations have included age matched control participants to directly compare fall characteristics between older adults with and without stroke. Further, fear of falling, a significant psychological consequence of falls, has only been examined to a limited degree as a risk factor for future falls in a stroke population.Objective: To compare the fall history between older adults with and without a previous stroke and to identify the determinants of falls and fear of falling in older stroke survivors.Design: Case-control observational study.Setting: Primary teaching hospital.Participants: Seventy-five patients with stroke (mean age +/- standard deviation, 66 +/- 7 years) and 50 age-matched control participants with no previous stroke were tested.Methods: Fall history, fear of falling, and physical, cognitive, and psychological function were assessed. A chi(2) test was performed to compare characteristics between groups, and logistic regression was performed to determine the risk factors for falls and fear of falling.Main Outcome Measures: Fall events in the past 12 months, Fall Efficacy Scale-International, Berg Balance Scale, Functional Ambulation Category, Fatigue Severity Scale, Montreal Cognitive Assessment, and Patient Healthy Questionnaire-9 were measured for all participants. Fugl-Meyer Motor Assessment was used to quantify severity of. stroke motor impairments.Results: Twenty-three patients and 13 control participants reported at least one fall in the past 12 months (P =.58). Nine participants with stroke had recurrent falls (>= 2 falls) compared with none of the control participants (P