How to identify potential fallers in a stroke unit:: Validity indexes of four test methods
How to identify potential fallers in a stroke unit:: Validity indexes of four test methods
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DOI：
10.1080/16501970500478023
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发表时间：
2006-05-01
影响因子：
3.5
通讯作者：
Appelros, P
中科院分区：
文献类型：
--
作者：
Andersson, ÅG;Kamwendo, K;Appelros, P
目的：本研究的目的是描述中风患者的一般特征，谁有下降的趋势，并确定是否某些测试仪器可以识别fallers.Methods：在中风单元治疗的患者在12个月的时间被列入。在入选时，使用贝格平衡量表、说话时停止行走、定时起身和行走（TUG）和diffTUG进行评估。在6个月或12个月后的随访中，发现了跌倒的患者。结果：在159例患者从出院到随访的时间内，68例患者跌倒，91例未跌倒。与非跌倒者相比，跌倒者在最初的住院期间跌倒更频繁，更频繁地使用镇静剂，视力受损更严重。贝格平衡量表、说话时停止行走和TUG结果在跌倒者和非跌倒者之间存在差异。结论：贝格平衡量表、Stops Walking When Talking和TUG可用于评估哪些患者有跌倒倾向，以便采取预防措施。贝格平衡量表可用于所有患者。如果患者能够行走，“说话时停止行走”可以提供额外信息。TUG是一种可能的选择，但很少有患者可以执行它。
Objective: The aim of this study was to describe general characteristics of patients with stroke who have a tendency to fall and to determine whether certain test instruments can identify fallers.Methods: Patients treated in a stroke unit during a 12-month period were included. At inclusion assessments were made with Berg Balance Scale, Stops Walking When Talking, Timed Up & Go (TUG) and diffTUG. At follow-up 6 or 12 months later, patients who had fallen were identified.Results: During the time from discharge to follow-up on 159 patients, 68 patients fell and 91 did not. Fallers fell more often during their initial hospital stay, used sedatives more often and were more visually impaired, compared with non-fallers. The Berg Balance Scale, Stops Walking When Talking and TUG results differed between fallers and non-fallers. The combined results of Berg Balance Scale and Stops Walking When Talking increased the possibility of identifying fallers.Conclusion: Berg Balance Scale, Stops Walking When Talking and TUG can be used to evaluate which patients have a tendency to fall in order to carry out preventive measures. Berg Balance Scale can be used in all patients. Stops Walking When Talking can give additional information if the patient is able to walk. TUG is a possible choice, but fewer patients can perform it.