Fall events among people with stroke living in the community: circumstances of falls and characteristics of fallers
Hyndman, Dorit, Ashburn, Ann and Stack, Emma (2002) Fall events among people with stroke living in the community: circumstances of falls and characteristics of fallers. Archives of Physical Medicine and Rehabilitation, 83, (2), 165 - 170. (doi:10.1053/apmr.2002.28030)
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Official URL: http://dx.doi.org/10.1053/apmr.2002.28030
Description/Abstract
Objectives: To describe the frequency and circumstances of
falls among a community sample of people with stroke and to compare characteristics of fallers and nonfallers.
Design: Cross-sectional, observational study.
Setting: Community.
Participants: Forty-one community-dwelling people withstroke (26 men, 15 women mean age, 69.7 +/- 11.6y), of which23 had right-hemisphere infarction, 16 left-hemisphere infarction, and 2 had a brainstem lesion. Time since onset of stroke ranged from 3 to 288 months (mean, 50mo).
Interventions: Not applicable.
Main Outcome Measures: Standardized tests were used to measure mobility, upper limb function, activities of daily living (ADL ability), and mood. Information about fall events wascollected by using a questionnaire.
Results: Twenty-one participants (50%) were classed asfallers, of whom 10 had fallen repeatedly. No significant differences were found between fallers and nonfallers on any of the measures used. However, those who had 2 or more falls (n = 10) had significantly reduced arm function (P = .018) and ADL ability (P = .010), compared with those who had notfallen or experienced near falls (n = 5). Loss of balance, misjudgment, and foot dragging during walking, turning, and sit to stand were reported by fallers as the suspected causes andactivities leading to falls.
Conclusions: The high risk of falling among people withstroke was evident in this community-based sample. Repeat fallers had greater mobility deficits and significantly reducedarm function and ADL ability than those who did not reportany instability.
| Item Type: | Article |
|---|---|
| ISSN: | 0003-9993 (print) |
| Uncontrolled Keywords: | stroke, community, rehabilitation, outcome |
| Related URLs: | http://www.ncbi.nlm.nih.gov/en...uery_hl=18 http://dx.doi.org/10.1053/apmr...2002.28030 |
| Subjects: | H Social Sciences > HT Communities. Classes. Races R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
| Divisions: | University Structure - Pre August 2011 > Superseded (SOHPRS) |
| ePrint ID: | 17916 |
| URI: | http://eprints.soton.ac.uk/id/eprint/17916 |
| Deposited On: | 18 Nov 2005 |
| Last Modified: | 02 Mar 2012 11:25 |
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