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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Original Publication 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
ISSNs: 0003-9993 (print)
Related URLs:
Keywords: stroke, community, rehabilitation, outcome
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 Superseded (SOHPRS)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
Date Deposited: 18 Nov 2005
Last Modified: 27 Mar 2014 18:07
URI: http://eprints.soton.ac.uk/id/eprint/17916

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