Hyndman, Dorit, Ashburn, Ann and Stack, Emma
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), . (doi:10.1053/apmr.2002.28030).
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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.
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.
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