Relationship of balance and mobility to fall incidence in people with chronic stroke

Harris, Jocelyn E., Eng, Janice J., Marigold, Daniel S., Tokuno, Craig D. and Louis, Cheryl L. (2005) Relationship of balance and mobility to fall incidence in people with chronic stroke. Physical Therapy, 85 2: 150-158.

Author Harris, Jocelyn E.
Eng, Janice J.
Marigold, Daniel S.
Tokuno, Craig D.
Louis, Cheryl L.
Title Relationship of balance and mobility to fall incidence in people with chronic stroke
Journal name Physical Therapy   Check publisher's open access policy
ISSN 1538-6724
0031-9023
Publication date 2005-02-01
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 85
Issue 2
Start page 150
End page 158
Total pages 9
Place of publication New York, NY, United States
Publisher American Physical Therapy Association
Language eng
Subject 1106 Human Movement and Sports Science
1109 Neurosciences
Formatted abstract
Background and Purpose. People with stroke are at risk for falls. The purpose of this study was to estimate the strength of the relationship of balance and mobility to falls. Subjects. The participants were 99 community-dwelling people with chronic stroke. Methods. An interview was used to record fall history, and physical performance assessments were used to measure balance (Berg Balance Scale [BBS]) and mobility (gait speed). Results. No differences were found between subjects who fell once and subjects who did not fall or between subjects who fell more than once and subjects who did not fall. Neither balance nor mobility was able to explain falls in people with chronic stroke. Discussion and Conclusion. Clinicians should be cautious when using the BBS or gait speed to determine fall risk in this population. Falls occurred frequently during walking; it may be necessary to focus on reactive balance and environmental interaction when assessing individuals for risk of falls and devising fall prevention programs for individuals with chronic stroke. The authors' observations suggest that the prescription of 4-wheel walkers for individuals with a low BBS score (≤45) may be a mobility aid that could reduce the risk of falls.
Keyword Accidental falls
Balance
Cerebrovascular accident
Rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Research Report

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 31 Mar 2009, 23:38:26 EST by Ms Sarada Rao on behalf of School of Health & Rehabilitation Sciences