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

被引:209
作者
Harris, JE [1 ]
Eng, JJ
Marigold, DS
Tokuno, CD
Louis, CL
机构
[1] Univ British Columbia, Sch Rehabil Sci, Vancouver, BC V6T 2B5, Canada
[2] GF Strong Rehab Ctr, Rehabil Res Lab, Vancouver, BC, Canada
[3] Univ British Columbia, Dept Neurobiol, Vancouver, BC V6T 2B5, Canada
来源
PHYSICAL THERAPY | 2005年 / 85卷 / 02期
关键词
accidental falls; balance; cerebrovascular accident; rehabilitation;
D O I
10.1093/ptj/85.2.150
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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 (less than or equal to45) may be a mobility aid that could reduce the risk of falls.
引用
收藏
页码:150 / 158
页数:9
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