The purpose of this study was to estimate the relationship between physical function at hospitalization and falls after discharge. [Subjects] The participants were 79, community-dwelling patients with stroke who had independent gait. [Methods] Physical function was measured by Brunnstrom Recovery Stage, one-leg standing time, and 10-m walking time. Subjects recorded experiences of falls for one year after discharge from rehabilitation. [Results] Sixty-three per cent of people (50/79) had a fall accident in the year after discharge. The fall group showed lower Brunnstrom Recovery Stage, lower one-leg standing, weaker knee extensor strength, lower Barthel Index and higher 10-m walking time than the no-fall group (p<0.05). Logistic regression analysis also indicated that the fall group had lower one-leg standing time than the no-fall group (95% CI: 0.829-0.981). The cutoff value for the one-leg standing time in predicted fall was 3.5 sec (sensitivity 86.0%, specificity 69.0%). [Conclusion] One-leg standing time during hospitalization was associated with falls for one year after discharge from rehabilitation, suggesting that this test is effective at predicting fall accidents for patients with stroke.
Abstract.[Purpose] The purpose of this study was to investigate the physical, psychological and social factors associated with the locomotor skills of housebound community-dwelling stroke patients.[Methods] The subjects were 78 stroke patients who had been discharged for more than six months. We classified subjects as 31 patients who had difficulty with going out by themselves and, 47 patients who could go out by themselves. We investigated psychological and social factors by questionnaire and physical factors from medical records.[Results] The number of "type 1" housebound patients were 25, and the main factor associated with "type 1" housebound was instrumental self-maintenance of the TMIG index of competence. The number of "type 2" housebound patients were 18, and the main factors associated with "type 2" housebound were the Barthel Index, expectations for rehabilitation, and presence or absence of a role in the community.[Conclusions] The factors associated with housebound were different according to type. Therefore it is necessary to tailor physical therapy to prevent a housebound condition according to locomotor skills.
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