Drug Treatment, Postural Control, and Falls: An Observational Cohort Study of 504 Patients With Acute Stroke, the Fall Study of Gothenburg

Westerlind, Ellen K.; Lernfelt, Bodil; Hansson, Per‐Olof; Persson, Carina U

doi:10.1016/j.apmr.2018.12.018

Cited by 8 publications

(4 citation statements)

References 47 publications

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“…Therefore, appropriate intervention methods that can increase muscle strength and balance ability while also promoting controlled muscle movements are necessary to prevent falls in stroke patients. Currently, the clinical practice includes various intervention methods to prevent falls in stroke patients, including exercise therapy [41,45], robot therapy [15], electrical therapy [51], and drug therapy [52].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Diagonal Exercise Training for Neurorehabilitation on Functional Activity in Stroke Patients: A Pilot Study

Lee

Kim

2023

Brain Sciences

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Functional movements of the human body occur multifacetedly. This pilot study investigated the effects of neurorehabilitation training, including diagonal movements, balance, gait, fall efficacy, and activities of daily living in stroke patients. Twenty-eight patients diagnosed with stroke by a specialist were divided into experimental groups applying diagonal exercise training and control groups applying sagittal exercise training. The five times sit-to-stand test (FTSST), timed up and go (TUG) test, and Berg balance scale (BBS) were used to evaluate balance ability, the falls efficacy scale (FES) was used to evaluate fall efficacy, and the modified Barthel index (MBI) was used to evaluate activities of daily living. All evaluations were conducted once prior to intervention implementation and again six weeks after the final intervention. In the study results, the experimental group to which the diagonal exercise training was applied had statistically significant changes in FTSST, BBS, and FES compared to the control group. In conclusion, the rehabilitation program, including diagonal exercise training, increased the patient’s balance and reduced the fear of falling.

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Section: Discussionmentioning

confidence: 99%

The Effect of Diagonal Exercise Training for Neurorehabilitation on Functional Activity in Stroke Patients: A Pilot Study

Lee

Kim

2023

Brain Sciences

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“…Considera-se queda quando o paciente é encontrado no chão ou quando, durante o deslocamento, necessita de amparo, ainda que não chegue ao chão 2 . São diversos fatores que podem estar associados a este risco, um deles relacionado ao equilíbrio, que pode ser influenciado, também, pelo uso de medicamentos 10 .…”

Section: Introductionunclassified

Medication Fall Risk Score e Evaluation Tools: Adaptação Transcultural para o uso no Brasil

Ceia Ramos Eckert,

Fernandes Millão,

de Souza Urbanetto

2023

Mundo Saúde

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A queda é um problema potencial para todos os pacientes já que o risco aumenta no ambiente hospitalar, independente da instituição. Muitos fatores podem estar associados a queda, dentre eles o equilíbrio, que pode ser influenciado pelo uso de medicamentos. A aplicação de escala de avaliação para risco de quedas é uma das ferramentas mais empregadas no Brasil e no mundo, porém se faz necessário avaliar também os medicamentos em uso do paciente. Com o objetivo de realizar a adaptação transcultural e validação do Medication Falls Risk Score e da Evaluation Tools para a língua portuguesa do Brasil. Método: Estudo metodológico para a adaptação transcultural e validação das ferramentas Medication Falls Risk Score e Evaluation Tools, utilizando-se o protocolo de Beaton et al. e realizando a validação da praticabilidade de ambas as escalas. Os instrumentos obtiveram Índice de Validade de Conteúdo (IVC) médio de 0,99, sendo considerados válidos. A validação da praticabilidade de ambos os instrumentos teve resultados favoráveis, 65,2% dos participantes acharam a ferramenta de fácil aplicação, e o tempo médio gasto para a aplicação foi de 13 minutos e 30 segundos. Dentre as dificuldades encontradas, destaca-se a de reconhecer os medicamentos perante sua classe terapêutica, o que justifica a diferença entre o tempo de aplicação e acerto do teste aplicado. As ferramentas foram adaptadas transculturalmente para o português brasileiro, e apontaram uma excelente concordância e viabilidade de uso na prática nos cenários de atenção em saúde. A escala e as ferramentas aprovadas poderão servir como apoio para identificação, classificação e cuidado multiprofissional perante o risco de quedas de pacientes internados, sendo uma avaliação adicional a Morse Fall Scale -versão brasileira.

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“…Pharmacological intervention such as hypnotics may disturb neurological recovery in patients with stroke and should be used with caution (17). Hypnotics have been associated with an increased risk of stroke (18) and fall risk (19).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Bright Light Therapy on Sleep and Quality of Life in Patients With Poststroke Insomnia

et al. 2021

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Objective: Poststroke insomnia is common and negatively affects stroke recovery. The objective of this study was to determine the effectiveness of bright light therapy for mild-to-moderate stroke patients with insomnia. Methods: This study was randomized, double blind, and placebo controlled. A 2-week trial was conducted on patients with mild-tomoderate stroke who had poststroke insomnia. Only patients who had experienced a first episode of stroke were enrolled in this study. Sleep parameters were measured using the Actiwatch Spectrum Pro for 7 days before and after light therapy. The instrument specifically collected data concerning sleep, mood state, fatigue, and subjective quality of life. Participants with poststroke insomnia received bright light therapy (10,000 lux) or placebo therapy for 30 minutes in the early morning. A total of 112 eligible participants entered the study, but only 56 patients were randomized to treatment (27 to bright light therapy and 29 to placebo therapy). Results: Results from analysis of variance showed that the mean change of sleep latency (F(1,55) =4.793, p = .033) and sleep efficiency (F (1,55) = 5.625, p = .022) were significantly superior in bright light therapy over placebo. Bright light therapy resulted in significant improvements in daytime sleepiness, fatigue, mood, and quality of life in study participants ( p < .05). Conclusions: Bright light therapy is a nonpharmacological treatment of early, poststroke insomnia in patients who had a mild to moderate stroke. In addition, bright light therapy is effective for the treatment of daytime sleepiness, fatigue, and depression and for improving quality of life in patients with poststroke insomnia. Trial registration: ClinicalTrials.gov Identifier: NCT04721574.

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Drug Treatment, Postural Control, and Falls: An Observational Cohort Study of 504 Patients With Acute Stroke, the Fall Study of Gothenburg

Cited by 8 publications

References 47 publications

The Effect of Diagonal Exercise Training for Neurorehabilitation on Functional Activity in Stroke Patients: A Pilot Study

The Effect of Diagonal Exercise Training for Neurorehabilitation on Functional Activity in Stroke Patients: A Pilot Study

Medication Fall Risk Score e Evaluation Tools: Adaptação Transcultural para o uso no Brasil

The Effect of Bright Light Therapy on Sleep and Quality of Life in Patients With Poststroke Insomnia

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