Fear of falling in patients with stroke: a reliability study

Hellström, Karin; Lindmark, Birgitta

doi:10.1191/026921599677784567

Cited by 127 publications

(102 citation statements)

References 18 publications

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“…Furthermore, the findings of the current research support previous studies relevant to stroke which examined the relationship between self-efficacy in specific areas such as self-care [16,46], fear of falling [47,48], and losing balance [49]. These studies indicate that high levels of self-efficacy in aspects of physical functioning are associated with higher quality of life, lower levels of depression, and higher functioning in everyday activities.…”

Section: Discussionsupporting

confidence: 79%

The Relationship between Self-Efficacy and Well-Being in Stroke Survivors

Maujean

Davis²

2013

Int J Phys Med Rehabil

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Section: Discussionsupporting

confidence: 79%

The Relationship between Self-Efficacy and Well-Being in Stroke Survivors

Maujean

Davis²

2013

Int J Phys Med Rehabil

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“…Fall-related self-efficacy was assessed with the Falls Efficacy Scale Swedish version (FES (S)) [31]. …”

Section: Methodsmentioning

confidence: 99%

Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

et al. 2012

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Background: Nursing home residents are extremely inactive and deterioration in health and an increasing dependence in activities of daily living (ADL) are common. Physical activity and exercise play a major role in the preservation of physical function and quality of life late in life. However, evidence for the benefit of rehabilitation in nursing home residents is conflicting and inconclusive. Objective: To evaluate the effect of an individually tailored intervention program of 3 months, for nursing home residents, on ADL, balance, physical activity level, mobility and muscle strength. Methods: In this single-blind randomized clinical trial with parallel groups, nursing home residents >64 years of age from three Nordic countries were included. The intervention group (IG) was assigned to individually tailored physical and daily activities, while the control group (CG) received ordinary care. Primary outcomes were ADL and balance, and secondary outcomes physical activity level, mobility and muscle strength. Results: At baseline, 322 nursing home residents were included, of whom 266 were assessed after 3 months of intervention. Following the intervention, a significant difference was found between participants in the IG and CG on measures of balance, physical activity and transfers. The IG significantly improved walking/wheelchair speed and functional leg muscle strength. The CG had significantly deteriorated in ADL, balance and transfers. Persons who had taken part in the intervention for more than 150 min/week significantly improved their balance and physical activity level. Participation in more than 10 weeks of intervention significantly improved physical activity and walking/wheelchair speed, while a deterioration was seen in those who had participated less. Conclusion: Individually tailored intervention in nursing home residents focusing on physical and daily activities is effective in improving transfers, balance and physical activity level compared to usual care. The effect of the intervention is dependent on the total activity time.

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“…The confidence in completing each activity without falling is rated on a 10-point scale, varying from "not at all confident" to "completely confident". The FES has been shown to be reliable (28).…”

Section: Tested Covariatesmentioning

confidence: 99%

Is gait speed or walking distance a better predictor for community walking after stroke?

Bijleveld-Uitman¹,

Port²,

Kwakkel³

2013

J Rehabil Med

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Objective: To determine if gait speed or walking distance is a better predictor for community walking after stroke. Methods: Data from the FIT-Stroke trial were used in a cross-sectional design. Community walking was measured with a self-administered questionnaire. The 5-m timed walk and the 6-min walk were used to assess gait speed and walking distance. With bivariate regression analyses the association between gait speed or walking distance and community walking was tested and possible confounders were identified. Discriminative properties of gait speed and walking distance for community walking were investigated by means of receiver operating characteristic (ROC) curves. Results: 79% of 241 patients were classified as community walkers. Standing balance, fear of falling and time poststroke were found to be significant confounders in the relationship between gait speed and community walking. No significant confounders were found for the association between walking distance and community walking. There was no significant difference between the area under the curve of the ROC curves of gait speed (0.86), walking distance (0.89) and gait speed adjusted for confounding (0.89). Conclusion: Gait speed and walking distance are equally appropriate predictors for community walking after stroke, whereas the contribution of confounders is limited.

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Fear of falling in patients with stroke: a reliability study

Abstract: On the basis of these preliminary findings, the FES(S) appears to have acceptable test-retest reliability. The test may be a reasonable addition for assessing stroke patients with balance disturbances and risk for falls.

Cited by 127 publications

References 18 publications

The Relationship between Self-Efficacy and Well-Being in Stroke Survivors

The Relationship between Self-Efficacy and Well-Being in Stroke Survivors

Effects of Individually Tailored Physical and Daily Activities in Nursing Home Residents on Activities of Daily Living, Physical Performance and Physical Activity Level: A Randomized Controlled Trial

Is gait speed or walking distance a better predictor for community walking after stroke?

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