Incidence and consequences offalls due to stroke: a systematic inquiry

Forster, Anne; Young, John

doi:10.1136/bmj.311.6997.83

Cited by 533 publications

(436 citation statements)

References 21 publications

(25 reference statements)

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“…[1][2][3][4] Previous studies have reported that independent ambulatory patients with SCI encounter a high-risk of falls (74-75%). 2,5 The incidence is clearly higher than that reported in the elderly (33%) 6,7 and patients with other neurological disorders such as stroke (37-73%) 8,9 and Parkinson's diseases (51-68%). 10,11 After falls, 18% of subjects with SCI reported fracture and 45% had restricted ability to get out into communities and engage in a productive activity.…”

Section: Introductionmentioning

confidence: 84%

Falls in independent ambulatory patients with spinal cord injury: incidence, associated factors and levels of ability

2012

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Study Design: A 6-month retrospective study. Objectives: To investigate incidence and factors associated with falls in independent ambulatory patients with spinal cord injury (SCI), and to compare levels of ability in those with and without a history of falls. Setting: A tertiary rehabilitation center and community hospitals. Methods:Seventy-seven independent ambulatory subjects with SCI were interviewed for fall data during 6 months before participation in the study. Subjects were also assessed for their functional ability using the timed up and go test (TUGT) and the 6-min walk test (6MinWT). Results: Twenty-six subjects (34%) reported falls during 6 months (range 1-6 times). After falls, two subjects required medical attention due to wrist joint fracture and back pain. Walking without a walking device significantly increased the risk of fall, whereas using a walker significantly reduced the risk of fall (Po0.05). Moreover, faller subjects showed significantly better levels of ability than the non-faller subjects (Po0.005 for the TUGT and Po0.05 for the 6MinWT).Conclusion: Approximately one-third of the independent ambulatory subjects with SCI experienced falls. Notably, faller subjects had better functional ability than the non-faller subjects. Thus, apart from emphasizing the ability to walk independently, rehabilitation professionals may need to seek strategies that improve balance and safety.

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Section: Introductionmentioning

confidence: 84%

Falls in independent ambulatory patients with spinal cord injury: incidence, associated factors and levels of ability

2012

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“…8 Individuals with stroke are at a high risk of falls, 9 and the highest rates (37-73%) seem to occur within the first six months after discharge from hospital. [10][11][12] Several studies have investigated risk factors for falls among community-dwelling stroke survivors; 10,11,[13][14][15] however, only a few have documented the consequences of falling beyond injury. Falls may have psychological sequelae, such as fear of falling, which was reported in 88% of stroke survivors who fell in the community, 16 and impaired balance self-efficacy, which has been shown to predict physical function and perceived health status after stroke.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Wong

Brooks

Inness

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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“…The incidence of falls for community-dwelling individuals with stroke has been reported to be as high as 73% (Forster and Young, 1995). Thus, an understanding of postural control in stroke is of importance to facilitate the reduction of falls in this population.…”

Section: Introductionmentioning

confidence: 99%

Modulation of ankle muscle postural reflexes in stroke: influence of weight-bearing load

Marigold

Eng

Inglis

2004

Clinical Neurophysiology

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Objective-Given the known sensorimotor deficits and asymmetric weight-bearing posture in stroke, the aim of this study was to determine whether stroke affects the modulation of standing postural reflexes with varying weight-bearing load.Methods-Ten individuals with chronic stroke and 10 healthy older adult controls were exposed to unexpected forward and backward platform translations while standing. Three different stance conditions were imposed: increased weight-bearing load, decreased weight-bearing load, and selfselected stance. Surface EMG from bilateral ankle dorsiflexors (tibialis anterior) and extensors (gastrocnemius) were recorded and the magnitude of background muscle activity (prior to the platform translation) and postural reflex onset latency and magnitude (75 ms following reflex onset) were determined. Significance-The results provide some insight into standing postural reflexes following stroke. Results-Load

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Incidence and consequences offalls due to stroke: a systematic inquiry

Abstract: Stroke is associated with a risk of falling at home and affects the lives of patients with stroke and their carers. Falling and fear of falling is an important issue which needs to be dealt with by the multidisciplinary team.

Cited by 533 publications

References 21 publications

Falls in independent ambulatory patients with spinal cord injury: incidence, associated factors and levels of ability

Falls in independent ambulatory patients with spinal cord injury: incidence, associated factors and levels of ability

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Modulation of ankle muscle postural reflexes in stroke: influence of weight-bearing load

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