Relationship of Balance and Mobility to Fall Incidence in People With Chronic Stroke
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. The participants were 99 community-dwelling people with chronic stroke. An interview was used to record fall history, and physical performance assess...
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| Veröffentlicht in: | Physical therapy 2005-02, Vol.85 (2), p.150-158 |
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| creator | Harris, Jocelyn E Eng, Janice J Marigold, Daniel S Tokuno, Craig D Louis, Cheryl L |
| description | 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.
The participants were 99 community-dwelling people with chronic stroke.
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).
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.
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 ( |
| doi_str_mv | 10.1093/ptj/85.2.150 |
| format | Article |
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The participants were 99 community-dwelling people with chronic stroke.
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).
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.
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 (</=45) may be a mobility aid that could reduce the risk of falls.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/85.2.150</identifier><identifier>PMID: 15679466</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Accidental falls ; Accidental Falls - statistics & numerical data ; Aged ; Aged, 80 and over ; Care and treatment ; Causes of ; Chronic Disease ; Cognition Disorders - diagnosis ; Cognition Disorders - physiopathology ; Disability Evaluation ; Elderly ; Falls ; Falls (Accidents) ; Female ; Gait Disorders, Neurologic - diagnosis ; Gait Disorders, Neurologic - physiopathology ; Health aspects ; Humans ; Incidence ; Interviews as Topic ; Male ; Middle Aged ; Physical therapy ; Postural Balance - physiology ; Prevention programs ; Risk factors ; Stroke ; Stroke (Disease) ; Stroke - physiopathology</subject><ispartof>Physical therapy, 2005-02, Vol.85 (2), p.150-158</ispartof><rights>COPYRIGHT 2005 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Feb 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c666t-e80d69c9ed690219ceae2db56aa609c44611319d372c5cc9f2c0a17a44c7b27d3</citedby><cites>FETCH-LOGICAL-c666t-e80d69c9ed690219ceae2db56aa609c44611319d372c5cc9f2c0a17a44c7b27d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15679466$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harris, Jocelyn E</creatorcontrib><creatorcontrib>Eng, Janice J</creatorcontrib><creatorcontrib>Marigold, Daniel S</creatorcontrib><creatorcontrib>Tokuno, Craig D</creatorcontrib><creatorcontrib>Louis, Cheryl L</creatorcontrib><title>Relationship of Balance and Mobility to Fall Incidence in People With Chronic Stroke</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>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.
The participants were 99 community-dwelling people with chronic stroke.
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).
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.
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 (</=45) may be a mobility aid that could reduce the risk of falls.</description><subject>Accidental falls</subject><subject>Accidental Falls - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Care and treatment</subject><subject>Causes of</subject><subject>Chronic Disease</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - physiopathology</subject><subject>Disability Evaluation</subject><subject>Elderly</subject><subject>Falls</subject><subject>Falls (Accidents)</subject><subject>Female</subject><subject>Gait Disorders, Neurologic - diagnosis</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Physical therapy</subject><subject>Postural Balance - 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statistics & numerical data</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Care and treatment</topic><topic>Causes of</topic><topic>Chronic Disease</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - physiopathology</topic><topic>Disability Evaluation</topic><topic>Elderly</topic><topic>Falls</topic><topic>Falls (Accidents)</topic><topic>Female</topic><topic>Gait Disorders, Neurologic - diagnosis</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Physical therapy</topic><topic>Postural Balance - physiology</topic><topic>Prevention programs</topic><topic>Risk factors</topic><topic>Stroke</topic><topic>Stroke (Disease)</topic><topic>Stroke - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harris, Jocelyn E</creatorcontrib><creatorcontrib>Eng, Janice J</creatorcontrib><creatorcontrib>Marigold, Daniel S</creatorcontrib><creatorcontrib>Tokuno, Craig D</creatorcontrib><creatorcontrib>Louis, Cheryl L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harris, Jocelyn E</au><au>Eng, Janice J</au><au>Marigold, Daniel S</au><au>Tokuno, Craig D</au><au>Louis, Cheryl L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of Balance and Mobility to Fall Incidence in People With Chronic Stroke</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>85</volume><issue>2</issue><spage>150</spage><epage>158</epage><pages>150-158</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>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.
The participants were 99 community-dwelling people with chronic stroke.
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).
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.
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 (</=45) may be a mobility aid that could reduce the risk of falls.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>15679466</pmid><doi>10.1093/ptj/85.2.150</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Physical therapy, 2005-02, Vol.85 (2), p.150-158 |
| issn | 0031-9023 1538-6724 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Accidental falls Accidental Falls - statistics & numerical data Aged Aged, 80 and over Care and treatment Causes of Chronic Disease Cognition Disorders - diagnosis Cognition Disorders - physiopathology Disability Evaluation Elderly Falls Falls (Accidents) Female Gait Disorders, Neurologic - diagnosis Gait Disorders, Neurologic - physiopathology Health aspects Humans Incidence Interviews as Topic Male Middle Aged Physical therapy Postural Balance - physiology Prevention programs Risk factors Stroke Stroke (Disease) Stroke - physiopathology |
| title | Relationship of Balance and Mobility to Fall Incidence in People With Chronic Stroke |
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