Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 554-561 , April 2006

The Association of Balance Capacity and Falls Self-Efficacy With History of Falling in Community-Dwelling People With Chronic Stroke

Presented as a poster to the American Physical Therapy Association, June 10, 2005, Boston, MA.

  • Beliz Belgen, PT, MS

      Affiliations

    • Cyprus Turkish Orthopaedic Disability Association Physical Therapy Rehabilitation Center, Nicosia, North Cyprus
  • ,
  • Marianne Beninato, DPT, PhD

      Affiliations

    • MGH Institute of Health Professions, Graduate Programs in Physical Therapy, Boston, MA
  • ,
  • Patricia E. Sullivan, DPT, PhD

      Affiliations

    • MGH Institute of Health Professions, Graduate Programs in Physical Therapy, Boston, MA
    • Corresponding Author InformationCorrespondence to Patricia E. Sullivan, DPT, PhD, Graduate Programs in Physical Therapy, 36 1st Ave, CNY, Boston, MA 02129, Reprints are not available from the author
  • ,
  • Khushnum Narielwalla, PT, MS

      Affiliations

    • MGH Institute of Health Professions, Graduate Programs in Physical Therapy, Boston, MA

References 

  1. Thorvaldsen P , Asplund K , Kuulasmaa K , Rajakangas AM , Schroll M . Stroke incidence, case fatality, and mortality in the WHO MONICA Project . Stroke . 1995;26:361–367
  2. American Heart Association . Heart disease and stroke statistics–2003 update . Dallas: AHA; 2002;
  3. Davenport RJ , Dennis MS , Wellwood I , Warlow CP . Complications after acute stroke . Stroke . 1996;27:415–420
  4. Nyberg L , Gustafson Y . Patient falls in stroke rehabilitation. A challenge to rehabilitation strategies . Stroke . 1995;26:838–842
  5. Byres V , Arrington ME , Finstuen K . Predictive risk factors associated with stroke patient falls in acute care settings . J Neurosci Nurs . 1990;22:147–154
  6. Tutuarima JA , De Haan RJ , Limburg M . Number of nursing staff and falls (a case-control study on falls by stroke patients in acute-care settings) . J Adv Nurs . 1993;18:1101–1105
  7. Teasell R , McRae M , Foley N , Bhardwaj A . The incidence and consequences of falls in stroke patients during inpatient rehabilitation (factors associated with high risk) . Arch Phys Med Rehabil . 2002;83:329–333
  8. Forster A , Young J . Incidence and consequences of falls due to stroke (a systematic inquiry) . BMJ . 1995;311:83–86
  9. Hyndman D , Ashburn A , Stack E . Fall events among people with stroke living in the community (circumstances of falls and characteristics of fallers) . Arch Phys Med Rehabil . 2002;83:165–170
  10. Yates JS , Lai SM , Duncan PW , Studenski S . Falls in community-dwelling stroke survivors (an accumulated impairments model) . J Rehabil Res Dev . 2002;385–394
  11. Lamb SE , Ferrucci L , Volapto S , Fried LP , Guralnik JM . Risk factors for falling in home-dwelling older women with stroke . Stroke . 2003;34:494–501
  12. Harris JE , Eng JJ , Marigold DS , Tokuno CD , Louis CL . Relationship of balance and mobility to fall incidence in people with chronic stroke . Phys Ther . 2005;85:150–158
  13. Jorgensen L , Engstad T , Jacobsen BK . Higher incidence of falls in long-term stroke survivors than in population controls . Stroke . 2002;33:542–547
  14. Tinetti ME , Speechley M , Ginter SF . Risk factors for falls among elderly persons living in the community . N Eng J Med . 1988;319:1701–1707
  15. Campbell AJ , Reinken J , Allan BC , Martinez GS . Falls in old age (a study of frequencies and related clinical factors) . Age Aging . 1981;10:264–270
  16. Tinetti ME , Williams TF , Mayewski R . Fall risk index for elderly patients based on number of chronic disabilities . Am J Med . 1986;80:429–434
  17. Shumway-Cook A , Brauer S , Woollacott M . Predicting the probability for falls in community-dwelling older adults using the timed up and go test . Phys Ther . 2000;80:896–903
  18. Hatch J , Gill-Body KM , Portney LG . Determinants of balance confidence in community-dwelling elderly people . Phys Ther . 2003;83:1072–1079
  19. Ugur C , Gucuyener D , Uzuner N , Ozkan S , Ozdemir G . Characteristics of falling in patients with stroke . J Neurol Neurosurg Psychiatry . 2000;69:649–651
  20. Hyndman D , Ashburn A . People with stroke living in the community (attention deficits, balance, ADL ability and falls) . Disabil Rehabil . 2003;25:817–822
  21. Berg K , Wood-Dauphinee SL , Williams JI , Gayton D . Measuring balance in the elderly (preliminary development of an instrument) . Physiother Can . 1989;41:304–311
  22. Berg KO , Wood-Dauphinee SL , Williams JI , Maki B . Measuring balance in the elderly (validation of an instrument) . Can J Public Health . 1992;83:7–11
  23. Berg KO , Wood-Dauphinee SL , Williams JI . The balance scale (reliability assessment with elderly residents and patients with an acute stroke) . Scand J Rehabil Med . 1995;27:27–36
  24. Berg KO , Maki BE , Williams JI , Holliday PJ , Wood-Dauphinee SL . Clinical and laboratory measures of postural balance in an elderly population . Arch Phys Med Rehabil . 1992;73:1073–1080
  25. Podsiadlo D , Richardson S . The timed “Up & Go” (a test of basic functional mobility for frail elderly) . J Am Geriatr Soc . 1991;39:142–148
  26. Shumway-Cook A , Baldwin M , Polissar NL , Gruber W . Predicting the probability of falls in community-dwelling older adults . Phys Ther . 1997;77:812–819
  27. Bogle Thorbahn LD , Newton RA . Use of the Berg Balance Test to predict falls in elderly persons . Phys Ther . 1996;76:576–582
  28. Chiu AY , Au-Yeung SS , Lo SK . A comparison of four functional tests in discriminating fallers from non-fallers in older people . Disabil Rehabil . 2003;25:45–50
  29. Friedman SM , Munoz B , West SK , Rubin GS , Fried LP . Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention . J Am Geriatr Soc . 2002;50:1329–1335
  30. Maki BE , Holliday PJ , Topper AK . Fear of falling and postural performance in the elderly . J Gerontol . 1991;46:123–131
  31. Tinetti ME , Richman D , Powell L . Falls efficacy as a measure of fear of falling . J Gerontol . 1990;45:239–243
  32. Powell LE , Myers AM . The Activities-specific Balance Confidence (ABC) scale . J Gerontol A Biol Sci Med Sci . 1995;50:28–34
  33. Kressig RW , Wolf SL , Sattin RW , et al.   Association of demographic, functional and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty . J Am Geriatr Soc . 2001;49:1456–1462
  34. Hellstrom K , Lindmark B . Fear of falling in patients with stroke (a reliability study) . Clin Rehabil . 1999;13:509–517
  35. Csuka M , McCarty DJ . Simple method for measurement of lower extremity muscle strength . Am J Med . 1985;78:77–81
  36. Weiss A , Suzuki T , Bean J , Fielding RA . High intensity strength training improves strength and functional performance one year after stroke . Am J Phys Med Rehabil . 2000;79:369–376
  37. Lord SR , Murray SM , Chapman K , Munro B , Tiedemann A . Sit to stand performance depends on sensation, speed, balance and psychological status in addition to strength in older people . J Am Geriatr Soc . 2002;57:M539–M543
  38. Fugl-Meyer AR , Jaasko L , Leyman I , Olsson S , Steglind S . The post-stroke hemiplegic patient. A method for evaluation of physical performance . Scand J Rehabil Med . 1975;7:13–31
  39. Duncan PW , Propst M , Nelson SG . Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident . Phys Ther . 1983;63:1606–1610
  40. Sanford J , Moreland J , Swanson LR , Stratford PW , Gowland C . Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke . Phys Ther . 1993;73:447–454
  41. Duncan P , Wallace D , Lai SM , Johnson D , Embretson S , Laster LJ . The stroke impact scale version 2.0 (Evaluation of reliability, validity and sensitivity to change) . Stroke . 1999;30:2131–2140
  42. Portney LG , Watkins MP . In: Foundations of clinical research (applications to practice) . 2nd ed.. Upper Saddle River: Prentice Hall; 2000;p. 333–334
  43. Metz CE . Basic principles of ROC analysis . Semin Nucl Med . 1978;8:283–298
  44. Hanley JA , McNeil BJ . The meaning and use of the area under a receiving operator characteristic (ROC) curve . Radiology . 1982;143:29–36
  45. Stratford PW , Binkley FM , Riddle DL . Health status measures (strategies and analytic methods for assessing change scores) . Phys Ther . 1996;76:1109–1123
  46. Deyo RA , Centor RM . Assessing the responsiveness of functional scales to clinical change (an analogy to diagnostic test performance) . J Chronic Dis . 1986;39:897–906
  47. Stratford PW , Binkley JM , Riddle DL , Guyatt GH . Sensitivity to change of the Roland-Morris Back Pain Questionnaire (part 1) . Phys Ther . 1998;78:1186–1196

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(05)01495-4

doi: 10.1016/j.apmr.2005.12.027

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 554-561 , April 2006