Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 12 , Pages 1601-1605 , December 2007

Clinical Analysis of Risk Factors for Falls in Home-Living Stroke Patients Using Functional Evaluation Tools

  • Naoki Wada, MD

      Affiliations

    • Division of Rehabilitation Medicine, Gunma University Hospital, Gunma, Japan
    • Corresponding Author InformationReprint requests to Naoki Wada, MD, Div of Rehabilitation Medicine, Gunma University Hospital, 3-39-15 Showa, Maebashi, Gunma 371-8511, Japan
  • ,
  • Makoto Sohmiya, MD

      Affiliations

    • Division of Rehabilitation Medicine, Gunma University Hospital, Gunma, Japan
  • ,
  • Toru Shimizu, MD

      Affiliations

    • Division of Rehabilitation Medicine, Gunma University Hospital, Gunma, Japan
  • ,
  • Koichi Okamoto, MD

      Affiliations

    • Department of Neurology, Gunma University Graduate School of Medicine, Gunma, Japan.
  • ,
  • Kenji Shirakura, MD

      Affiliations

    • Division of Rehabilitation Medicine, Gunma University Hospital, Gunma, Japan

References 

  1. Ramnemark A, Nilsson M, Borssen B, Gustafson Y. Stroke, a major and increasing risk factor for femoral neck fracture. Stroke. 2000;31:1572–1577
  2. Dennis MS, Lo KM, McDowall M, West T. Fractures after stroke: frequency, types, and associations. Stroke. 2002;33:728–734
  3. Andersen HE, Schultz-Larsen K, Kreiner S, Forchhammer BH, Eriksen K, Brown A. Can readmission after stroke be prevented? Results of a randomized clinical study: a postdischarge follow-up service for stroke survivors. Stroke. 2000;31:1038–1045
  4. Poole KE, Reeve J, Warburton EA. Falls, fractures, and osteoporosis after stroke: time to think about protection?. Stroke. 2002;33:1432–1436
  5. Langhorne P, Stott D, Robertson L, et al. Medical complications after stroke: a multicenter study. Stroke. 2000;31:1223–1229
  6. Jorgensen L, Engstad T, Jacobsen BK. Higher incidence of falls in long-term stroke survivors than in population controls: depressive symptoms predict falls after stroke. Stroke. 2002;33:542–547
  7. Forster A, Young J. Incidence and consequences of falls due to stroke: a systematic inquiry. BMJ. 1995;311:83–86
  8. Boulgarides LK, McGinty SM, Willett JA, Barnes CW. Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. Phys Ther. 2003;83:328–339
  9. Pluijm SM, Smit JH, Tromp EA, et al. A risk profile for identifying community-dwelling elderly with a high risk of recurrent falling: results of a 3-year prospective study. Osteoporos Int. 2005;17:417–425
  10. Campbell AJ, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol. 1989;44:112–117
  11. Colon-Emeric CS, Pieper CF, Artz MB. Can historical and functional risk factors be used to predict fractures in community-dwelling older adults? (Development and validation of a clinical tool). Osteoporos Int. 2002;13:955–961
  12. 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
  13. Vlahov D, Myers AH, al-Ibrahim MS. Epidemiology of falls among patients in a rehabilitation hospital. Arch Phys Med Rehabil. 1990;71:8–12
  14. Nyberg L, Gustafson Y. Fall prediction index for patients in stroke rehabilitation. Stroke. 1997;28:716–721
  15. Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation (A challenge to rehabilitation strategies). Stroke. 1995;26:838–842
  16. Dromerick A, Reding M. Medical and neurological complications during inpatient stroke rehabilitation. Stroke. 1994;25:358–361
  17. Tutuarima JA, van der Meulen JH, de Haan RJ, van Straten A, Limburg M. Risk factors for falls of hospitalized stroke patients. Stroke. 1997;28:297–301
  18. Sze KH, Wong E, Leung HY, Woo J. Falls among Chinese stroke patients during rehabilitation. Arch Phys Med Rehabil. 2001;82:1219–1225
  19. Lamb SE, Ferrucci L, Volapto S, Fried LP, Guralnik JM. Women’s Health and Aging Study (Risk factors for falling in home-dwelling older women with stroke: the Women’s Health and Aging Study). Stroke. 2003;34:494–501
  20. 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
  21. Belgen B, Beninato M, Sullivan PE, Narielwalla K. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Arch Phys Med Rehabil. 2006;87:554–561
  22. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–198
  23. Chino N, Sonoda S, Domen K, Saitoh E, Kimura A. Stroke impairment assessment set. Jpn J Rehabil Med. 1994;31:119–125
  24. Tsuji T, Liu M, Sonoda S, Domen K, Chino N. The stroke impairment assessment set: its internal consistency and predictive validity. Arch Phys Med Rehabil. 2000;81:863–868
  25. Granger CV, Hamilton BB, Keith RA, Zielezny M, Sherwin FS. Advances in functional assessment for medical rehabilitation. Top Geriatr Rehabil. 1986;1:59–74
  26. Ottenbacher KJ, Hsu Y, Granger CV, Fiedler RC. The reliability of the functional independence measure: a quantitative review. Arch Phys Med Rehabil. 1994;75:133–143
  27. Tinetti ME, Speechley M, Ginter SF. Risk factor for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707
  28. Prudham D, Evans JG. Factors associated with falls in the elderly: a community study. Age Ageing. 1981;10:141–146
  29. Rapport LJ, Webster JS, Flemming KL, et al. Predictors of falls among right-hemisphere stroke patients in the rehabilitation setting. Arch Phys Med Rehabil. 1993;74:621–626
  30. Ganz DA, Higashi T, Rubenstein LZ. Monitoring falls in cohort studies of community-dwelling older people: effect of the recall interval. J Am Geriatr Soc. 2005;53:2190–2194
  31. Horikawa E, Matsui T, Arai H, Seki T, Iwasaki K, Sasaki H. Risk of falls in Alzheimer’s disease: a prospective study. Intern Med. 2005;44:717–721
  32. Mayo NE, Korner-Bitensky N, Becker R, Georges P. Predicting falls among patients in a rehabilitation hospital. Am J Phys Med Rehabil. 1989;68:139–146
  33. Sier H, Ouslander J, Orzeck S. Urinary incontinence among geriatric patients in an acute-care hospital. JAMA. 1987;257:1767–1771
  34. Whitson HE, Pieper CF. Adding injury to insult: fracture risk after stroke in veterans. J Am Geriatr Soc. 2006;54:1082–1088
  35. Smith J, Forster A, Young J. Use of the ‘STRATIFY’ falls risk assessment in patients recovering from acute stroke. Age Ageing. 2006;35:138–143
  36. Nyberg L, Gustafson Y. Using the Downton index to predict those prone to falls in stroke rehabilitation. Stroke. 1996;27:1821–1824

 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 author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)01555-9

doi: 10.1016/j.apmr.2007.09.005

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 12 , Pages 1601-1605 , December 2007