Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Examining the Quality of Life Related to Fall Experience in Chronic Stroke Patients

  • Lee, Ju-Hwan (Department of Physical Therapy, General Graduate School, Yongin University) ;
  • Park, Shin-Jun (Department of Physical Therapy, General Graduate School, Yongin University)
  • Received : 2016.06.29
  • Accepted : 2016.08.05
  • Published : 2016.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study was to investigate the quality of life related to fall experiences in chronic stroke patients. METHODS: This cross-sectional study included 117 patients with stroke from 3 hospitals in D metropolitan city. General characteristics, including fall experiences and quality of life, were assessed through a face-to-face interviews conducted in a quiet place using a questionnaire. Measurement of quality of life in stroke patients was conducted using the Korean Stroke Specific Quality of Life Scale (SS-QOL). To identify the SS-QOL items related to fall experiences, the items of the SS-QOL were considered as independent variables, and the variables that were significantly different according to fall experiences were identified using a univariate analysis. A binary logistic regression was then performed using fall experiences as the independent variable. RESULTS: According to the univariate analysis, self help activities, social role, and upper extremity function were significantly lower in the fall group than that in the non-fall group (p<.05). The findings of the binary logistic regression confirmed that social roles and upper extremity function were the SS-QOL items that were related to fall experience in chronic stroke patients. CONCLUSION: These findings suggest that social roles and upper extremity function may be risk factors for fall experience in patients with chronic stroke.

Keywords

References

  1. Ahn MH, Ahn CS. Comparison of effects of Feedbacks vs Repeative task training on lower extremity function in patients with chronic hemiplegia. J Korean Soc Phys Med. 2011;6(1):9-17.
  2. Arya KN, Pandian S, Abhilasha CR, et al. Does the motor level of the paretic extremities affect balance in poststroke subjects?. Rehabilitation research and practice, 2014.
  3. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206-7. https://doi.org/10.1093/ptj/67.2.206
  4. Cheng PT, Wu SH, Liaw MY, et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001;82(12):1650-4. https://doi.org/10.1053/apmr.2001.26256
  5. Duncan PW, Lai SM, Keighley J. Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology. 2000;39(5):835-41. https://doi.org/10.1016/S0028-3908(00)00003-4
  6. English CK, Hillier SL, Stiller KR, et al. Circuit class therapy versus individual physiotherapy sessions during inpatient stroke rehabilitation: a controlled trial. Arch Phys Med Rehabil. 2007;88(8):955-63. https://doi.org/10.1016/j.apmr.2007.04.010
  7. Faulkner KA, Cauley JA, Zmuda JM, et al. Is social integration associated with the risk of falling in older community-dwelling women?. J Gerontol A Biol Sci Med Sci. 2003;58(10):M954-M9. https://doi.org/10.1093/gerona/58.10.M954
  8. 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(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  9. Forster A, Young J. Incidence and consequences of falls due to stroke: a systematic inquiry. Bmj. 1995;311(6997):83-6. https://doi.org/10.1136/bmj.311.6997.83
  10. GUO H, TIAN J, WAN QQ. Fall-prevention knowledge, attitude and practice among attendants of hospitalized elderly patients with cerebrovascular disease [J]. Chinese Journal of Nursing, 2011;3:021.
  11. Harris JE, Eng JJ, Marigold DS, et al. Relationship of balance and mobility to fall incidence in people with chronic stroke. Phys Ther. 2005;85(2):150-8.
  12. Hyndman D, Ashburn A. People with stroke living in the community: Attention deficits, balance, ADL ability and falls. DISABIL REHABIL. 2003;25(15):817-22. https://doi.org/10.1080/0963828031000122221
  13. Hyndman D, Ashburn A, Stack E. Fall events among people with stroke living in the community: circumstances of falls and characteristics of fallers. Archives of physical medicine and rehabilitation. 2002;83(2):165-70. https://doi.org/10.1053/apmr.2002.28030
  14. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. AJPM&R. 2003;82(6):463-9.
  15. 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(2):542-7. https://doi.org/10.1161/hs0202.102375
  16. Kwok, T, Lo RS, Wong E, et al. Quality of life of stroke survivors: a 1-year follow-up study. Archives of physical medicine and rehabilitation, 2006;87(9):1177-82. https://doi.org/10.1016/j.apmr.2006.05.015
  17. Lamb SE, Ferrucci L, Volapto S, et al. Risk factors for falling in home-dwelling older women with stroke the women's health and aging study. Stroke. 2003;34(2):494-501. https://doi.org/10.1161/01.STR.0000053444.00582.B7
  18. Mackintosh SF, Hill KD, Dodd KJ, et al. Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation. Arch Phys Med Rehabil. 2006;87(12):1583-9. https://doi.org/10.1016/j.apmr.2006.09.004
  19. Marigold DS, Eng JJ, Dawson AS, et al. Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke. JAGS. 2005;53(3):416-23. https://doi.org/10.1111/j.1532-5415.2005.53158.x
  20. Milosevic M, McConville KMV, Masani, K. Arm movement improves performance in clinical balance and mobility tests. Gait & posture. 2011;33(3):507-9. https://doi.org/10.1016/j.gaitpost.2010.12.005
  21. Moon JI. A Study on the Factors Affecting Stroke Quality of Life; Using the Stroke-Specific Quality of Life (SS-QOL). Master's Degree, Daegu University. 2003.
  22. Nyberg L, Gustafson Y. Fall prediction index for patients in stroke rehabilitation. Stroke. 1997;28(4):716-21. https://doi.org/10.1161/01.STR.28.4.716
  23. Ory MG, Schechtman KB, Miller JP, et al. Frailty and injuries in later life: the FICSIT trials. JAGS. 1993;41(3):283-96. https://doi.org/10.1111/j.1532-5415.1993.tb06707.x
  24. Poole KE, Reeve J, Warburton EA. Falls, Fractures, and Osteoporosis After Stroke Time to Think About Protection?. Stroke. 2002;33(5):1432-6. https://doi.org/10.1161/01.STR.0000014510.48897.7D
  25. Rha YH, Goo BO, Rho MH, et al. The Effect of External-feedback Weight-bearing Training Protecting a Fall in Hemiplegic Patients. J Korean Soc Phys Med. 2007;2(2):143-50.
  26. Ramnemark A, Nilsson M, Borssen B, et al. Stroke, a major and increasing risk factor for femoral neck fracture. Stroke. 2000;31(7):1572-7. https://doi.org/10.1161/01.STR.31.7.1572
  27. Ramnemark A, Nyberg L, Borssen B, et al. Fractures after stroke. Osteoporos Int. 1998:8(1);92-5. https://doi.org/10.1007/s001980050053
  28. 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;74:621-6. https://doi.org/10.1016/0003-9993(93)90160-C
  29. Simpson LA, Miller WC, Eng JJ. Effect of stroke on fall rate, location and predictors: a prospective comparison of older adults with and without stroke. PLoS One. 2011;6(4):e19431. https://doi.org/10.1371/journal.pone.0019431
  30. Song CH, Lee GC, Yoo JH, et al. The Relation between Postural Sway and Asymmetric Weight-bearing for Fall Preventation in Patients with Stroke. J Korean Soc Phys Med. 2010;5(1):81-8.
  31. Stolze H, Klebe S, Zechlin C, et al. Falls in frequent neurological diseases. J Neurol. 2004;251(1):79-84. https://doi.org/10.1007/s00415-004-0276-8
  32. Teasell R, McRae M, Foley N, et al. The incidence and consequences of falls in stroke patients during inpatient rehabilitation: factors associated with high risk. Arch Phys Med Rehabil. 2002;83(3):329-33. https://doi.org/10.1053/apmr.2002.29623
  33. Tsouna-Hadjis E, Vemmos KN, Zakopoulos N, et al. First-stroke recovery process: the role of family social support. Arch Phys Med Rehabil. 2000;81(7):881-7. https://doi.org/10.1053/apmr.2000.4435
  34. Vearrier LA, Langan J, Shumway-Cook A, et al. An intensive massed practice approach to retraining balance post-stroke. Gait & posture. 2005;22(2):154-63. https://doi.org/10.1016/j.gaitpost.2004.09.001
  35. Wada N, Sohmiya M, Shimizu T, et al. Clinical analysis of risk factors for falls in home-living stroke patients using functional evaluation tools. Arch Phys Med Rehabil. 2007;88(12):1601-5. https://doi.org/10.1016/j.apmr.2007.09.005
  36. Williams LS, Weinberger M, Harris, LE, et al. Development of a stroke-specific quality of life scale. Stroke. 1999;30(7):1362-9. https://doi.org/10.1161/01.STR.30.7.1362
  37. Williams LS. Health-related quality of life outcomes in stroke. Neuroepidemiology. 1998;17(3):116-20. https://doi.org/10.1159/000026162
  38. World Health Organization. Ageing, & Life Course Unit. WHO global report on falls prevention in older age. World Health Organization. 2008.

Cited by

  1. Immediate Effect of Anterior-to-posterior Talocrural Joint Mobilization with Elastic Taping on Balance Ability in Stroke Patients vol.13, pp.3, 2016, https://doi.org/10.13066/kspm.2018.13.3.91