Evaluation of the relationship between tools predicting the risk falling in rehabilitation setting in post-stroke patients
Authors:
I. Fiedorová 1,2; E. Mrázková 1,3; H. Tomášková 1; M. Zádrapová 1,2
Authors‘ workplace:
Ostravská univerzita Lékařská fakulta Ústav epidemiologie a ochrany veřejného zdraví, Přednosta: doc. MUDr. Rastislav Maďar, Ph. D., MBA, FRCPS
1; Fakultní nemocnice Ostrava Klinika rehabilitace a tělovýchovného lékařství, Přednosta: doc. MUDr. Dalibor Pastucha, Ph. D., MBA
2; Krajská nemocnice Havířov Oddělení ORL a chirurgie hlavy a krku, Primářka: MUDr. Eva Mrázková, Ph. D.
3
Published in:
Prakt. Lék. 2022; 102(2): 83-89
Category:
Of different specialties
Overview
Background: The consequences of stroke can lead to impaired balance skills associated with a high risk of falls in the hospital setting and after discharge. Many heterogeneous tools exist to assess the level of fall risk. Evaluating the relationships between the most commonly used tests may lead to an explanation of their applicability and effectiveness in practice. Aim: To assess the relationship between selected tools used in clinical practice in the rehabilitation setting to assess fall risk in post-stroke patients and to confirm the validity of this relationship in cognitive dysfunction.
Methods: A prospective cross-sectional study was conducted on a cohort of 84 patients (42 women, age 66.7 ± 9.36 years) after ischemic stroke ≤ 3 months with a follow-up period of 6 months. All subjects performed instrumented posturography (Somatosensory Organization Test – SOT), clinical test (Berg Balance Scale – BBS), nursing screening (Risk of Falls by Juraskova – RPJ) and subjective fear of falls questionnaire (The Falls Efficacy Scale International – FESI). Cognitive function was assessed with the Montreal Cognitive Test. The correlation between the tests was determined by Spearman’s correlation coefficient at the 5% significance level.
Results: Statistically significant negative correlations between SOT and FESI, BBS and FESI, and positive correlations between SOT and BBS were found in all cases. Nursing screening of RPJ showed a statistically significant correlation, only in the case of the assessment group with unconfirmed cognitive deficit, in the other cases the correlation was statistically insignificant.
Conclusion: Increased fear of falling in the study population of post-stroke patients has a statistically significant association with low level of balance, which is valid in the whole population, but also in the group of patients with confirmed cognitive deficit. Nursing screening did not show a statistically significant correlation with balance assessment tools.
Keywords:
stroke – fall risk – fall risk assessment
Sources
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
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