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Effect of Stroke on Fall Rate, Location and Predictors: A Prospective Comparison of Older Adults with and without Stroke

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  • Lisa A Simpson
  • William C Miller
  • Janice J Eng

Abstract

Background: The literature suggests that stroke is a major risk factor for falls, but there is a lack of prospective, controlled studies which quantify fall-risk after stroke. The purpose of this study was to compare the rates, location and predictors among individuals recently discharged home from stroke rehabilitation to age and sex matched controls. Methodology/Principal Findings: A sample of 80 people with stroke and 90 controls received baseline assessments of balance, mobility and balance confidence. Falls were recorded prospectively over 13 months for both groups. Group differences in fall rates and contribution of clinical measures to falls were determined using negative binomial regression. Fall location was compared between groups using χ2 statistics. The rate of falls for individuals with stroke was 1.77 times the rate for the control group. People with stroke were more likely to fall at home. Poorer balance (Berg Balance Scale) was associated with greater falls for both stroke and control groups (incidence rate ratio [IRR]: 0.908 and IRR: 0.877 respectively). A faster Timed Up and Go Test was associated with greater falls for the stroke group (IRR: 0.955) while better walking endurance (Six Minute Walk Test) was associated with greater falls for the controls (IRR: 1.004). Balance confidence was not an independent predictor in either group. Conclusions: Individuals recently discharged home are at greater risk of falling than individuals without stroke. Attention to home environment is warranted. Balance function can predict falls for both people with stroke and age and sex matched controls. Increased mobility may increase exposure to fall opportunities.

Suggested Citation

  • Lisa A Simpson & William C Miller & Janice J Eng, 2011. "Effect of Stroke on Fall Rate, Location and Predictors: A Prospective Comparison of Older Adults with and without Stroke," PLOS ONE, Public Library of Science, vol. 6(4), pages 1-6, April.
  • Handle: RePEc:plo:pone00:0019431
    DOI: 10.1371/journal.pone.0019431
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    Cited by:

    1. Dahlia Kairy & Michel Tousignant & Nancy Leclerc & Anne-Marie Côté & Mélanie Levasseur & The Telage Researchers, 2013. "The Patient’s Perspective of in-Home Telerehabilitation Physiotherapy Services Following Total Knee Arthroplasty," IJERPH, MDPI, vol. 10(9), pages 1-14, August.
    2. Huei Kai Huang & Shu Man Lin & Clement Shih Hsien Yang & Chung Chao Liang & Hung Yu Cheng, 2017. "Post-ischemic stroke rehabilitation is associated with a higher risk of fractures in older women: A population-based cohort study," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-15, April.
    3. Abeer Alshahrani & Huan-ju Shih & Sean Kim & Jongwha Chang, 2020. "Association Between Falls and Chronic Health Conditions Among Adults in Residential Care Facilities - Analysis of the National Survey of Residential Care Facilities (NSRCF) Data," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 30(5), pages 23763-23767, October.

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