| The effect of spasticity, sense and walking aids in falls of people after chronic stroke. | |
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MedLine Citation:
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PMID: 17453990 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the effects of spasticity, sensory impairment, and type of walking aid on falls in community dwellers with chronic stroke. METHODS: Functional Independence Measure (FIM) Instrument, Joint Position Sense Evaluation (JPS), the Rivermead motor assessment scale (RMA), Ashworth Scale, Tinetti Assessment Tool were used to assess 100 cases. RESULTS: Fifty-three of the cases were grouped as nonfallers, 36 as one-time fallers and 11 as repeat fallers. These 3 groups were found to be different from each other in respect to FIM, Tinetti test and RMA (p < 0.001). In respect to knee JPS, nonfallers and one-time faller groups were found to be different from repeat fallers (p = 0.001). There is a difference among the groups in respect to Ashworth assessment (p < 0.001), use of walking aid (p = 0.01) and type of walking aid (p = 0.01). Some 43% of the cases use a walking aid (58.1% cane, 41.9% high cane). According to Ordinal logistic regression analysis, it was found that the possibility of fall increased (p < 0.01), as the value of spasticity increased while the possibility of the fall of the individuals with stroke decreased (p < 0.00 - 0.01) as Tinetti, RMA and FIM variables increased. CONCLUSIONS: In respect to falls, spasticity is also an indicator for chronic stroke patients, as is motor impairment, functional situation, impairment of balance and walking. Sensory impairment, using a walking aid and the type were found to be ineffective. |
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Authors:
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Ferhan Soyuer; Ahmet Oztürk |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Disability and rehabilitation Volume: 29 ISSN: 0963-8288 ISO Abbreviation: Disabil Rehabil Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-04-24 Completed Date: 2007-06-28 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 9207179 Medline TA: Disabil Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 679-87 Citation Subset: IM |
Affiliation:
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Halil Bayraktar Health Services Vocational College, Erciyes Universitesi, Kayseri, Turkey. soyuerf@erciyes.edu.tr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls
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statistics & numerical data* Adult Canes* Disability Evaluation Female Humans Joints / physiopathology Logistic Models Male Middle Aged Muscle Spasticity / physiopathology* Postural Balance / physiology Psychomotor Performance / physiology* Stroke / physiopathology* Walking / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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