Association between fear of falling and falls following acute and chronic stroke: a systematic review with meta-analysis.

IF 2.5 4区医学 Q1 REHABILITATION Journal of Rehabilitation Medicine Pub Date : 2024-01-16 DOI:10.2340/jrm.v56.18650

Tamis W Pin, Stanley J Winser, Wayne L S Chan, Bolton Chau, Shamay Ng, Thomson Wong, Margaret Mak, Marco Pang

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Abstract

Objectives: To examine the association between falls and fear of falling in people with stroke and to evaluate the differences between patients with acute stroke and those with chronic stroke with regard to any such association.

Methods: Articles were searched in Medline, CINAHL, AMED, Embase, PsycINFO, Cochrane Library of Reviews and PEDro from inception until March 2023. Experimental, observational or explorative studies investigating the association between fear of falling and falls in people with stroke were included. Articles were screened by 2 independent reviewers. Data were extracted by an independent reviewer.

Results: A total of 26 reports were included in this review (n = 2863). Fear of falling, assessed by a single-question survey, was significantly associated with falls (relative risk = 1.44; 95% confidence interval (95% CI) = 1.22, 1.70; I2 = 0%) in people with acute stroke. Significant mean differences in fear of falling, based on the Falls Efficacy Scale (mean difference = 12.80; 95% CI = 1.81, 23.78; I² = 28%) and Activities-specific Balance Confidence Scale (mean difference = -9.99; 95% CI = -15.36, -4.62; I² = 57%), were also reported between fallers and non-fallers in people with chronic stroke.

Conclusion: A small, but significant, association exists between falls and fear of falling in both acute and chronic stroke patients.

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害怕跌倒与急性和慢性中风后跌倒之间的关系：系统回顾与荟萃分析。

目的研究中风患者跌倒与跌倒恐惧之间的关系，并评估急性中风患者与慢性中风患者之间在跌倒与跌倒恐惧关系方面的差异：方法：在 Medline、CINAHL、AMED、Embase、PsycINFO、Cochrane 文献综述库和 PEDro 中检索从开始到 2023 年 3 月的文章。纳入了调查中风患者跌倒恐惧与跌倒之间关系的实验性、观察性或探索性研究。文章由两名独立审稿人筛选。数据由一名独立审稿人提取：本综述共纳入 26 篇报告（n = 2863）。通过单个问题调查评估的跌倒恐惧与急性中风患者的跌倒显著相关（相对风险 = 1.44；95% 置信区间 (95% CI) = 1.22，1.70；I2 = 0%）。根据跌倒功效量表（平均差异 = 12.80；95% CI = 1.81，23.78；I² = 28%）和特定活动平衡信心量表（平均差异 = -9.99；95% CI = -15.36，-4.62；I² = 57%），慢性中风患者中跌倒者和非跌倒者之间对跌倒的恐惧也存在显著的平均差异：结论：急性和慢性中风患者跌倒与跌倒恐惧之间存在微小但重要的关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.