Fear of falling in people with chronic stroke.

Autor: Schmid AA; Arlene A. Schmid, PhD, OTR, is Associate Professor, Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins; arlene.schmid@colostate.edu., Arnold SE; Sarah E. Arnold, MS, OTR, is Occupational Therapist, Indiana Hand to Shoulder Therapy Center, Indianapolis. At the time of the study, she was MS student, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis., Jones VA; Valerie A. Jones, MS, OTR, is Occupational Therapist, Franciscan St. Elizabeth Health, Lafayette, IN. At the time of the study, she was MS student, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis., Ritter MJ; M. Jane Ritter, MS, OTR, is Occupational Therapist, Lafayette Rehabilitation Services, Lafayette, IN. At the time of the study, she was MS student, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis., Sapp SA; Stephanie A. Sapp, MS, OTR, is Occupational Therapist, Johnson Memorial Hospital, Franklin, IN. At the time of the study, she was MS Student, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis., Van Puymbroeck M; Marieke Van Puymbroeck, PhD, CTRS, FDRT, is Associate Professor, Department of Parks, Recreation and Tourism Management, College of Health and Human Development, Clemson University, Clemson, SC.
Jazyk: angličtina
Zdroj: The American journal of occupational therapy : official publication of the American Occupational Therapy Association [Am J Occup Ther] 2015 May-Jun; Vol. 69 (3), pp. 6903350020.
DOI: 10.5014/ajot.2015.016253
Abstrakt: Objective: We assessed the prevalence of fear of falling (FoF) in a sample of people with chronic stroke and compared multiple variables (balance, anxiety, depression, activity and participation, and stroke severity) in people with and without FoF.
Method: This study was a secondary analysis of data collected from a cross-sectional study of mobility after stroke in 77 participants with chronic stroke (>6 mo poststroke).
Results: Of the 77 participants, 51 (66%) reported experiencing FoF. People with FoF had significantly decreased balance (p<.001) and activity and participation (p=.006) and significantly increased anxiety (p=.007). People with FoF also had significantly worse stroke severity (p=.001).
Conclusion: FoF is a prevalent concern in the chronic stroke population. The presence of FoF was associated with a variety of negative consequences. Occupational therapy practitioners should address FoF to help clients manage FoF and possibly improve recovery.
(Copyright © 2015 by the American Occupational Therapy Association, Inc.)
Databáze: MEDLINE