Fear of falling and related factors during everyday activities in patients with chronic stroke

Background and Purpose. The fear of falling can have detrimental effects on physical function in the elderly population, but the relationship between a persons' confidence in the ability to maintain balance and actual balance ability and functional mobility is not known. The extent to which balance confidence can be explained by balance performance, functional mobility, and sociodemographic, psychosocial, and health-related factors was the focus of this study. Subjects. The subjects were 50 community-dwelling elderly people, aged 65 to 95 years (X̄=81.7, SD=6.7). Methods. Balance was measured using the Berg Balance Scale. Functional mobility was measured using the Timed Up & Go Test. The Activities-specific Balance Scale was used to assess balance confidence. Data were analyzed using Pearson correlation, multiple regression analysis, and t tests. Results. Fifty-seven percent of the variance in balance confidence could be explained by balance performance. Functional mobility and subject characteristics examined in this study did not contribute to balance confidence. Discussion and Conclusion. Balance performance alone is a strong determinant of balance confidence in community-dwelling elderly people.

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Fear of Falling in People With Chronic Stroke

American Journal of Occupational Therapy ◽

10.5014/ajot.2015.016253 ◽

2015 ◽

Vol 69 (3) ◽

pp. 6903350020p1 ◽

Cited By ~ 21

Author(s):

Arlene A. Schmid ◽

Sarah E. Arnold ◽

Valerie A. Jones ◽

M. Jane Ritter ◽

Stephanie A. Sapp ◽

...

Keyword(s):

Fear Of Falling ◽

Chronic Stroke

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Falling, Balance Confidence, and Fear of Falling After Chronic Stroke

Physical & Occupational Therapy In Geriatrics ◽

10.3109/02703181.2014.946639 ◽

2014 ◽

Vol 32 (4) ◽

pp. 353-367 ◽

Cited By ~ 6

Author(s):

Carolyn P Da Silva ◽

Megan Carlegis ◽

Kyle Suchma ◽

Sharon K Ostwald

Keyword(s):

Fear Of Falling ◽

Chronic Stroke ◽

Balance Confidence

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Cognitive impairment and fear of falling in elderly with different social support levels: Findings from a community survey in Central Vietnam

10.21203/rs.2.13296/v1 ◽

2019 ◽

Author(s):

Thi Hue Man Vo ◽

Keiko Nakamura ◽

Kaoruko Seino ◽

Hoang Thuy Linh Nguyen ◽

Thang Van Vo

Keyword(s):

Social Support ◽

Cognitive Impairment ◽

Cognitive Function ◽

Marital Status ◽

Fear Of Falling ◽

The Elderly ◽

Related Factors ◽

Support Level ◽

High Social Support ◽

History Of

Abstract Background Fear of falling (FoF) in the elderly is one of the major public health concerns in this era of aging of the population. Identifying risk factors is a step towards devising interventions for FoF. The aim of this study was to determine the prevalence of FoF and the associations between cognitive impairment and FoF by the social support level, after adjustments for potential confounders. Methods Data from the “Health needs assessment of elderly in Thua Thien Hue Province, Vietnam in 2018” survey of 725 elderly aged 60 years or older were used for analysis. FoF was assessed using the Fall Efficacy Scale - International. High FoF was defined as a score above 28. The Multidimensional Scale of Perceived Social Support was used to measure the perception of support. Logistic regression analysis was performed to investigate the factors that might be significantly (p <0.05) associated with the FoF. Results The prevalence of high FoF among the elderly was 40.8%. Female gender, advanced age, a marital status of single or formerly married, living alone, history of injury, history of falls, chronic diseases (arthritis and/or hypertension), limitations of the IADL and BADL, visual difficulty and walking difficulty, low social support, and cognitive impairment were all significantly associated with a high FoF. After adjustments for the age, gender, marital status, history of falls and health-related factors, cognitive impairment remained significantly associated with a high FoF among the elderly with a low to moderate social support level (OR = 2.97, 95% CI 1.49-5.89), but not in those with a high social support level. Conclusions Impairment of cognitive function was associated with a high FoF among the elderly who perceived themselves as having low or moderate support levels, even after adjustments for socio demographic and physical functional factors. However, this association was not observed among the elderly who perceived themselves as having high social support levels. Fall prevention programs for the elderly with various levels of social support should be carefully devised, keeping in mind the cognitive function levels of the target recipients.

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Decreasing Fear of Falling in Chronic Stroke Survivors Through Cognitive Behavior Therapy and Task-Oriented Training

Stroke ◽

10.1161/strokeaha.118.022406 ◽

2019 ◽

Vol 50 (1) ◽

pp. 148-154 ◽

Cited By ~ 3

Author(s):

Tai-Wa Liu ◽

Gabriel Y.F. Ng ◽

Raymond C.K. Chung ◽

Shamay S.M. Ng

Keyword(s):

Behavior Therapy ◽

Cognitive Behavior Therapy ◽

Fear Of Falling ◽

Chronic Stroke ◽

Cognitive Behavior ◽

Stroke Survivors ◽

Task Oriented ◽

And Task

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Fear of falling and related factors in older adults in the city of Kashan in 2017

Archives of Trauma Research ◽

10.4103/atr.atr_27_18 ◽

2018 ◽

Vol 7 (2) ◽

pp. 50

Author(s):

Mohsen Taghadosi ◽

Elhamsadat Motaharian ◽

Hamidreza Gilasi

Keyword(s):

Older Adults ◽

Fear Of Falling ◽

Related Factors ◽

The City

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Use of Functional Balance Measurement Tools to Predict the Fear of Falling in Faller and Non-Faller Chronic Stroke Patients

10.30699/fdisj.01.2.29 ◽

2018 ◽

Vol 01 (02) ◽

pp. 29-36

Author(s):

Zahra Ghasempour

Keyword(s):

Fear Of Falling ◽

Chronic Stroke ◽

Stroke Patients ◽

Functional Balance ◽

Measurement Tools

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Fear of falling and cognitive impairment in elderly with different social support levels: Findings from a community survey in Central Vietnam

10.21203/rs.2.13296/v4 ◽

2020 ◽

Author(s):

Thi Hue Man Vo ◽

Keiko Nakamura ◽

Kaoruko Seino ◽

Hoang Thuy Linh Nguyen ◽

Thang Van Vo

Keyword(s):

Social Support ◽

Cognitive Impairment ◽

Cognitive Function ◽

Marital Status ◽

Fear Of Falling ◽

The Elderly ◽

Related Factors ◽

Support Level ◽

High Social Support ◽

History Of

Abstract Background : Fear of falling (FoF) in the elderly is one of the major public health concerns in this era of aging of the population. As there is limited evidence on how cognitive function may differ by social support level in relation to FoF among the elderly, this cross-sectional study aims to investigate the prevalence of FoF and the associations between cognitive impairment and FoF by the social support level, after adjustments for potential confounders. Methods : Data from the “Health needs assessment of elderly in Thua Thien Hue Province, Vietnam in 2018” survey of 725 elderly aged 60 years or older were used for analysis. FoF was assessed using the Fall Efficacy Scale - International. High FoF was defined as a score above 28. The Multidimensional Scale of Perceived Social Support was used to measure the perception of support. Logistic regression analysis was performed to investigate the association between cognitive function and FoF by social support levels (p <0.05). Results: The prevalence of high FoF among the elderly was 40.8%. Female gender, advanced age, a marital status of single or formerly married, living alone, history of injury, history of falls, chronic diseases (arthritis and/or hypertension), limitations of the IADL and BADL, visual difficulty and walking difficulty, low social support, and cognitive impairment were all significantly associated with a high FoF. After adjustments for the age, gender, marital status, history of falls and health-related factors, cognitive impairment remained significantly associated with a high FoF among the elderly with a low to moderate social support level (OR = 2.97, 95% CI 1.49-5.89), but not in those with a high social support level. Conclusions: A high FoF was associated with impairment of cognitive function among the elderly who perceived themselves as having low or moderate support levels, even after adjustments for socio demographic and physical functional factors. However, this association was not observed among the elderly who perceived themselves as having high social support levels. Fall prevention programs for the elderly with various levels of social support should be carefully devised, keeping in mind the cognitive function levels of the target recipients.

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