A neurological approach to fear of falling in patients with stroke Fear of Falling in Patients with Stroke

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Büşra Sümeyye Arıca Polat
Zuhal Yiğit
Kurtuluş Köklü
Nihal Köylü
Ali Rıza Sonkaya

Abstract

Objective:  The present study aimed to investigate the factors that affects the fear of falling, also known basophobia, in patients with stroke and the aspects of life quality.


Material and Methods: Stroke patients in the physical therapy were included in this study. Demographic data of the patients were recorded. Patients were asked whether they fell after the stroke and experienced fear of falling. Itaki Fall Risk Scale, Functional Ambulatory Categories, Functional Independence Measure, Beck Depression Inventory and Stroke Specific Quality of Life scale (SS-QoL) have been used. The data of the study were analyzed with SPSS 15 package program.


Results: This study was conducted on 102 patients with stroke. Of these, 36 (35.3%) patients were female with a mean age of 60.97. There was a fear of falling in 65 (63.7%) of the patients. 48 patients (47.1%) fell at least once after the stroke. Falls were significantly high with the ones who were experiencing fear of falling (p = 0.006). Fear of falling was significantly high in females, patients with ischemic stroke, elderly and the patients with coexistent systemic diseases (p <0.05). The total score and sub-units of SS-QoL was significantly low (p <0.05) in the group with the fear of falling. The depression score was significantly high in patients with fear of falling (p = 0.00).


Conclusion: Fear of falling in patients with stroke negatively affects many sub-units of the quality of life-related to movement, participation, and mood. Thus, the classic rehabilitation program for patients with stroke should include falling prevention training.

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How to Cite
PolatB. S. A., YiğitZ., KöklüK., KöylüN., & SonkayaA. R. (2019). A neurological approach to fear of falling in patients with stroke. Medical Science and Discovery, 6(12), 305-309. https://doi.org/10.36472/msd.v6i12.320
Section
Research Article

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