Main Article Content
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.
Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation a challenge to rehabilitation strategies. Stroke 1995;26:838-842.
Teasell R, McRae M, Foley N, Bhardwaj A. The incidence and consequences of falls in stroke patients during in patient rehabilitation: factors associated with high risk. Arch Phys Med Rehabil. 2002;83:329-333.
Batchelor FA, Mackintosh SF, Said CM, Hill KD. Falls after stroke. Int J Stroke 2012;7:482-490.
Ng MM, Hill KD, Batchelor F, BurtonE. Factors predicting falls and mobility outcomes in patients with stroke returning home after rehabilitation. Who are at risk of falling. Arch Phys Med Rehabil. 2017;98(12):2433-2441.
T Xu,Clemson L, O’Loughlin K, Lannin NA, Dean C, Koh G. Risk factors for falls in community stroke survivors: A systematic review and metaanalysis. Arch Phys Med Rehabil. 2018;99(3):563-573
Jalayondeja C, Sullivan PE, Pichaiyongwongdee S. Six-month prospective study of fall risk factors identification in patients post-stroke. Geriatr Gerontol Int. 2014;14:778-785.
Monteiro RB, Laurentino GE, Melo PG, Cabral DL, Correa JC, Teixeira-Salmela LF. Fear of falling and the relationship with the measure of functional independence and quality of life in post cerebral vascular accident (Stroke) victims. Cien Saude Colet. 2013;18:2017-2027.
Schmid AA, Rittman M. Fear of falling: an emerging issue after stroke. Top Stroke Rehabil. 2007;14:46-55.
Batchelor F, Hill K, Mackintosh S,Said C. What works in falls prevention after stroke? A systematic review and meta-analysis . Stroke 2010;41:1715-1722.
Eunkyoung Hong..Health-related quality of life of community-dwelling stroke survivors: a comparison of fallers and non-fallers. J Phys Ther Sci. 2015;27:3045-3047.
T.C. Sağlık Bakanlığı. İtaki Düşme Riski Ölçeği. http://www.kalite.saglik.gov.tr/TR,13486/itaki-dusme-riski-olcegi.html Erişim Tarihi: 15.06.2017
Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Standards for outcome assessment. PhysTher. 1986;66:1530-1539.
Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil. 2001;15:311-319.
Beck AT, Ward CH, Mendelson M, Mock N, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571.
Williams LS, Weinberger M, Haris LE, Clark DO, Biler J. Development of a Stroke- Specific Quality of Life, Stroke 1999;30:1362-1369.
Gülendam Hakverdioğlu Yönt. İnmeye Özgü Yaşam Kalitesi Ölçeğinin Türk Toplumu İçin Geçerlik Ve Güvenirliğinin İncelenmesi, Hemşirelik Esasları Anabilim Dalı Programı Doktora Tezi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü,2009.
Schmid AA, Acuff M, Doster K, Gwaltney-Duiser A, Whitaker A, Damush T et al. Poststroke fear of falling in the hospital setting. Topics in StrokeRehabilitation 2009;16:357-366.
Kim EJ, Kim DY, Kim WH, Lee KL, Yoon YH, Park JM, et al. Fear of falling in subacute hemiplegic stroke patients: associating factors and correlations with quality of life. Ann Rehabil Med. 2012;36:797-803.
Da Silva PC, Carlegis M, Suchma K, Ostwald SK. Falling, balance confidence and fear of falling after chronic stroke. Stroke Physical and Occupational Therapy in Geriatrics 2014;32:353-367.
Chang HT, Chen HC, Chou P. Factors associated with fear of falling among community-dwelling older adults in the Shih-Pai study in Taiwan. PLoSOne. 2016, 11(3):e0150612. doi: 10.1371
Hawk C, Hyland JK, Rupert R, Colonvega M,HallS. Assessment of balance and risk for falls in a sample of community-dwelling adults aged 65 and older.Chiropr Osteopat. 2006;14:3.
Çınarlı T , Koç Z .65 yaş ve üzeri yaşlılarda düşme risk ve korkusunun günlük yaşam aktiviteleri ve yaşam kalitesi üzerine etkisi. Gümüşhane University Journal of Health Sciences 2015;4:660-678.
Yıldırım KY, Karadakovan A. Yaşlı bireylerde düşme korkusu ile günlük yaşam aktiviteleri ve yaşam kalitesi arasındaki ilişki. Türk Geriatri Dergisi 2004;7:78-83.
Schmid AA, Van Puymbroeck M, Altenburger PA, Miller KK, Combs SA, Page SJ. Balance is associated with quality of life in chronic stroke.Top StrokeRehabil. 2013;20:340-346.
Jung Y, Lee K, Shin S, Lee W. Effects of a multifactorial fall prevention program on balance, gait and fear of falling in post-stroke in patients. J Phys Ther Sci. 2015;27:1865-1868.