Do clinical assessments, steady-state or daily-life gait characteristics predict falls in ambulatory chronic stroke survivors?

Auteurs Michiel Punt , Sjoerd M. Bruijn , Harriët Wittink , Ingrid G. van de Port , Jaap H. van Dieën
Gepubliceerd in Journal of Rehabilitation Medicine
Publicatiedatum 2017
Lectoraat Leefstijl en Gezondheid
Soort publicatie Artikel

Samenvatting

Objective: This exploratory study investigated to what extent gait characteristics and clinical physical therapy assessments predict falls in chronic stroke survivors. Design: Prospective study. Subjects: Chronic fall-prone and non-fall-prone stroke survivors. Methods: Steady-state gait characteristics were collected from 40 participants while walking on a treadmill with motion capture of spatio-temporal, variability, and stability measures. An accelerometer was used to collect daily-life gait characteristics during 7 days. Six physical and psychological assessments were administered. Fall events were determined using a “fall calendar” and monthly phone calls over a 6-month period. After data reduction through principal component analysis, the predictive capacity of each method was determined by logistic regression. Results: Thirty-eight percent of the participants were classified as fallers. Laboratory-based and daily-life gait characteristics predicted falls acceptably well, with an area under the curve of, 0.73 and 0.72, respectively, while fall predictions from clinical assessments were limited (0.64). Conclusion: Independent of the type of gait assessment, qualitative gait characteristics are better fall predictors than clinical assessments. Clinicians should therefore consider gait analyses as an alternative for identifying fall-prone stroke survivors.

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Taal Engels
Gepubliceerd in Journal of Rehabilitation Medicine
Jaar en volume 49 5
Trefwoorden vallen, beroerte, accelerometrie
Paginabereik 402-409

Michiel Punt

Michiel Punt | onderzoeker | lectoraat Leefstijl en Gezondheid

Michiel Punt

  • Onderzoeker
  • Lectoraat: Leefstijl en Gezondheid