Fear of Falling in Subacute Hemiplegic Stroke Patients: Associating Factors and Correlations with Quality of Life
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Objective To determine the associating factors of fear of falling (FOF) and the correlations between FOF and quality of life (QOL) on subacute stroke patients in Korea.Method Fifty hemiplegic subacute stroke patients in our clinic were recruited. We directly asked patients with their fear of falling and interviewed them with the Korean version of falls efficacy scale-international (KFES-I). We divided the participants into two groups; with FOF and without FOF. We compared these groups with the strength of hemiplegic hip abductor, knee extensor, ankle plantar flexor, functional ambulation category (FAC) scale, stroke specific quality of life (SSQOL), and hospital anxiety depression scale (HADS).Results Thirty-four participants were enrolled, and more than half of the patients with subacute stroke had FOF. We compared the patients with and without FOF. According to the results, FOF was associated with the strength of hemiplegic hip abductor, knee extensor and ankle plantar flexor, FAC, total SSQOL, and domains (energy, mobility, self care, upper extremity function) of SSQOL (p<0.05). FOF was also associated with the anxiety score of HADS (p<0.05). KFES-I had a significant negative correlation with the strength of hemiplegic hip abductor, knee extensor and ankle plantar flexor, FAC, total SSQOL, and domains (energy, mobility, self care, upper extremity function) of SSQOL (p<0.01).Conclusion The FOF was associated with not only QOL but also with the physical and psychological factors, and in particular, anxiety. Therefore, further concerns about FOF in subacute stroke patients might be required.
Abstract
Objective To determine the associating factors of fear of falling (FOF) and the correlations between FOF and quality of life (QOL) on subacute stroke patients in Korea.Method Fifty hemiplegic subacute stroke patients in our clinic were recruited. We directly asked patients with their fear of falling and interviewed them with the Korean version of falls efficacy scale-international (KFES-I). We divided the participants into two groups; with FOF and without FOF. We compared these groups with the strength of hemiplegic hip abductor, knee extensor, ankle plantar flexor, functional ambulation category (FAC) scale, stroke specific quality of life (SSQOL), and hospital anxiety depression scale (HADS).Results Thirty-four participants were enrolled, and more than half of the patients with subacute stroke had FOF. We compared the patients with and without FOF. According to the results, FOF was associated with the strength of hemiplegic hip abductor, knee extensor and ankle plantar flexor, FAC, total SSQOL, and domains (energy, mobility, self care, upper extremity function) of SSQOL (p<0.05). FOF was also associated with the anxiety score of HADS (p<0.05). KFES-I had a significant negative correlation with the strength of hemiplegic hip abductor, knee extensor and ankle plantar flexor, FAC, total SSQOL, and domains (energy, mobility, self care, upper extremity function) of SSQOL (p<0.01).Conclusion The FOF was associated with not only QOL but also with the physical and psychological factors, and in particular, anxiety. Therefore, further concerns about FOF in subacute stroke patients might be required.
참고문헌 (32)
- Forster A, "Incidence and consequences of falls due to stroke: a systematic inquiry", BMJ, 311, pp.83~86 (1995)
- Suzuki T, "Incidence and consequence of falls in inpatient rehabilitation of stroke patients", Exp Aging Res, 31, pp.457~469 (2005)
- Hyndman D, "Fall events among people with stroke living in the community: circumstances of falls and characteristics of fallers", Arch Phys Med Rehabil, 83, pp.165~170 (2002)
- Schmid AA, "Fear of falling among people who have sustained a stroke: a 6-month longitudinal pilot study", Am J Occup Ther, 65, pp.125~132 (2011)
- Schmid AA, "Poststroke fear of falling in the hospital setting", Top Stroke Rehabil, 16, pp.357~366 (2009)
- Batchelor F, "Falls efficacy and fear of falling in stroke: issues with measurement and interpretation", Disabil Rehabil, 34, pp.704~ (2012)
- Vellas B, "Prospective study of restriction of activity in old people after falls", Age Ageing, 16, pp.189~193 (1987)
- Tinetti ME, "Falls efficacy as a measure of fear of falling", J Gerontol, 45, pp.239~243 (1990)
- Tinetti ME, "Fear of falling and low selfefficacy: a case of dependence in elderly persons", J Gerontol, 48, pp.35~38 (1993)
- Scheffer AC, "Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons", Age Ageing, 37, pp.19~24 (2008)
- Chandler J, "The fear of falling syndrome: relationship to falls, physical performance and activities of daily living in frail older persons", Top Geriatr Rehabil, 11, pp.1~10 (1996)
- Howland J, "Covariates of fear of falling and associated activity curtailment", Gerontologist, 38, pp.549~555 (1998)
- Lachman ME, "Fear of falling and activity restriction: the survey of activities and fear of falling in the elderly", J Gerontol B Psychol Sci Soc Sci, 53, pp.43~50 (1998)
- Maki BE, "Fear of falling and postural performance in the elderly", J Gerontol, 46, pp.123~131 (1991)
- Myers AM, "Psychological indicators of balance confidence: relationship to actual and perceived abilities", J Gerontol A Biol Sci Med Sci, 51, pp.37~43 (1996)
- Salva A, "Incidence and consequences of falls among elderly people living in the community", Med Clin, 122, pp.172~176 (2004)
- Vellas BJ, "Fear of falling and restriction of mobility in elderly fallers", Age Ageing, 26, pp.189~193 (1997)
- Walker JE, "Falls and fear of falling among elderly persons living in the community: occupational therapy interventions", Am J Occup Ther, 45, pp.119~122 (1991)
- Tinetti ME, "Fear of falling and fall-related efficacy in relationship to functioning among community-living elders", J Gerontol, 49, pp.140~147 (1994)
- Murphy SL, "Characteristics associated with fear of falling and activity restriction in community-living older persons", J Am Geriatr Soc, 50, pp.516~520 (2002)
- Muehlbauer T, "Association of balance, strength and power measures in young adults", J Strength Cond Res (2012)
- Carter ND, "Knee extension strength is a significant determinant of static and dynamic balance as well as quality of life in older community-dwelling women with osteoporosis", Gerontology, 48, pp.360~368 (2002)
- Han C, Jo, "An adaptation of the Korean mini-mental state examination (K-MMSE) in elderly Koreans: Demographic influence and population-based norms (the AGE study)", ARCH GERONTOL GERIATR, 47, pp.302~310
- Arfken CL, "The prevalence and correlates of fear of falling in elderly persons living in the community", Am J Public Health, 84, pp.565~570 (1994)
- 박기범, "한국어판 낙상효능척도-국제형의 신뢰도 및 타당도(KFES-I)", Annals of Rehabilitation Medicine, 34(5), pp.554~559 (2010), 대한재활의학회
- Kang SY, "Isokinetic evaluation of the lower extremity muscles with aging in healthy adults", J Korean Acad Rehab Med, 12, pp.96~110 (1998)
- Granger CV, "Stroke rehabilitation: analysis of repeated Barthel index measures", Arch Phys Med Rehabil, 60, pp.14~17 (1979)
- Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- Williams LS, "Development of a stroke-specific quality of life scale", Stroke, 30, pp.1362~1369 (1999)
- van Haastregt JC, "Feelings of anxiety and symptoms of depression in community-living older persons who avoid activity for fear of falling", Am J Geriatr Psychiatry, 16, pp.186~193 (2008)
- Lopez-Aumatell R, "Unlearned anxiety predicts learned fear: a comparison among heterogeneous rats and the roman rat strains", Behav Brain Res, 202, pp.92~101 (2009)
- Graeff FG, "Role of 5-HT in stress, anxiety, and depression", Pharmacol Biochem Behav, 54, pp.129~141 (1996)