Multifactor analysis for risk factors involved in the fear of falling in patients with chronic stroke from mainland China

作者:Guan, Qiang; Jin, Lingjing; Li, Yunxia; Han, Hongjie; Zheng, Yuguo; Nie, Zhiyu*
来源:Topics in Stroke Rehabilitation, 2015, 22(5): 368-373.
DOI:10.1179/1074935714Z.0000000048

摘要

Objective: To analyze the risk factors involved in FOF in patients with chronic stroke from mainland China. @@@ Methods: A cohort of 245 patients with chronic stroke were included in this study. Fear of falling severity was assessed using the Activities-specific Balance Confidence (ABC) Scale. Physical function was assessed using the Berg Balance Scale (BBS), the Timed Up and Go Test (TUGT), and the lower extremity of Fugl-Meyer Assessment. Psychosocial function was assessed with the Center for Epidemiologic Studies Depression (CES-D) Scale, the State-Trait Anxiety Inventory, and the Social Support Rating Scale, respectively. All factors related to FOF severity were analyzed by regression analysis. @@@ Results: Statistically significant factors affecting FOF severity included age, history of falling, balance, functional mobility, economic burden, and depression. Participants with a history of falls (N=81) were divided into high (score >= 70, N=19) and low ABC score (score<70, N=62) groups. Compared with the low ABC score group, the high ABC score group had higher BBS scores, and lower CES-D scores. @@@ Conclusions: Our findings suggest that-in addition to age, economic burden, and a history of falls-balance, functional mobility, and depression are risk factors associated with FOF in patients with chronic stroke in mainland China.