Volume 1, Issue 2 (Spring 2018)                   Func Disabil J 2018, 1(2): 19-28 | Back to browse issues page


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Jamali S, Azad A, Taghizadeh G. Use of Functional Balance Measurement Tools to Predict the Fear of Falling in Faller and Non-Faller Chronic Stroke Patients . Func Disabil J 2018; 1 (2) :19-28
URL: http://fdj.iums.ac.ir/article-1-55-en.html
1- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (3469 Views)
Background and Objective: Fear of falling is a major problem among people suffering from stroke. This study aimed to investigate the relationship between functional balance (FB) and fear of falling (FOF) in chronic stroke patients with and without history of falling and to identify the best measurement tool for FB which can assess the FOF in these patients.
Methods: Eighty-two participants with chronic stroke with the mean age of 54.90 (±11.30) years participated in this non-experimental cross sectional study. They were divided into faller and non-faller groups based on their history of falling during the last month. The FB was measured by Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Tinetti Balance Test, and Functional Reach Test (FRT). The Persian versions of the self-completed Fall Efficacy Scale-International (FES-I) and Activity-specific Balance-Confidence scale (ABC) were used to evaluate FOF. 
Results: The results of this study showed that the correlation between FES-I with FRT, BBS, DGI and Tinetti Balance Test were -0.38, -0.67, -0.44 and -0.62, in faller group and -0.11, -0.59, -0.31 and -0.24 in non-faller group. The correlation between ABC and FRT, BBS, DGI and Tinetti Balance Test were 0.58, 0.48, 0.68 and 0.57 in faller group and 0.17, 0.55, 0.45 and 0.44 in non-faller group. The results of multiple regression analysis showed that BBS was the best predictor for FOF (which explained 25% and 31% of total variance of FES-I and ABC in faller group as well as 68% and 42% of total variance of FES-I and ABC in non-faller group).
Conclusion: The results of this study showed a low to moderate correlation between FB and FOF in both groups of faller and non-faller chronic stroke patients. Furthermore, BBS seems to be the best functional balance measurement to predict FOF in these patients.
 
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Type of Study: Research | Subject: Occupational Therapy
Received: 2018/12/15 | Accepted: 2018/12/15 | Published: 2018/12/15

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