| Titre : | Do measures of reactive balance control predict falls in people with stroke returning to the community? (2015) |
| Auteurs : | A. Mansfield ; Jennifer S. Wong ; W.E. McIlroy |
| Type de document : | Article |
| Dans : | Physiotherapy (2015/4, 2015) |
| Article en page(s) : | pp. 373-380 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation |
| Mots-clés: | Accidental falls ; Chutes accidentelles ; Stroke ; Community Health Services ; Services de santé communautaires ; Postural balance ; Équilibre postural |
| Résumé : |
Objective To determine if reactive balance control measures predict falls after discharge from stroke rehabilitation. Design Prospective cohort study. Setting Rehabilitation hospital and community. Participants Independently ambulatory individuals with stroke who were discharged home after inpatient rehabilitation (n = 95). Main outcome measures Balance and gait measures were obtained from a clinical assessment at discharge from inpatient stroke rehabilitation. Measures of reactive balance control were obtained: (1) during quiet standing; (2) when walking; and (3) in response to large postural perturbations. Participants reported falls and activity levels up to 6 months post-discharge. Logistic and Poisson regressions were used to identify measures of reactive balance control that were related to falls post-discharge. Results Decreased paretic limb contribution to standing balance control [rate ratio 0.8, 95% confidence interval (CI) 0.7 to 1.0; P = 0.011], reduced between-limb synchronisation of quiet standing balance control (rate ratio 0.9, 95% CI 0.8 to 0.9; P Conclusions Impaired reactive balance control in standing and walking predicted increased risk of falls post-discharge from stroke rehabilitation. Specifically, measures that revealed the capacity of both limbs to respond to instability were related to increased risk of falls. These results suggest that post-stroke rehabilitation strategies for falls prevention should train responses to instability, and focus on remediating dyscontrol in the more-affected limb. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940615032344 |
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