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Title: | Association between fear of falling and falls following acute and chronic stroke : a systematic review with meta-analysis | Authors: | Pin, TW Winser, SJ Chan, WLS Chau, B Ng, S Wong, T Mak, M Pang, M |
Issue Date: | 2024 | Source: | Journal of rehabilitation medicine, 2024, v. 56, jrm18650 | Abstract: | Objectives: To examine the association between falls and fear of falling in people with stroke and to evaluate the differences between patients with acute stroke and those with chronic stroke with regard to any such association. Methods: Articles were searched in Medline, CINAHL, AMED, Embase, PsycINFO, Cochrane Library of Reviews and PEDro from inception until March 2023. Experimental, observational or explorative studies investigating the association between fear of falling and falls in people with stroke were included. Articles were screened by 2 independent reviewers. Data were extracted by an independent reviewer. Results: A total of 26 reports were included in this review (n = 2863). Fear of falling, assessed by a single-question survey, was significantly associated with falls (relative risk = 1.44; 95% confidence interval (95% CI) = 1.22, 1.70; I2 = 0%) in people with acute stroke. Significant mean differences in fear of falling, based on the Falls Efficacy Scale (mean difference = 12.80; 95% CI = 1.81, 23.78; I² = 28%) and Activities-specific Balance Confidence Scale (mean difference = –9.99; 95% CI = –15.36, –4.62; I² = 57%), were also reported between fallers and non-fallers in people with chronic stroke. Conclusion: A small, but significant, association exists between falls and fear of falling in both acute and chronic stroke patients. |
Keywords: | Stroke Accidental falls Self-efficacy Meta-analysis Systematic review |
Publisher: | Foundation for Rehabilitation Information | Journal: | Journal of rehabilitation medicine | ISSN: | 1650-1977 | EISSN: | 1651-2081 | DOI: | 10.2340/jrm.v56.18650 | Rights: | Copyright (c) 2024 Tamis W. Pin, Stanley J. Winser, Wayne L.S. Chan, Bolton Chau, Shamay Ng, Thomson Wong, Margaret Mak, Marco Pang Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/) The following publication Pin, T. W., Winser, S. J., Chan, W. L. ., Chau, B., Ng, S. ., Wong, T., Mak, M. ., & Pang, M. (2024). Association between fear of falling and falls following acute and chronic stroke: a systematic review with meta-analysis. Journal of Rehabilitation Medicine, 56, jrm18650 is available at https://doi.org/10.2340/jrm.v56.18650. |
Appears in Collections: | Journal/Magazine Article |
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Pin_Association_Fear_Falling.pdf | 1.15 MB | Adobe PDF | View/Open |
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