Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study
Objective: The influence of gait characteristics (GCs) and dynamic balance (DB) on fear of falling (FoF) among stroke survivors (SSs) remains unclear. This casecontrol study compared and correlated FoF, GC, and DB among SSs and apparently healthy controls (AHCs). Materials and Methods: A total of 55...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-12-01
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| Series: | Türk Nöroloji Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-08684 |
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| author | Adebusola O Borode Taofeek O Awotidebe Adekola B Ademoyegun Adedayo O Borode Ibukun G Falokun Oluwatobi B Omisore Adepeju A Kolade Adekola J Odunlade Rufus A Adedoyin |
| author_facet | Adebusola O Borode Taofeek O Awotidebe Adekola B Ademoyegun Adedayo O Borode Ibukun G Falokun Oluwatobi B Omisore Adepeju A Kolade Adekola J Odunlade Rufus A Adedoyin |
| author_sort | Adebusola O Borode |
| collection | DOAJ |
| description | Objective: The influence of gait characteristics (GCs) and dynamic balance (DB) on fear of falling (FoF) among stroke survivors (SSs) remains unclear. This casecontrol study compared and correlated FoF, GC, and DB among SSs and apparently healthy controls (AHCs). Materials and Methods: A total of 55 ambulant SSs and 110 age–sex-matched AHCs were recruited from two Nigerian hospitals. The FoF, GC (gait speed, cadence, stride length, and step length), and DB were assessed using the fall efficacy scale-international, accelerometer (BTS-G walk) and time-up and go test, respectively. Pearson's product-moment correlation coefficient and an independent t-test were applied. The alpha level was set at P < 0.05. Results: The majority of SSs (87%) had a high risk of falling while AHCs (94.5%) had a low risk of falling. Additionally, 23.6% of SSs and 17.3% of AHCs had had a fall 12 months preceding the study. The SSs had significantly lower gait speeds (0.8 +- 0.3 m/s vs. 1.2 +- 0.3 m/s; t: -8.286; P < 0.001), cadence (80.5 +- 25.3 steps/min vs. 110.1 +- 11.3 steps/min; t: -10.399; P < 0.001), and DB (26.9 +- 18.1 s vs. 9.0 +- 2.4 s; t: 10.240; P < 0.001) than AHCs. The FoF was negatively correlated with cadence (r: -0.340; P = 0.011) and gait speed (r: -0.383; P = 0.004), and positively correlated with DB (r: 0.700; P < 0.001), while gait speed was negatively correlated with DB (r: -0.645; P < 0.001) among SSs. A similar pattern of correlations was observed among AHCs. Conclusion: SSs demonstrated a high FoF, poor DB with an increased risk of falling, and altered GC compared with AHCs. In addition, significant relationships were found among FoF, DB, and GC among SSs and AHCs. |
| first_indexed | 2024-03-08T15:50:43Z |
| format | Article |
| id | doaj.art-6560e6eebce042d89b2a67cf74ec5be1 |
| institution | Directory Open Access Journal |
| issn | 1309-2545 |
| language | English |
| last_indexed | 2024-03-08T15:50:43Z |
| publishDate | 2023-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Nöroloji Dergisi |
| spelling | doaj.art-6560e6eebce042d89b2a67cf74ec5be12024-01-09T06:07:03ZengGalenos YayineviTürk Nöroloji Dergisi1309-25452023-12-0129424124810.4274/tnd.2023.08684TJN-08684Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control StudyAdebusola O Borode0Taofeek O Awotidebe1Adekola B Ademoyegun2Adedayo O Borode3Ibukun G Falokun4Oluwatobi B Omisore5Adepeju A Kolade6Adekola J Odunlade7Rufus A Adedoyin8University of Medical Sciences, Faculty of Medical Rehabilitation, Department of Physiotherapy, Ondo, NigeriaObafemi Awolowo University, College of Health Sciences, Department of Medical Rehabilitation, Ile-Ife, NigeriaOsun State University Teaching Hospital, Department of Physiotherapy, Osogbo, NigeriaUniversity of Medical Sciences, Faculty of Medical Rehabilitation, Department of Physiotherapy, Ondo, NigeriaObafemi Awolowo University Teaching Hospitals Complex, Department of Medical Rehabilitation, Ile-Ife, NigeriaObafemi Awolowo University Teaching Hospitals Complex, Department of Medical Rehabilitation, Ile-Ife, NigeriaObafemi Awolowo University Teaching Hospitals Complex, Department of Medical Rehabilitation, Ile-Ife, NigeriaObafemi Awolowo University, College of Health Sciences, Department of Medical Rehabilitation, Ile-Ife, NigeriaObafemi Awolowo University, College of Health Sciences, Department of Medical Rehabilitation, Ile-Ife, NigeriaObjective: The influence of gait characteristics (GCs) and dynamic balance (DB) on fear of falling (FoF) among stroke survivors (SSs) remains unclear. This casecontrol study compared and correlated FoF, GC, and DB among SSs and apparently healthy controls (AHCs). Materials and Methods: A total of 55 ambulant SSs and 110 age–sex-matched AHCs were recruited from two Nigerian hospitals. The FoF, GC (gait speed, cadence, stride length, and step length), and DB were assessed using the fall efficacy scale-international, accelerometer (BTS-G walk) and time-up and go test, respectively. Pearson's product-moment correlation coefficient and an independent t-test were applied. The alpha level was set at P < 0.05. Results: The majority of SSs (87%) had a high risk of falling while AHCs (94.5%) had a low risk of falling. Additionally, 23.6% of SSs and 17.3% of AHCs had had a fall 12 months preceding the study. The SSs had significantly lower gait speeds (0.8 +- 0.3 m/s vs. 1.2 +- 0.3 m/s; t: -8.286; P < 0.001), cadence (80.5 +- 25.3 steps/min vs. 110.1 +- 11.3 steps/min; t: -10.399; P < 0.001), and DB (26.9 +- 18.1 s vs. 9.0 +- 2.4 s; t: 10.240; P < 0.001) than AHCs. The FoF was negatively correlated with cadence (r: -0.340; P = 0.011) and gait speed (r: -0.383; P = 0.004), and positively correlated with DB (r: 0.700; P < 0.001), while gait speed was negatively correlated with DB (r: -0.645; P < 0.001) among SSs. A similar pattern of correlations was observed among AHCs. Conclusion: SSs demonstrated a high FoF, poor DB with an increased risk of falling, and altered GC compared with AHCs. In addition, significant relationships were found among FoF, DB, and GC among SSs and AHCs.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-08684strokefallwalkingpostural contrololder adults |
| spellingShingle | Adebusola O Borode Taofeek O Awotidebe Adekola B Ademoyegun Adedayo O Borode Ibukun G Falokun Oluwatobi B Omisore Adepeju A Kolade Adekola J Odunlade Rufus A Adedoyin Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study Türk Nöroloji Dergisi stroke fall walking postural control older adults |
| title | Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study |
| title_full | Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study |
| title_fullStr | Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study |
| title_full_unstemmed | Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study |
| title_short | Interrelationship Among Fear of Falling, Gait Characteristics and Dynamic Balance in Stroke Survivors – A Case-control Study |
| title_sort | interrelationship among fear of falling gait characteristics and dynamic balance in stroke survivors a case control study |
| topic | stroke fall walking postural control older adults |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-08684 |
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