Risk of home falls in community and non-community individuals after chronic stroke

Autores/as

DOI:

https://doi.org/10.5902/2236583486456

Palabras clave:

Accidental falls, Stroke, Walking speed, Home environment, Gait

Resumen

Objetivo: Comparar el riesgo de caídas en el hogar entre individuos comunitarios y no comunitarios después de un ictus crónico. Materiales y métodos: Estudio transversal desarrollado con individuos post-ictus crónico, de afectación unilateral e independiente. La velocidad de la caminata se midió mediante la prueba de caminata de 10 metros y los individuos se clasificaron en caminantes comunitarios y caminantes no comunitarios. El riesgo de caídas se evaluó mediante la herramienta de detección de accidentes y caídas en el hogar (HOME FAST). El análisis entre variables se realizó mediante la prueba t de Student, suponiendo α=0,05. Resultados: Se incluyeron 46 individuos (22 hombres), con una edad media de 56,8±17,8 años y un tiempo medio de inicio de 82,1±79,9 meses. El promedio habitual y rápido fue de 0,87±0,47 m/s y 1,12±0,65 m/s, respectivamente. El 54,7% de los participantes fueron clasificados como caminantes no comunitarios. La puntuación media de HOME FAST fue de 5,88±2,53 puntos. Se encontraron diferencias estadísticamente significativas entre ambulantes comunitarios y no comunitarios en relación al riesgo de caídas en el hogar (5,09±2,10 vs 6,74±2,78; DM1,65 IC 95% 0,12 a 3,17). Conclusión: Las personas después de un accidente cerebrovascular crónico clasificados como caminantes no comunitarios tienen un mayor riesgo de caídas en el hogar en comparación con los caminantes comunitarios.

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Biografía del autor/a

Ana Luiza Ferreira Silva, Faculdade Ciências Médicas de Minas Gerais

Medical student.

Ana Carolina Joviano Galvão, Faculdade Ciências Médicas de Minas Gerais

Physiotherapy student.

Joyce Emanuelle Moreira, Faculdade Ciências Médicas de Minas Gerais

Medical student.

Ana Eloísa Silva Alves, Faculdade Ciências Médicas de Minas Gerais

Medical student.

Isabela Andrade Lobato Ferreira, Faculdade Ciências Médicas de Minas Gerais

Medical student.

Anna Balsamão Vaz, Faculdade Ciências Médicas de Minas Gerais

Physiotherapy student.

Carlos Vinícius Teixeira Palhares, Faculdade Ciências Médicas de Minas Gerais

Master's degree in Literature from the Pontifical Catholic University of Minas Gerais.

Amanda Aparecida Oliveira Leopoldino, Faculdade Ciências Médicas de Minas Gerais

PhD in Rehabilitation Sciences.

Janaine Cunha Polese, Universidade Federal de Minas Gerais

PhD in Rehabilitation Sciences.

Citas

Su Y, Yuki M, Otsuki M. Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis. Journal of Stroke and Cerebrovascular Diseases. 2020;29(9):105092. doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105092 DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105092

Schmidt MH, Selau CM, Soares PDS, Franchi EF, Piber VD, Quatrin LB. Acidente vascular cerebral e diferentes limitações: uma análise interdisciplinar. Arquivos de Ciências da Saúde UNIPAR. 2019;23(2), 139-44. https://doi.org/10.25110/arqsaude.v23i2.2019.6404 DOI: https://doi.org/10.25110/arqsaude.v23i2.2019.6404

Schmid A, Duncan PW, Studenski S, et al. Improvements in speed-based gait classifications are meaningful. Stroke. 2007;38(7):2096-2100. doi:10.1161/STROKEAHA.106.475921 DOI: https://doi.org/10.1161/STROKEAHA.106.475921

Ahmad Ainuddin H, Romli MH, Hamid TA, Salim MSF, Mackenzie L. Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation. Front Public Health. 2021;9:611793. doi:10.3389/fpubh.2021.611793 DOI: https://doi.org/10.3389/fpubh.2021.611793

World Health Organization. Integrated care for older people: guidelines on community-level interventions to manage declines in intrinsic capacity. Geneva: WHO; 2017. https://iris.who.int/bitstream/handle/10665/258981/9789241550109-eng.pdf?sequence=1

Ng MM, Hill KD, Batchelor F, Burton E. Factors predicting falls and mobility outcomes in patients with stroke returning home after rehabilitation who are at risk of falling. Arch Phys Med Rehabil. 2017;98(12):2433-2441. doi: https://doi.org/10.1016/j.apmr.2017.05.018 DOI: https://doi.org/10.1016/j.apmr.2017.05.018

Kongwattanakul K, Hiengkaew V, Jalayondeja C, Sawangdee Y. A structural equation model of falls at home in individuals with chronic stroke, based on the international classification of function, disability, and health. PLoS One. 2020;15(4):e0231491. https://doi.org/10.1371/journal.pone.0231491 DOI: https://doi.org/10.1371/journal.pone.0231491

Stolt LROG, Kolisch DV, Tanaka C, Cardoso MRA, Schmitt ACB. Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil. Rev Saúde Pública. 2020;54:76. doi: https://doi.org/10.11606/s1518-8787.2020054001691 DOI: https://doi.org/10.11606/s1518-8787.2020054001691

Barros IFO, Pereira MB, Weiller TH, Anversa ETR. Internações hospitalares por quedas em idosos brasileiros e os custos correspondentes no âmbito do Sistema Único de Saúde. Revista Kairós Gerontologia. 2015;18(4):63-80. doi: https://doi.org/10.23925/2176-901X.2015v18i4p63-80

Brasil. Ministério da Saúde:. Datasus. Informações de Saúde [Internet]. 2023 accessed 03 march 2023]. Available on: https://datasus.saude.gov.br/informacoes-de-saude-tabnet/.

Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq. Neuro-Psiquiatr. 1994;51(1):1-7. doi: https://doi.org/10.1590/S0004-282X1994000100001 DOI: https://doi.org/10.1590/S0004-282X1994000100001

Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke.1995; 26(6):982-989. doi: https://doi.org/10.1161/01.STR.26.6.982 DOI: https://doi.org/10.1161/01.STR.26.6.982

Cheng DK, Nelson M, Brooks D, Salbach NM. Validation of stroke-specific protocols for the 10-meter walk test and 6-minute walk test conducted using 15-meter and 30-meter walkways. Top Stroke Rehabil. 2020;27(4):251-261. doi: https://doi.org/10.1080/10749357.2019.1691815 DOI: https://doi.org/10.1080/10749357.2019.1691815

Melo Filho J, Valderramas S, Vojciechowski AS, Mackenzie lynette, Gomes ARS. The Brazilian version of the Home Falls and Accidents Screening Tool (HOME FAST): translation, cross-cultural adaptation, validation and reliability. Rev bras geriatr gerontol. 2020;23(1):e190180. doi: https://doi.org/10.1590/1981-22562020023.190180 DOI: https://doi.org/10.1590/1981-22562020023.190180

Mackenzie L, Byles J, Higginbotham N. Designing the Home Falls and Accidents Screening Tool (HOME FAST): selecting the items. Br J Occup Ther. 2000;63(6):1-10. doi: 10.1177/030802260006300604 DOI: https://doi.org/10.1177/030802260006300604

Byles JE, Mackenzie L, Redman S, Parkinson L, Leigh L, Curryer C. Supporting housing and neighbourhoods for healthy ageing: findings from the Housing and Independent Living Study (HAIL). Australas J Aging. 2014;33(1):29-35. doi: 10.1111/j.1741-6612.2012.00646.x. DOI: https://doi.org/10.1111/j.1741-6612.2012.00646.x

Abdollahi M, Whitton N, Zand R, Dombovy M, Parnianpour M, Khalaf K, et al. A Systematic Review of Fall Risk Factors in Stroke Survivors: Towards Improved Assessment Platforms and Protocols. Front Bioeng Biotechnol. 2022;8;10:910698. doi: https://doi.org/10.3389/fbioe.2022.910698 DOI: https://doi.org/10.3389/fbioe.2022.910698

Ferreira KSA, Gallo da Silva TT, Melo Filho J, Bazanella NV, Vojciechowski AS, Mackenzie L, et al. Reliability of HOME FAST BRAZIL-Self-Reported Version for Community-Dwelling Older Adults. Front Public Health. 2021;9:713202. doi: 10.3389/fpubh.2021.713202. DOI: https://doi.org/10.3389/fpubh.2021.713202

Chen Y, Du H, Song M, Liu T, Ge P, Xu Y, Pi H. Relationship between fear of falling and fall risk among older patients with stroke: a structural equation modeling. BMC Geriatr. 2023;23(1):647. doi: 10.1186/s12877-023-04298-y. DOI: https://doi.org/10.1186/s12877-023-04298-y

Persson CU, Kjellberg S, Lernfelt B, Westerlind E, Cruce M, Hansson PO. Risk of falling in a stroke unit after acute stroke: The Fall Study of Gothenburg (FallsGOT). Clin Rehabil. 2018;32(3):398-409. doi: 10.1177/0269215517728325. DOI: https://doi.org/10.1177/0269215517728325

Salbach NM, MacKay-Lyons M, Howe JA, McDonald A, Solomon P, Bayley MT, et al. Assessment of Walking Speed and Distance Post-Stroke Increases After Providing a Theory-Based Toolkit. J Neurol Phys Ther. 2022;46(4):251-259. doi:10.1097/NPT.0000000000000406. DOI: https://doi.org/10.1097/NPT.0000000000000406

Ricci NA, Ferrarias GP, Molina KI, Dib PM, Alouche SR. Velocidade de marcha e autoeficácia em quedas em indivíduos com hemiparesia após Acidente Vascular Encefálico. Fisioter Pesqui. 2015;22(2):191–6. doi: https://doi.org/10.590/1809-2950/14484522022015

Silva BBC, Faria-Fortini I, Costa PHV, Torriani-Pasin C, Polese JC. Association between walking and strength of lower limbs after chronic stroke. Acta Fisiatr. 2020;27(3):131-138. doi:10.11606/issn.2317-0190.v27i3a171118 DOI: https://doi.org/10.11606/issn.2317-0190.v27i3a171118

Walsh M, Galvin R, Horgan NF. Fall-related experiences of stroke survivors: a meta-ethnography. Disabil Rehabil. 2017;39(7):631-640. doi: https://doi.org/10.3109/09638288.2016.1160445 DOI: https://doi.org/10.3109/09638288.2016.1160445

Lord SR, Close JC. New horizons in falls prevention. Age and ageing. 2018;47(4):492-8. doi: https://doi.org/10.1093/ageing/afy059 DOI: https://doi.org/10.1093/ageing/afy059

Lee J, Choi M, Kim CO. Falls, a fear of falling and related factors in older adults with complex chronic disease. Journal of clinical nursing. 2017;26(23-24):4964-72. doi: https://doi.org/10.1111/jocn.13995 DOI: https://doi.org/10.1111/jocn.13995

Kovács É, Erdős RL, Petridisz AN, Rozs F, Simon A. Az eleséstől való félelem otthon élő idősek körében. Orvosi hetilap. 2019;160(5):191-197. doi: https://doi.org/10.1556/650.2019.31267 DOI: https://doi.org/10.1556/650.2019.31267

Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR, et al. Exercise for reducing fear of falling in older people living in the community. Cochrane Database of Systematic Reviews. 2014(11):CD009848. doi: https://doi.org/10.1002/14651858.CD009848.pub2 DOI: https://doi.org/10.1002/14651858.CD009848.pub2

Curl A, Fitt H, Tomintz M. Experiences of the Built Environment, Falls and Fear of Falling Outdoors among Older Adults: An Exploratory Study and Future Directions. International Journal of Environmental Research and Public Health. 2020;17(4):1224. doi: https://doi.org/10.3390/ijerph17041224 DOI: https://doi.org/10.3390/ijerph17041224

Caro CC, Costa JD, Cruz DMC da. The use of mobility assistive devices and the functional independence in stroke patients. Cad Bras Ter Ocup. 2018;26(3):558–68. doi: https://doi.org/10.4322/2526-8910.ctoAO1117 DOI: https://doi.org/10.4322/2526-8910.ctoAO1117

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Publicado

2025-09-02

Cómo citar

Silva, A. L. F., Galvão, A. C. J., Moreira, J. E., Alves, A. E. S., Ferreira, I. A. L., Vaz, A. B., Palhares, C. V. T., Leopoldino, A. A. O., & Polese, J. C. (2025). Risk of home falls in community and non-community individuals after chronic stroke. Saúde (Santa Maria), 51, e86456. https://doi.org/10.5902/2236583486456