Browse > Article
http://dx.doi.org/10.26862/jkpts.2020.06.27.1.1

The effect of otago exercise-based fall prevention education activities on balance, fall efficacy and activities of daily living in the subacute stroke patients: A randomized controlled clinical trial  

Yoon, Hyun Sik (Chungnam National University Hospital)
Han, Kyu Bum (Chungnam National University Hospital)
Oh, Seung In (Chungnam National University Hospital)
Lee, Da Bee (Chungnam National University Hospital)
Song, Ha Hee (Chungnam National University Hospital)
Song, Jeong Eun (Chungnam National University Hospital)
Cha, Young Joo (Department of Physical Therapy, Cheju Halla University)
Publication Information
Journal of Korean Physical Therapy Science / v.27, no.1, 2020 , pp. 1-8 More about this Journal
Abstract
Background: This study analysed the effect of the fall prevention education activities on balance, fall efficacy, activities of daily living (ADL) of sub-acute stroke patients. Design: Randomized controlled trial. Methods: The subjects of the study were 24 subacute patients, who have onset period of less than 6 months. They are randomly allocated in the conventional therapy group (n=12) and fall prevention education group (n=12) and observed with frequency for 5 times a week for four weeks. Measuring took place before and after the experiment leading to following results of the Fall efficacy scale (FES), Berg balance scale (BBS) and Functional Independence Measure (FIM). Results: FES, BBS and FIM score was significantly greater in the post-test than in the pre-test in both groups (p<0.01). Independent t-test confirmed that the fall prevention education group showed much greater improvement change in the FES, BBS and FIM score than conventional therapy group (p<0.05). Conclusion: The present study demonstrated the importance of clinical contribution of the fall prevention education in the individuals with subacute stroke patients to the balance, fall efficacy and ADL following the stroke rehabilitation.
Keywords
Fall prevention education; Otago exercise; Subacute stroke patients;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 김성철, 허영구. 편마비 환자의 트레드밀과 체중지지의 트레드밀 훈련이 균형능력 및 보행능력에 미치는 영향. 대한물리치료과학회지 2018;25(1):31-43.   DOI
2 빈유민, 안소윤, 안성자. 입원 노인과 재가 노인의 신체능력과 낙상효능감 및 우울수준 비교. 대한물리치료과학회지 2018;25(3):1-8.   DOI
3 최현석, 김현진. 버그 균형 척도 평가 빈도수가 뇌졸중 환자의 동적 균형 및 보행 속도에 미치는 영향. 대한물리치료과학회지 2012;19(4):7-15.
4 Beninato M, Gill-Body KM, Salles S, et al. Determination of the minimal clinically important difference in the FIM instrument in patients with stroke. Arch Phys Med Rehabil 2006;87(1):32-39.   DOI
5 Berg KO, Maki BE, Williams JI, et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil 1992;73(11):1073-1080.
6 Campbell AJ, Robertson MC, Gardner MM, et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ 1997;315(7115):1065-1069.   DOI
7 Chambers BR, Norris JW, Shurvell BL, et al. Prognosis of acute stroke. Neurology 1987;37(2):221-225.   DOI
8 Gardner MM, Buchner DM, Robertson MC, et al. Practical implementation of an exercise-based falls prevention programme. Age Ageing 2001;30(1):77-83.   DOI
9 Gschwind YJ, Kressig RW, Lacroix A, et al. A best practice fall prevention exercise program to improve balance, strength/power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC geriatrics 2013;13(1):105.   DOI
10 Hayes N. Prevention of falls among older patients in the hospital environment. Br J Nurs 2004;13(15):896-901.   DOI
11 Jang SN, Cho SI, Ou SW, et al. The validity and reliability of Korean fall efficacy scale (FES) and activities-specific balance confidence scale (ABC). J Korean Geriatr Society 2003;7(4):255-268.
12 Liu-Ambrose T, Donaldson MG, Ahamed Y, et al. Otago home-based strength and balance retraining improves executive functioning in older fallers: A randomized controlled trial. J Am Geriatr Soc 2008;56(10):1821-1830.   DOI
13 Otago Medical School. Otago exercise programme to prevent falls in older adults. Otago: University of Otago;2003.
14 Page SJ, Gater DR, Bach YRP. Reconsidering the motor recovery plateau in stroke rehabilitation. Arch Phys Med Rehabil 2004;85(8):1377-1381.   DOI
15 Robertson MC, Campbell AJ, Gardner MM, et al. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatr Soc 2002;50(5):905-911.   DOI
16 Simpson LA, Miller WC, Eng JJ. Effect of stroke on fall rate, location and predictors: a prospective comparison of older adults with and without stroke. PLoS One 2011;6(4):e19431.   DOI
17 Song MJ, Lee JH, Shin WS. Minimal Clinically Important Difference of Berg Balance Scale scores in people with acute stroke. Phys Ther Rehabil Sci 2018;7(3):102-108.   DOI
18 Teasell R, McRae M, Foley N, et al. The incidence and consequences of falls in stroke patients during inpatient rehabilitation: factors associated with high risk. Arch Phys Med Rehabil 2002;83(3):329-333.   DOI
19 Song HS, Yun TW. Clinical Feasibility of Otago Exercise Program to Improve the Balance and Gait Ability: In Chronic Stroke Patient, Randomized Controlled Trial. Korean Soc Phys Med 2016;11(2):63-70.   DOI
20 Stineman MG, Shea JA, Jette A, et al. The Functional Independence Measure: tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories. Arch Phys Med Rehabil 1996;77(11):1101-1108.   DOI
21 Thompson CJ, Holskey TH, Wallenrod S, et al. Effectiveness of a Fall Prevention Exercise Program on Falls Risk in Community-Dwelling Older Adults. Transl J Am Coll Sports Med 2019;4(3):16-22.
22 Thomas S, Mackintosh S, Halbert J. Does the 'Otago exercise programme' reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing 2010;39(6):681-687.   DOI
23 Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J gerontol 1990;45(6):239-243.
24 Tutuarima JA, van der Meulen JH, de Haan RJ, et al. Risk factors for falls of hospitalized stroke patients. Stroke 1997;28(2):297-301.   DOI
25 Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Phys Ther 2006;86(1):30-38.   DOI
26 Winstein CJ, Miller JP, Blanton S, et al. Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabil Neural Repair 2003;17(3):137-152.   DOI