Identifying Fall Risk within 6 Months Post-Discharge Through Balance Tasks Analysis in Inpatients with Subacute Stroke: Prospective Cohort Study.

Background: Balance impairments, stemming from disruptions in motor, and cognitive systems, are key contributors to fall risk. Objective: This study aimed to identify balance tasks associated with fall risk within 6 months of discharge in inpatients with subacute stroke. Methods: This prospective co...

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Publicado en:NeuroRehabilitation Vol. 57; no. 2; pp. 287 - 297
Autores principales: Igarashi, Tatsuya, Tani, Yuta, Kakima, Hironobu, Hayashi, Shota
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 57
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Identifying Fall Risk within 6 Months Post-Discharge Through Balance Tasks Analysis in Inpatients with Subacute Stroke: Prospective Cohort Study.
      aug:
        au:
          Igarashi, Tatsuya
          Tani, Yuta
          Kakima, Hironobu
          Hayashi, Shota
        affil: Department of Physical Therapy, Bunkyo Gakuin University, Fujimino-shi, Saitama, Japan
      sug:
        subj:
          Stroke Patients Psychosocial Factors
          Accidental Falls Risk Factors
          Balance, Postural Evaluation
          Task Performance and Analysis
          Patient Discharge
          Hospitalization
          Risk Assessment
          Human
          Middle Age
          Aged, 80 and Over
          Male
          Female
          Prospective Studies
          Nonexperimental Studies
          Scales
          Self Report
          Telephone
          Surveys
          Multiple Logistic Regression
          Descriptive Statistics
          Odds Ratio
          Confidence Intervals
          Step
          Walking
          One Leg Stand
          Motor Skills
          Cognition
          Mann-Whitney U Test
          Data Analysis Software
          Body Mass Index
          Reliability and Validity
          Age Factors
          Sex Factors
          Middle Aged: 45-64 years
          Aged, 80 & over
          Male
          Female
      ab: Background: Balance impairments, stemming from disruptions in motor, and cognitive systems, are key contributors to fall risk. Objective: This study aimed to identify balance tasks associated with fall risk within 6 months of discharge in inpatients with subacute stroke. Methods: This prospective cohort study included patients with subacute stroke who completed the Mini-Balance Evaluation Systems Test (Mini-BESTest), Fugl-Meyer Assessment for the Lower Extremities, and Mini-Mental State Examination before discharge. Falls were self-reported via telephone survey six months post-discharge. Logistic regression was used to identify significant predictors, with sensitivity analyses to evaluate robustness. Results: Among 50 patients, 30% experienced falls within six months. Regression analysis identified stand on one leg (OR = 4.70, 95% CI 1.31–16.85, p = 0.018), compensatory stepping correction of backward (OR = 3.48, 95% CI 1.36–8.92, p = 0.009) and lateral (OR = 3.00, 95% CI 1.02–8.84, p = 0.046) as significant balance tasks associated with fall risk. Forward compensatory stepping corrections were associated with increasing age, whereas standing with eyes closed and walking with head turned horizontally were associated with fall risk in interaction with motor paresis and cognitive integration. Conclusions: One leg standing and compensatory stepping correction of backward and lateral were significant balance tasks related to fall risk.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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