Correlation of walking gait characteristics and fear of falling in patients with acute ischemic stroke and hemiplegia
10.3760/cma.j.issn.1674-2907.2019.25.015
- VernacularTitle:急性缺血性脑卒中偏瘫患者行走步态特征与跌倒恐惧的相关性研究
- Author:
Yanhua XU
1
;
Qilan TANG
;
Beibei NIE
;
Ying LI
Author Information
1. 郑州大学第一附属医院内二医学部
- Keywords:
Stroke;
Acute disease;
Ischemic;
Hemiplegia;
Gait;
Fear of falling;
Correlation
- From:
Chinese Journal of Modern Nursing
2019;25(25):3232-3235
- CountryChina
- Language:Chinese
-
Abstract:
?? [Abstract]? Objective? To explore the correlation between walking gait characteristics and fall fear in hemiplegic patients with acute ischemic stroke. Methods? 189 patients with hemiplegia after acute ischemic stroke treated in the First Affiliated Hospital of Zhengzhou University from March 2016 to March 2018 were selected as the research subjects. The patients were investigated by General Data Questionnaire, Single Item Fall Fear Assessment and Modified Fall Efficacy Scale(MFES). The gait parameters of patients were measured by gait analyzer to detect and analyze the correlation between gait characteristics and fall fear in hemiplegic patients with acute ischemic stroke. Results? Among 189 patients with hemiplegia after acute ischemic stroke, 123 (65.08%) were fearful of falling and 66 (34.92%) were not fearful of falling. The average score of items in Single Item Fall Fear Assessment in the patients with fear of falling were (7.64±1.63) and those without fear of falling were (9.01±1.33), the difference between the two groups was statistically significan(t P＜0.05). The step speed, step frequency, step length and standing phase in the fear of falling group were lower than those in the non-fear of falling group, and the step time and swing phase were higher than those in the non-fear of falling group with statistical difference(P＜0.05). Pearson correlation analysis showed that the step speed, step frequency, step length and standing phase were positively correlated with the MFES score(P＜0.05), and the step time and swing phase were negatively correlated with the MFES score (P＜0.05). Conclusions? Most of the hemiplegic patients with acute stroke have the fear of falling, and those who are afraid of falling are more likely to have abnormal gait, which indicates that those who are afraid of falling are more likely to fall, and need the attention of family members and medical staff.
