Cognitive and motor abilities in post-stroke rehabilitation patients and factors related to falls
10.3969/j.issn.1006-2483.2026.04.039
- VernacularTitle:卒中后康复期患者认知运动能力与跌倒相关因素分析
- Author:
Wei PU
1
;
Xuezhi YANG
2
;
Cuicui LIU
3
;
Xiao YANG
1
;
Xiaosong QI
1
;
Yutian ZHANG
1
;
Liya ZHANG
1
Author Information
1. Department of Rehabilitation Medicine, 363 Hospital, Chengdu , Sichuan 610041, China
2. Nursing Department, 363 Hospital, Chengdu, Sichuan 610041, China
3. Department of Neurosurgery, 363 Hospital, Chengdu, Sichuan 610041, China
- Publication Type:Journal Article
- Keywords:
Stroke;
Rehabilitation period;
Motor ability;
Cognitive function;
Falls
- From:
Journal of Public Health and Preventive Medicine
2026;37(4):185-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the relationship between cognitive function, motor ability and the risk of falls in patients during the rehabilitation period after stroke. Methods A total of 330 patients with stroke who received rehabilitation treatment in the hospital from February 2022 to February 2025 were classified into fall group (n=105) and non-fall group (n=225) based on the occurrence of falls during rehabilitation period. The clinical data of patients were collected, and the motor function of patients was evaluated by Fugl-Meyer scale, and the cognitive function of patients was assessed by mini-mental state examination (MMSE). Univariate and logistic multivariate regression analyses were applied to analyze the factors affecting the occurrence of falls. Spearman correlation analysis was performed to analyze the relationship between motor ability, cognitive function and risk of falls. Results The proportions of osteoporosis, malnutrition, sleep disorder and history of falls in the fall group were higher while the education level, Fugl-Meyer score and MMSE score were lower compared to the non-fall group (P<0.05). After logistic multivariate analysis, it was found that osteoporosis, malnutrition, sleep disorder, history of falls, low education level, low Fugl-Meyer score and low MMSE score were risk factors for falls in patients during post-stroke rehabilitation period (P<0.05). Correlation analysis indicated that the motor ability and cognitive function in patients during post-stroke rehabilitation period were negatively associated with the occurrence of falls (r=-0.579, -0.438, P<0.001). Conclusion The cognitive function, motor ability of patients in the post-stroke rehabilitation period are closely related to the risk of falls. Clinically, the risk of falls in patients during post-stroke rehabilitation period can be reduced by improving the motor ability and cognitive function.
