The Institute of Neuroscience and Physiology, Rehabilitation Medicine, Per Dubbsgatan 14, Sahlgrenska University Hospital, Göteborg, Sweden.
J Rehabil Med. 2011 Mar;43(4):348-53. doi: 10.2340/16501977-0677.
To assess the likelihood of clinical tests for postural balance, walking and motor skills, performed during the first week after stroke, identifying the risk of falling.
Prospective study.
Patients with first stroke.
Assessments were carried out during the first week, and the occurrence of falls was recorded 3, 6 and 12 months after stroke onset. The tests used were: 10-Metre Walking Test (10MWT), Timed Up & Go, Swedish Postural Assessment Scale for Stroke Patients, Berg Balance Scale and Modified Motor Assessment Scale. Cut-off levels were obtained by receiver operation characteristic curves, and odds ratios were used to assess cut-off levels for falling.
The analyses were based on 96 patients. Forty-eight percent had at least one fall during the first year. All tests were associated with the risk of falling. The highest predictive values were found for the 10MWT (positive predictive value 64%, negative predictive value 76%). Those subjects who were unable to perform the 10MWT had the highest odds ratio, 6.06 (95% confidence interval 2.66-13.84, p<0.001) of falling.
Clinical tests used during the first week after stroke onset can, to some extent, identify those patients at risk of falling during the first year after stroke.
评估脑卒中后第一周进行的姿势平衡、行走和运动技能临床检查，以确定跌倒风险。
前瞻性研究。
首次脑卒中患者。
在第一周进行评估，并在脑卒中发作后 3、6 和 12 个月记录跌倒的发生情况。使用的测试包括：10 米步行测试（10MWT）、计时起立行走测试、瑞典脑卒中患者姿势评估量表、伯格平衡量表和改良运动评估量表。通过接收者操作特征曲线获得截断值，并用优势比评估跌倒的截断值。
分析基于 96 名患者。48%的患者在第一年至少发生了一次跌倒。所有测试均与跌倒风险相关。10MWT 的预测值最高（阳性预测值 64%，阴性预测值 76%）。那些无法完成 10MWT 的患者跌倒的优势比最高，为 6.06（95%置信区间 2.66-13.84，p<0.001）。
脑卒中发作后第一周进行的临床检查在一定程度上可以识别出那些在脑卒中后第一年有跌倒风险的患者。
