Center of Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Selangor, Malaysia.
Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.
Front Public Health. 2021 Mar 3;9:611793. doi: 10.3389/fpubh.2021.611793. eCollection 2021.
Research on rehabilitation for falls after stroke is warranted. However, published evidence on fall interventions with stroke survivors is limited and these are mainly international studies that may be less relevant for Southeast Asia. This review aims to systematically identify literature related to stroke rehabilitation for falls and risk of falls in Southeast Asia. A scoping review with stakeholders' consultation was implemented. An electronic search was conducted up to December 2020 on 4 databases (Medline, CINAHL, Scopus, ASEAN Citation Index). Only original studies conducted in Southeast Asia were selected. The initial search yielded 3,112 articles, however, only 26 were selected in the final analysis. Most of the articles focused on physical rehabilitation and implemented conventional therapies. While the literature may reflect practice in Southeast Asia, stakeholders perceived that the literature was inadequate to show true practice, was not informative and missed several aspects such as functional, cognitive, and psychological interventions in managing falls. Individual-centric interventions dominated the review while community-based and environmental-focused studies were limited. Majority of the articles were written by physiotherapists while others were from physicians, occupational therapists, and an engineer but few from other healthcare practitioners (i.e., speech therapists, psychologists) or disciplines interested in falls. Falls prevention among stroke survivors has received a lack of attention and is perceived as an indirect goal in stroke rehabilitation in Southeast Asia. More innovative research adopted from falls research with older people is needed to advance falls prevention and intervention practice with stroke survivors.
有必要对脑卒中后跌倒的康复进行研究。然而，有关脑卒中幸存者跌倒干预的已发表证据有限，且这些研究主要是国际研究，可能与东南亚的情况不太相关。本综述旨在系统地确定与东南亚脑卒中康复和跌倒风险相关的文献。采用了利益相关者咨询的范围综述方法。对 4 个数据库（Medline、CINAHL、Scopus、ASEAN Citation Index）进行了截至 2020 年 12 月的电子检索。仅选择在东南亚进行的原始研究。最初的搜索产生了 3112 篇文章，但最终分析中仅选择了 26 篇。大多数文章侧重于物理康复，并实施了常规治疗。尽管这些文献可能反映了东南亚的实践情况，但利益相关者认为这些文献不足以显示真实的实践情况，信息不足，并且遗漏了一些方面，如在管理跌倒方面的功能、认知和心理干预。以个体为中心的干预措施在综述中占主导地位，而以社区为基础和以环境为重点的研究则有限。大多数文章的作者是物理治疗师，其他作者来自医生、作业治疗师和工程师，但很少有来自其他医疗保健从业者（如言语治疗师、心理学家）或对跌倒感兴趣的学科的作者。脑卒中幸存者的跌倒预防一直未受到重视，在东南亚被认为是脑卒中康复的间接目标。需要采用老年人跌倒研究中的创新性研究，以推进脑卒中幸存者的跌倒预防和干预实践。
