急性和慢性脑卒中后跌倒恐惧与跌倒的关系：系统评价与荟萃分析。

Association between fear of falling and falls following acute and chronic stroke: a systematic review with meta-analysis.

机构信息

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

出版信息

J Rehabil Med. 2024 Jan 16;56:jrm18650. doi: 10.2340/jrm.v56.18650.

DOI:10.2340/jrm.v56.18650

PMID:38226564

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10802787/

Abstract

OBJECTIVES

To examine the association between falls and fear of falling in people with stroke and to evaluate the differences between patients with acute stroke and those with chronic stroke with regard to any such association.

METHODS

Articles were searched in Medline, CINAHL, AMED, Embase, PsycINFO, Cochrane Library of Reviews and PEDro from inception until March 2023. Experimental, observational or explorative studies investigating the association between fear of falling and falls in people with stroke were included. Articles were screened by 2 independent reviewers. Data were extracted by an independent reviewer.

RESULTS

A total of 26 reports were included in this review (n = 2863). Fear of falling, assessed by a single-question survey, was significantly associated with falls (relative risk = 1.44; 95% confidence interval (95% CI) = 1.22, 1.70; I2 = 0%) in people with acute stroke. Significant mean differences in fear of falling, based on the Falls Efficacy Scale (mean difference = 12.80; 95% CI = 1.81, 23.78; I² = 28%) and Activities-specific Balance Confidence Scale (mean difference = -9.99; 95% CI = -15.36, -4.62; I² = 57%), were also reported between fallers and non-fallers in people with chronic stroke.

CONCLUSION

A small, but significant, association exists between falls and fear of falling in both acute and chronic stroke patients.

摘要

目的

探讨脑卒中患者跌倒与恐跌之间的关系，并评估急性和慢性脑卒中患者之间的差异。

方法

从建库至 2023 年 3 月，在 Medline、CINAHL、AMED、Embase、PsycINFO、Cochrane 图书馆综述和 PEDro 中检索相关文献。纳入评估脑卒中患者恐跌与跌倒之间关系的实验、观察或探索性研究。由 2 名独立评审员筛选文献，由 1 名独立评审员提取数据。

结果

本综述共纳入 26 篇报告（n=2863）。在急性脑卒中患者中，使用单一问题调查评估的恐跌与跌倒显著相关（相对危险比=1.44；95%置信区间[95%CI]：1.22，1.70；I²=0%）。在慢性脑卒中患者中，根据跌倒效能量表（mean difference=12.80；95%CI：1.81，23.78；I²=28%）和活动特异性平衡信心量表（mean difference=-9.99；95%CI：-15.36，-4.62；I²=57%），跌倒者和非跌倒者之间的恐跌程度存在显著差异。