Department of Occupational Therapy, School of Health Sciences, Fukushima Medical University, Fukushima, Japan.
Department of Rehabilitation, Kita-Fukushima Medical Center, Date, Japan.
J Rehabil Med. 2024 Oct 24;56:jrm40560. doi: 10.2340/jrm.v56.40560.
The present scoping review aimed to summarize and determine the accuracy of the variables and cutoff values reported to date for identifying fall risk in patients with stroke and identify the commonalities, limitations, and clinical implications.
Articles published by the end of 2023 were searched using PubMed, Cumulative Index of Nursing and Allied Health Literature, and Scopus electronic databases. Two reviewers created a search formula, searched the databases, and conducted primary and secondary screenings.
This review included 21 articles. The most commonly used individual indicator for identifying fall risk after stroke was the Berg Balance Scale; the cutoff values were relatively consistent, ranging between 46.5 and 50.5 points (area under the curve: 0.72-0.81). For the Timed Up and Go test and Falls Efficacy Scale-International, the cutoff values were in the range of 15-19 s and 27-29 points, respectively, and were relatively consistent across the articles. However, the area under the curve values were low (0.66-0.70 and 0.68-0.71, respectively).
Among various assessments, the Berg Balance Scale is the most extensively studied tool, with established cutoff values associated with falls risk. It serves as a reliable indicator for detecting fall risk, especially in community-dwelling individuals with chronic stroke.
本范围综述旨在总结和确定迄今为止报道的用于识别中风患者跌倒风险的变量和临界值的准确性，并确定其共同性、局限性和临床意义。
使用 PubMed、Cumulative Index of Nursing and Allied Health Literature 和 Scopus 电子数据库检索截至 2023 年底发表的文章。两位评审员创建了一个搜索公式，搜索数据库，并进行了初步和二次筛选。
本综述共纳入 21 篇文章。用于识别中风后跌倒风险的最常用个体指标是 Berg 平衡量表；临界值相对一致，范围在 46.5 到 50.5 分之间（曲线下面积：0.72-0.81）。对于计时起立行走测试和国际跌倒效能量表，临界值分别在 15-19 秒和 27-29 分之间，且在文章中较为一致。然而，曲线下面积值较低（分别为 0.66-0.70 和 0.68-0.71）。
在各种评估中，Berg 平衡量表是研究最广泛的工具，具有与跌倒风险相关的既定临界值。它是检测跌倒风险的可靠指标，尤其适用于慢性中风的社区居住者。
