Cognitive behavior therapy-based intervention for a subacute stroke patient with severe fear of falling: a case report

Ohyagi, Shunya; Tatemoto, Tsuyoshi; Inoue, Seigo; Sugita, Sho; Honaga, Kaoru; Otaka, Yohei

doi:10.1097/mrr.0000000000000425

Cited by 3 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Understanding stroke, addressing a patient's fear of falling, and developing comprehensive treatment in this area may help break the cycle of fear and risk of falling, reducing anxiety, promoting community involvement, and improving the quality of life ( 17 ). While many other researchers have tested the effect of GDT on the risk of falling ( 18 – 21 ) and fear of falling ( 16 ), as well as the effect of CBT on confidence and fear of falling ( 22 , 23 ) in stroke patients, there remains a lack of primary research that tests the effect of a desensitization approach, as a CBT intervention, in addition to GDT, to tackle this problem. Therefore, this study was conducted to investigate whether adding systematic desensitization to the goal-directed paradigm would be better than GDT alone in improving functional mobility and balance as well as reducing the risk of falling and the fear of falling in patients with stroke.…”

Section: Introductionmentioning

confidence: 99%

Effect of adding systematic desensitization to goal-directed paradigm on risk of falling in patients with stroke: a randomized controlled trial

Abdelfadil,

Fahmy,

Abdelmegeed

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

BackgroundImprovement in rehabilitation outcomes for patients suffering from chronic stroke can be attained through systematic desensitization of their fear of falling, which in turn reduces the risk of falling.PurposeThis study aimed to examine the effect of adding systematic desensitization to a goal-directed paradigm on functional performance, balance, risk of falling, and fear of falling among chronic ischemic stroke patients.MethodologyTwo equally sized groups, each comprising 40 stroke patients of both sexes, were randomly divided. For 8 weeks, Group A received three sessions per week of combined treatment consisting of systematic desensitization and a goal-directed paradigm, while Group B received only the goal-directed paradigm. The Timed Up and Go (TUG) test and Dynamic Gait Index (DGI) were used to assess function performance; the Berg Balance Scale (BBS) and the Biodex Fall Risk Index (FRI) were used to evaluate balance; and the 16-item Fall Efficacy Scale-International (FES-I) was used to evaluate fear of falling. At baseline and after the treatment, all measurements were obtained.ResultsBoth groups (A and B) revealed a substantial increase in functional performance through a decrease in TUG scores and an increase in DGI. Additionally, there was a decrease in the risk of falling through an increase in the BBS scores and a decrease in the FRI. Furthermore, there was a decrease in the fear of falling, as measured using the FES-I, after treatment, with superior improvement in Group A with a p-value of <0.001.ConclusionSystematic desensitization combined with a goal-directed paradigm has a superior effect on improving functional performance and reducing the risk of falling and the fear of falling in patients with stroke compared to a goal-directed paradigm alone.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of adding systematic desensitization to goal-directed paradigm on risk of falling in patients with stroke: a randomized controlled trial

Abdelfadil,

Fahmy,

Abdelmegeed

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…In fact, fear of falling has been described as "an exaggerated concern of falling that leads to excess restriction of activities" [5] . Such exaggerated concern and worry could induce avoidant behaviors among patients [6] , increase anxiety [7] , and lead to various other negative outcomes, such as increased falling accidents, osteoporosis, constipation [8] , and reduced social participation [9] . In addition, the damage fear of falling inflicts on physical and cognitive functions are both higher than falling per se [10] .…”

Section: Introductionmentioning

confidence: 99%

Influencing factors of fear of falling among glaucoma patients in west China: a cross-sectional study

Ren¹,

Lin²,

Zeng³

2023

Int J Ophthalmol

View full text Add to dashboard Cite

AIM: To investigate the current situation and influencing factors of fear of falling in glaucoma patients in western China. METHODS: In this cross-sectional study, glaucoma patients treated in the Ophthalmology Department of West China Hospital of Sichuan University were conducted to investigate the demographic data, visual acuity, visual field, activities of daily living, risk of falling, fear of falling and psychological states. Generalized linear model was used for multivariate analysis with fear of falling as dependent variable and other factors as independent variables. RESULTS: The mean score of the Chinese version modified Fall Efficacy Scale (MFES) was 7.52±2.09 points. Univariate analysis and multivariate analysis showed that the history of falls within one year, visual acuity, visual field, risk of falling, activities of daily living and psychological states had statistically difference on fear of falling (P<0.05). CONCLUSION: Glaucoma patients in west China have relatively high risk of fear of falling. History of falling within 1y, severe visual function impairment, high risk of falling, incapable of independence of daily living, and abnormal psychological state are risk factors of fear of falling among glaucoma patients.

show abstract

Psychological support of patients with motor disorders at the second stage of medical rehabilitation

Kotelnikova,

Kukshina,

Rassulova

et al. 2023

Physiotherapist

View full text Add to dashboard Cite

The article presents the results of a literary review on the problem of the organization of differentiated psychological support at the second stage of medical rehabilitation of patients with the consequences of motor disorders that arose as a result of stroke or developed against the background of degenerative and dystrophic diseases of large joints and spine. The psychological consequences of motor disorders, patients’ characteristics, and possible approaches to psychocorrection are analyzed. It was revealed that regardless of the nosology of motor disorders, the targets of psychocorrection at the second stage of medical rehabilitation of patients are signs of anxiety and depression in the current emotional state, while the specific targets in the case of stroke are disorders of higher mental functions, and in the case of degenerative and dystrophic diseases of large joints and spine — subjective perception of pain syndrome. As the main guidelines for the systematic work of a psychologist as part of a multidisciplinary rehabilitation team at the second stage of medical rehabilitation of the studied contingent of patients, the following are indicated: determining the basic targets of psychocorrection, selecting relevant and nosology-sensitive motor disorders correction methods, and increasing the effectiveness of psychocorrection through the use of high-tech virtual and augmented reality tools.

show abstract

Cognitive behavior therapy-based intervention for a subacute stroke patient with severe fear of falling: a case report

Cited by 3 publications

References 11 publications

Effect of adding systematic desensitization to goal-directed paradigm on risk of falling in patients with stroke: a randomized controlled trial

Effect of adding systematic desensitization to goal-directed paradigm on risk of falling in patients with stroke: a randomized controlled trial

Influencing factors of fear of falling among glaucoma patients in west China: a cross-sectional study

Psychological support of patients with motor disorders at the second stage of medical rehabilitation

Contact Info

Product

Resources

About