Falls After Stroke: A Follow-up after Ten Years in Lund Stroke Register

Jönsson, Ann-Cathrin; Lindgren, Ingrid; Delavaran, Hossein; Norrving, Bo; Lindgren, Arne

doi:10.1016/j.jstrokecerebrovasdis.2021.105770

Cited by 7 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study showed that treatment with neurotropic medications, especially opioids, in the acute phase after stroke is associated with impaired postural control. Because impaired postural control is a major cause of falls in patients with acute stroke, these results suggest that opioids should be used more cautiously (26). Other studies have shown that female subjects are more likely to fall in hospital conditions when the spectrum of all neurologic conditions is considered (27 -29), whereas the incidence of falls in male subjects is higher for cerebrovascular conditions (30).…”

Section: Discussionmentioning

confidence: 87%

The risk of falls in patients with cerebrovascular disease

Nenadović,

Đurović,

Stanković

et al. 2023

Acta fac medic Naissensis

View full text Add to dashboard Cite

Introduction/Aim. Patient falls in hospital conditions are among the most common serious adverse events following a cerebrovascular insult at all stages of the disease. The aim of this study was to investigate the risk of falls in patients with cerebrovascular disease. Methods. A clinical case-control observational study was conducted in this investigation. The sample consisted of patients who suffered from cerebrovascular diseases and were admitted to the Special Hospital for Cerebrovascular Diseases "Sveti Sava" in Belgrade, in the period from February 3, 2018, to June 28, 2019. The Morse questionnaire was used to assess a fall risk. All statistical calculations were performed using the standard commercial software package SPSS, version 21.0. Results. Most of the subjects with a cerebrovascular insult (505 (90.0%)) had a high risk of falls, i.e. they had the Morse score values ≥ 45. The mean Morse score of the subjects in the study was 67.07 ± 21.08. The risk of falling, according to the Morse score, is the highest among subjects diagnosed with bleeding (95.7%: 96.7%) and left-sided neurological deficit (91.7%:90.8%) in both examined groups. Conclusion. It is of great importance to organizing training programs for patients, healthcare providers, and medical staff to prevent falls in hospital conditions.

show abstract

Section: Discussionmentioning

confidence: 87%

The risk of falls in patients with cerebrovascular disease

Nenadović,

Đurović,

Stanković

et al. 2023

Acta fac medic Naissensis

View full text Add to dashboard Cite

show abstract

“…The general data of the participants are detailed in Table 1. The inclusion criteria were as follows: (1) [14] score of ≥24 and ability to cooperate to complete the experiment; and (4) ability to stand independently for more than 10 minutes. The exclusion criteria were as follows: (1) a history of disease or injury to the nerve, muscle, or skeletal system of the lower extremities; (2) severe lumbar and cervical spine disease; (3) pain in the lower extremities; (4) dizziness or vestibular system disease; (5) recent use of drugs that affect balance; and (6) severe visual impairment.…”

Section: Participantsmentioning

confidence: 99%

“…Post-stroke hemiplegia not only restricts the patient's activities of daily living but may also cause secondary injuries, such as falls and shoulder pain. Among them, falls are the most common and serious outcome [1], with an incidence of approximately 37%-73% within six months of discharge [2], which may cause cranial injury, fracture, joint damage, or even death.…”

Section: Introductionmentioning

confidence: 99%

Validation of a Newly Diagnosis Model of Dynamical Electromyography Network for Neuromuscular Tracing in Hemiplegic Ankle-Foot Motor Dysfunctions

Geng

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: The rating scales cannot locate and quantitatively identify muscles responsible for ankle-foot motor dysfunctions in hemiplegia patients. Object: To trace calf muscles responsible for neuromuscular dysfunction in hemiplegia patients, using a newly designed diagnosis model of dynamical surface electromyography (sEMG) network. Methods: Observe the characteristics of eight groups of muscles in bilateral calves in 14 male patients with hemiplegia and 10 age- and sex-matched healthy adults in static standing position, with two linear indices, root mean square (RMS) and median frequency (MF), and five nonlinear network indices, average interlayer mutual information (I), average edge overlap (ω), clustering coefficient (C), average shortest path length (L), and degree centrality (DC). Results: The RMS of the anterior tibialis (AT), medial gastrocnemius (MG), soleus (SOL) on the affected sides was lower than those on the other sides (P<.05). The MF of the extensor digitorum longus (EDL) on the affected sides was significantly lower than that of the unaffected sides and control groups (P<.05).I, W, and C of the unaffected side were significantly higher than those of the affected sides and the control group, whereas L was lower (P<.05). Compared to the control group, the DC of the AT and EDL on the unaffected sides were higher (P < .05), and that of the MG on the affected sides was lower (P<.05). Conclusion: In this study, the affected EDL was diagnosed as a passive eccentric muscle, and the gastrocnemius and FDL were prone to paralysis, and in which the FDL was accompanied by hyperresponsiveness. The diagnosis of pathological muscles conditions was accordance with characteristics of muscle conditions of ankle-foot motor dysfunctions in hemiplegia patients. Therefore, the newly designed diagnosis system may locate and quantitatively identify muscles responsible for hemiplegia patients, and the targeted treatments for these muscles might be carried out accurately. Clinical trial registration number: ChiCTR2100055090.

show abstract