The purpose of this study was to investigate the correlation between bodily functions-psychological factors and the falling experience of community-dwelling people with chronic stroke and to analyze the factors influencing their fall. The result of th... The purpose of this study was to investigate the correlation between bodily functions-psychological factors and the falling experience of community-dwelling people with chronic stroke and to analyze the factors influencing their fall. The result of this study is to hopefully propose a rehabilitation framework and program in reducing the risk falls within this population. This study was conducted from November 1, 2015 on May 30th 2016. For the study, a total of 52 community-dwelling chronic stroke patients with experienced falls and non-experienced falls were recruited, in which two groups were created; 26 chronic stroke patients with experienced fall and 26 chronic stroke patients with non-experienced falls. To measure each participant’s physical function, the following assessments were utilized: Push-Pull Dynamometer to measure strength of the of the hemiplegic lower extremity, knee flexion and extension, Sit to Stand test (STS), Functional Reach Test (FRT) and One Leg Stand Test (OLST). In addition, the Falls Efficacy was used to measure the psychological variables that could affect their function and fall. The values of variables were analyzed using the SPSS statistical program, which is shown below. 1. When comparing the physical function and psychological factors of community-dwelling chronic stroke patients with experienced falls and non-experienced falls; MMT of knee extension and OLST on hemiparetic leg, had no significant statistical difference between the two groups. On the other hand, muscle strength of knee flexion on hemiparetic side, STS, FRT, OLST (for both non-affected and affected leg) and Falls Efficacy, had significant statistical difference between the two groups. In order to investigate factors that contribute to falls, a logistic regression analysis was implemented. The results showed that the variable that has the greatest effect is STS which is followed by FRT, Falls Efficacy, OLST- Stands on non-affected leg, and muscle strength for knee flexion on the hemiparetic side. 2. In order to investigate the correlation the relationship between psychological variables and physical parameters. Pearson correlation analysis was implemented. As a result, Falls Efficacy had a positive correlation with OLST-Stands on non-affected leg(p<0.05), muscle strength for knee flexion in hemiparetic side (p<0.01), FRT(p<0.01). On the other hand, there was a negative correlation with STS(p<0.01) and no significant correlation with OLST- Stands on affected leg and muscle strength for knee extension on the hemiparetic side. 3. As a result of Receiver Operating Characteristic(ROC) curve analysis on measuring the variables, based on the results of the logistic regression and the experience of a fall, the cutoff value of muscle strength for knee flexion in hemiparetic side was 4.63kg(sensitivity 65.4%, specificity 65.4%), STS was 18.46sec.(sensitivity 69.2%, specificity 69.2%), FRT was 12.71cm(sensitivity 69.2%, specificity 69.2%), OLST-stands on non-affected leg was 6.55 sec.(sensitivity 88.5%, specificity 88.5%) and Falls Efficacy was 78.5points(sensitivity 76.9%, specificity 73.1%). Above listed variables were analyzed as a result of the significant fall forecast. As a result of this study, we found significant variables that contribute to falls in community-dwelling chronic stroke survivors. In addition, this study can predict the risk falls within this community and therefore could also help prevent falls through education and rehabilitation. The variables identified in this study could be utilized as a framework for a comprehensive rehabilitation program for fall prevention for community-dwelling chronic stroke survivors. ，韩语论文，韩语论文题目 |
