RSUSCI-2021 & RSUSOC-2021

IN21-137 The Contribution of Muscle Tone, Upper Limb and Lower Limb Motor Functions on Fall History in Community-Dwelling Individuals with Stroke

Presenter: Kalaya Kongwattanakul
Faculty of Physical Therapy and Sports Medicine, Faculty of Physical Therapy and Sports Medicine, Rangsit University

Abstract

Objective: This study determined the associations between motor performance relating to disability after stroke with fall history in the past six months. Methods: The measurements consisted of Modified Asworth Scale of Elbow Flexors (MAS-EF), and Ankle Plantarflexor (MAS-APF), Fugl Meyer Assessment of Upper Extremity (FMA-UE, and Lower Extremity (FMA-LE), Ankle Plantarflexor Strength (APF-strength), Step Test (ST), Berg Balance Scale (BBS) and Timed Up & Go Test (TUG). Fall history for six months was interviewed using a standardized questionnaire. Binary logistic regression was used to indicate the relationship between the measure and fall history. Crude odd and adjusted odd ratio (AOR) were presented. Results: Two hundred and forty-eight first stroke living at home participated in the study. The result show that participants increased fall risks when they had spasticity of elbow flexor (AOR: 3.11; 95%CI: 1.29, 7.55) and ankle plantarflexor (AOR:3.24; 95%CI:1.43, 7.33) and took long time for TUG  (AOR:1.02; 95%CI: 1.01, 1.03). The preventive of falls were ability of motor performance and balance control including upper extremity control (AOR of FMA-UE: 0.98; 95%CI: 0.96, 0.99) and lower extremity control (AOR of FMA-LE: 0.92; 95%CI: 0.89, 0.98), ankle plantarflexor strength (APF-StrengthAOR:0.98; 95%CI: 0.98, 0.99) and ability to taking weight on weakness leg (AOR of ST: 0.82; 95%CI: 0.74, 0.90). The finding showed that motor impairment of upper and lower extremities in community-dwelling with stroke had influence on falls in individual with stroke who living at home. Thus, the training of motor performance should be included in the fall prevention program.

Citation format:

Kongwattanakul, K., Hiengkaew, V., Jalayondeja, C., & Sawangdee, Y.. (2021). The Contribution of Muscle Tone, Upper Limb and Lower Limb Motor Functions on Fall History in Community-Dwelling Individuals with Stroke. Proceeding in RSU International Research Conference, April 30, 2021. Pathum Thani, Thailand.