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.