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Fall experience and dual-task during gait performance for community-dwelling persons with stroke
Phys Ther Rehabil Sci 2018;7:109-13
Published online September 30, 2018
© 2018 Korean Academy of Physical Therapy Rehabilitation Science.

Min-Kyu Kima, Eunjeong Kimb, Sujin Hwangc, Dongwook Sonc,d

aDepartment of Physical Therapy, Graduate School, Sahmyook University, Seoul, Republic of Korea
bDepartment of Physical Therapy, College of Health Science, Dongshin University, Naju, Republic of Korea
cDepartment of Physical Therapy, Division of Health Science, Baekseok University, Cheonan, Republic of Korea
dDepartment of Physical Therapy, Myongji Choonhey Hospital, Seoul, Republic of Korea
Correspondence to: Dongwook Son (ORCID https://orcid.org/0000-0002-8562-4132)
Department of Physical Therapy, Division of Health Science, Baekseok University, 76 Munam-ro, Dongnam-gu, Cheonan 31065, Republic of Korea
Tel: 82-41-550-2309 Fax: 82-41-550-2829 E-mail: W.pt8712@gmail.com
Received August 25, 2018; Revised September 16, 2018; Accepted September 17, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Objective: The purpose of this study was to investigate the effects of fall experience and task complexity on gait performance in community-dwelling persons with chronic hemiparetic stroke.
Design: Cross-sectional study.
Methods: Thirty-three persons who had a history of stroke participated in this study. The participants included 18 persons (aged mean 54.0, mean score of 24.6 points on the Montreal Cognitive Assessment, MoCA) with fall experience (faller group) and 15 persons (aged mean 53.7, mean score of 24.7 points on the MoCA) without fall experience (non-faller group) in the previous six months. This study measured balance and gait performance at two different conditions (with/without 70% of water filled in a 200 cc cup). The participants were clinically assessed using the 10-meter walk test (10MWT), 6-minute walk test (6MWT), Berg Balance scale (BBS), Dynamic Gait Index (DGI), and Timed Up-and-Go (TUG) test.
Results: After analyzation, persons in the faller group performed significantly better on the 10MWT, 6MWT, BBS, DGI, and the TUG test in the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). The persons in the non-faller group also performed significantly better in all outcome measures with the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). However, there was no interaction between fall experience and task complexity in the two groups.
Conclusions: Our results showed that balance and gait performance depended on fall experience and task complexity but fall experience did not interact with task complexity. Clinicians should consider fall prevention and task complexity during therapeutic approaches in persons with hemiparetic stroke.
Keywords : Accidental falls, Gait, Stroke

 

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