Intervention Review

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Interventions for preventing falls in people after stroke

  1. Geert SAF Verheyden1,2,*,
  2. Vivian Weerdesteyn3,
  3. Ruth M Pickering4,
  4. Dorit Kunkel2,
  5. Sheila Lennon5,
  6. Alexander CH Geurts3,
  7. Ann Ashburn6

Editorial Group: Cochrane Stroke Group

Published Online: 31 MAY 2013

Assessed as up-to-date: 13 JAN 2010

DOI: 10.1002/14651858.CD008728.pub2


How to Cite

Verheyden GSAF, Weerdesteyn V, Pickering RM, Kunkel D, Lennon S, Geurts ACH, Ashburn A. Interventions for preventing falls in people after stroke. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD008728. DOI: 10.1002/14651858.CD008728.pub2.

Author Information

  1. 1

    KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium

  2. 2

    University of Southampton, Faculty of Health Sciences, Southampton, UK

  3. 3

    Radboud University Medical Centre, Department of Rehabilitation, Nijmegen Centre for Evidence Based Practice, Nijmegen, Netherlands

  4. 4

    University of Southampton, Department of Public Health Sciences and Medical Statistics, Southampton, UK

  5. 5

    Flinders University, Faculty of Health Sciences, School of Medicine, Adelaide, Australia

  6. 6

    Faculty of Health Sciences, University of Southampton, Southampton, UK

*Geert SAF Verheyden, geert.verheyden@faber.kuleuven.be.

Publication History

  1. Publication Status: New
  2. Published Online: 31 MAY 2013

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Batchelor 2012 {published data only}
  • Batchelor F, Hill K, Mackintosh S, Said C, Fryer C, Whitehead C. Falls prevention after stroke: does adherence to exercise influence falls?. Neurorehabilitation and Neural Repair 2012;26(6):735.
  • Batchelor F, Hill K, Mackintosh S, Said C, Whitehead C. Does a multifactorial falls prevention programme reduce falls in people with stroke returning home after rehabilitation? A randomised controlled trial. International Journal of Stroke 2010;5:17.
  • Batchelor FA, Hill KD, Mackintosh SF, Said CM, Whitehead CH. Effects of a multifactorial falls prevention programme for people with stroke returning home after rehabilitation: a randomised controlled trial. Archives of Physical Medicine and Rehabilitation 2012;93(9):1648-55. [DOI: 10.1016/j.apmr.2012.03.031]
  • Batchelor FA, Hill KD, Mackintosh SF, Said CM, Whitehead CH. The FLASSH study: protocol for a randomised controlled trial evaluating falls prevention after stroke and two sub-studies. BMC Neurology 2009;9:14. [DOI: 10.1186/1471-2377-9-14]
Dean 2010 {published data only}
  • Ada L, Dean CM, Morris ME. Supported treadmill training to establish walking in non-ambulatory patients early after stroke. BMC Neurology 2007;7:29.
  • Ada L, Dean CM, Morris ME, Simpson JM, Katrak P. Randomized trial of treadmill walking with body weight support to establish walking in subacute stroke: the MOBILISE trial. Stroke 2010;41(6):1237-42. [DOI: 10.1161/STROKEAHA.109.569483]
  • Dean CM, Ada L, Bampton J, Morris ME, Katrak PH, Potts S. Treadmill walking with body weight support in subacute non-ambulatory stroke improves walking capacity more than overground walking: a randomised trial. Journal of Physiotherapy 2010;56(2):97-103.
Dean 2012 {published data only}
  • Dean CM,  Rissel C,  Sharkey M,  Sherrington C,  Cumming RG,  Barker RN,  et al. Exercise intervention to prevent falls and enhance mobility in community dwellers after stroke: a protocol for a randomised controlled trial. BMC Neurology 2009;9:38. [DOI: 10.1186/1471-2377-9-38]
  • Dean CM, Rissel C, Sherrington C, Sharkey M, Cumming R, Lord SR, et al. Weight-bearing exercise improves mobility in stroke survivors and may prevent falls in faster walkers. Neurorehabilitation and Neural Repair 2012;26(6):730-1.
  • Dean CM, Rissel C, Sherrington C, Sharkey M, Cumming RG, Lord SR, et al. Exercise to enhance mobility and prevent falls after stroke: the community stroke club randomised trial. Neurorehabilitation and Neural Repair 2012;26(9):1046-57. [DOI: 10.1177/1545968312441711]
Green 2002 {published data only}
  • Green J, Forster A, Bogle S, Young J. Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial. Lancet 2002;359(9302):199-203.
Haran 2010 {unpublished data only}
  • Haran MJ, Cameron ID, Ivers IQ, Simpson JM, Lee BB, Tanzer M, et al. Effect on falls of providing single lens distance vision glasses to multifocal glasses wearers: VISIBLE randomised controlled trial. BMJ 2010;340:c2265. [DOI: 10.1136/bmj.c2265]
  • Haran MJ,  Lord SR,  Cameron ID,  Ivers RQ,  Simpson JM,  Lee BB,  et al. Preventing falls in older multifocal glasses wearers by providing single-lens distance glasses: the protocol for the VISIBLE randomised controlled trial. BMC Geriatrics 2009;9:10. [DOI: 10.1186/1471-2318-9-10]
Holmgren 2010 {published data only (unpublished sought but not used)}
  • Holmgren E,  Gosman-Hedström G,  Lindström B,  Wester P. What is the benefit of a high-intensive exercise programme on health-related quality of life and depression after stroke? A randomised controlled trial. Advances in Physiotherapy 2010;12(3):125-33.
  • Holmgren E, Lindström B, Gosman-Hedström G, Nyberg L, Wester P. What is the benefit of a high intensive exercise programme? A randomised controlled trial. Advances in Physiotherapy 2010;12(3):115-24.
Lau 2012 {published data only}
Marigold 2005 {published data only}
Sato 2005a {published data only}
  • Sato Y, Iwamoto J, Kanoko T, Satoh K. Low-dose vitamin D prevents muscular atrophy and reduces falls and hip fractures in women after stroke: a randomised controlled trial. Cerebrovascular Diseases 2005;20(3):187-92.
Sato 2011 {published data only}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Barreca 2004 {published data only}
  • Barreca S, Sigouin CS, Lambert C, Ansley B. Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: a randomised controlled trial. Journal of Geriatric Physical Therapy 2004;27(2):59-64.
Bernhardt 2008 {published data only}
Boysen 2009 {published data only}
  • Boysen G, Krarup L, Zeng X, Oskedra A, Kõrv J, Andersen G, et al. ExStroke pilot trial of the effect of repeated instructions to improve physical activity after ischaemic stroke: a multinational randomised controlled clinical trial. BMJ 2009;339:b2810. [DOI: 10.1136/bmj.b2810]
Cadilhac 2011 {published data only}
Duncan 2011 {published data only}
Eng 2010 {published data only}
Halvarsson 2011 {published data only}
  • Halvarsson A, Oddsson L, Olsson E, Farén E, Pettersson A, Ståhle A. Effects of new, individually adjusted, progressive balance group training for elderly people with fear of falling and tend to fall: a randomized controlled trial. Clinical Rehabilitation 2011;25(11):1021-31. [DOI: 10.1177/0269215511411937]
Hesse 2011 {published data only}
  • Hesse S, Welz A, Werner C, Quentin B, Wissel J. Comparison of an intermittent high-intensity vs continuous low-intensity physiotherapy service over 12 months in community-dwelling people with stroke: a randomised trial. Clinical Rehabilitation 2011;25(2):146-56. [DOI: 10.1177/0269215510382148]
Kong 2009 {published data only}
  • Kong KH, Wee SK, Ng CY, Chua K, Chan KF, Venketasubramanian N, et al. A double-blind, placebo-controlled, randomised phase II pilot study to investigate the potential efficacy of the traditional Chinese medicine Neuroaid (MLC601) in enhancing recovery after stroke (TIERS). Cerebrovascular Diseases 2009;28(5):514-21. [DOI: 10.1159/000247001]
Kwok 2005 {published data only}
Mayo 1994 {published data only (unpublished sought but not used)}
  • Mayo NE, Gloutney L, Levy AR. A randomised trial of identification bracelets to prevent falls among patients in a rehabilitation hospital. Archives of Physical Medicine and Rehabilitation 1994;75(12):1302-8.
Rossi 1990 {published data only}
Von Koch 2001 {published data only}
  • Thorsén AM,  Widén Holmqvist L,  Von Koch L. Early supported discharge and continued rehabilitation at home after stroke: 5-year follow-up of resource use. Journal of Stroke and Cerebrovascular Diseases 2006;15(4):139-43.
  • Thorsén AM, Widén Holmqvist LW, de Pedro-Cuesta J, Von Koch L. A randomised controlled trial of early supported discharge and continued rehabilitation at home after stroke: five-year follow-up of patient outcome. Stroke 2005;36(2):297-303.
  • Von Koch L, de Pedro-Cuesta J, Kostulas V, Almazan J, Widén Holmqvist L. Randomized controlled trial of rehabilitation at home after stroke: one-year follow-up of patient outcome, resource use and cost. Cerebrovascular Diseases 2001;12(2):131-8.
  • Von Koch L, Widén Holmqvist L, Kostulas V, Almazan J, de Pedro-Cuesta J. A randomised controlled trial of rehabilitation at home after stroke in southwest Stockholm: outcome at six months. Scandinavian Journal of Rehabilitation Medicine 2000;32(2):80-6.
  • Widén Holmqvist L, Von Koch L, Kostulas V, Holm M, Widsell G, Tegler H, et al. A randomised controlled trial of rehabilitation at home after stroke in southwest Stockholm. Stroke 1998;29(3):591-7.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Cheng 2001 {published data only}
  • Cheng PT, Wu SH, Liam MY, Wong AM, Tang FT. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Archives of Physical Medicine and Rehabilitation 2001;82(12):1650-4.
Rosendahl 2008 {published data only}
  • Rosendahl E, Gustafson Y, Nordin E, Lundin-Olsson L, Nyberg L. A randomized controlled trial of fall prevention by a high-intensity functional exercise program for older people living in residential care facilities. Aging Clinical and Experimental Research 2008;20(1):67-75.
Sato 2003 {published data only}
Sato 2005b {published data only}
Sato 2005c {published data only}

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Ashburn 2008
Batchelor 2010
Belgen 2006
  • Belgen B, Beninato M, Sullivan PE, Narielwalla K. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Archives of Physical Medicine and Rehabilitation 2006;87(4):554-61.
Burridge 2007
  • Burridge JH, Haugland M, Larsen B, Pickering RM, Svaneborg N, Iversen HK, et al. Phase II trial to evaluate the ActiGait implanted drop-foot stimulator in established hemiplegia. Journal of Rehabilitation Medicine 2007;39(3):212-8.
Cameron 2012
Cochrane Handbook
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Davenport 1996
Gillespie 2012
Harris 2005
  • Harris JE, Eng JJ, Marigold DS, Tokuno CD, Louis CL. Relationship of balance and mobility to fall incidence in people with chronic stroke. Physical Therapy 2005;85(2):150-8.
Hauer 2006
  • Hauer K, Lamb SE, Jorstad EC, Todd C, Becker C, the ProFaNE-group. Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials. Age and Ageing 2006;35(1):5-10.
Higgins 2003
Higgins 2011a
  • Higgins JPT, Altman DG, Sterne JAC on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group. Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Indredavik 2008
Kerse 2008
Kuan 1999
Kunkel 2011
Lamb 2005
  • Lamb SE, Jorstad-Stein EC, Hauer K, Becker C, Prevention of Falls Network Europe and Outcomes Consensus Group. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society 2005;53(9):1618–22.
Lamb 2007
  • Lamb SE, Hauer K, Becker C. Manual for the fall prevention classification system. www.profane.eu.org/documents/Falls_Taxonomy.pdf (accessed 30 January 2013).
Lamb 2011
Langhorne 2000
Sackley 2008
Shepherd 2001
  • Shepherd RB. Exercise and training to optimize functional motor performance in stroke: driving neural reorganization?. Neural Plasticity 2001;8(1-2):121-9.
Stack 1999
  • Stack E, Ashburn A. Fall events described by people with Parkinson’s disease: implications for clinical interviewing and the research agenda. Physiotherapy Research International 1999;4(3):190-200.
Weerdesteyn 2008