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Master Thesis

Interventions for preventing falls after stroke: a systematic review

Abstract : Introduction. Fall is one of the most frequent complications after stroke inducing fear of falling and participation restriction. The last literature review was published in 2013. Objective. To update the literature about interventions preventing falls at any time after stroke. Methods. We searched Medline and Embase databases from 1990 to 2019. Only randomized controlled trials in English were included. Papers were independently assessed by two reviewers with a scale (0-20) based on Pedro and SPS (Standard for Prevention science) scales. We defined 3 types of interventions: rehabilitation, fall education therapy and environment control. Results. Twelve studies were found. Among them, we analyzed the eight which scored ≥10/20 at the quality analysis. Seven studies described a single intervention. No one found significant results on the criteria “number of falls” or “fallers”. The tenth was a multifactorial falls prevention program comprising individualized home exercises, fall education therapy and environment control. The trial was negative despite interesting results found in individuals who fully adhered to the program. Conclusion. Rehabilitation studies with a unique intervention are ineffective for preventing falls after stroke. Programs associating education therapy, environment control and home individualized exercices seem promising provided individuals fully adhere.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02884850
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Submitted on : Tuesday, June 30, 2020 - 11:04:05 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM

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Marie Migeot. Interventions for preventing falls after stroke: a systematic review. Human health and pathology. 2019. ⟨dumas-02884850⟩

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