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Falls among stroke survivors: an online survey on perceptions and approaches among physiotherapists in Flanders

Tina Baetens UGent, Wim Peersman UGent and Dirk Cambier UGent (2009) DISABILITY AND REHABILITATION. 31(10). p.818-824
abstract
Objective. To describe physiotherapists' perceptions of fall risk and appropriate fall prevention interventions in rehabilitating stroke patients. Method. A web-based survey addressed to physiotherapy units on a stroke unit, general neurology department or rehabilitation ward/centre in Flanders. Results. Hospital response rate was 66.3%,. Sixty-five physiotherapy units were taken into account. About 84.6% recognised falls among stroke patients as an essential problem and 73.8% thought falls interfered with the outcome. About 56.9% agreed with the need of a standardised fall assessment at the beginning of the treatment and only 36.9% reported that on their department stroke patients are screened on risk of falling. The most used fall risk assessments are: Berg Balance scale and Tinetti-test. The most popular fall prevention measures are: specific exercises for balance, gait and functional abilities (100%), informative education (92.3%,) and adapting or intensifying the treatment after a fall (81.5%). Conclusions. Physiotherapy units acknowledge falls as an essential threat, implying a need for risk screening and prevention. However, results reveal that perception of the necessity of such screening is lower and that the performance is even less. This discrepancy underlines the necessity of guidelines and education of therapists working with stroke patients.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PREVENTION, PREVALENCE, CONSEQUENCES, FEAR, RISK-FACTORS, INPATIENT REHABILITATION, survey, physiotherapy, Stroke, falls, PREDICTORS, BALANCE, MODEL
journal title
DISABILITY AND REHABILITATION
Disabil. Rehabil.
volume
31
issue
10
pages
818 - 824
Web of Science type
Article
Web of Science id
000268211000006
JCR category
REHABILITATION
JCR impact factor
1.555 (2009)
JCR rank
13/51 (2009)
JCR quartile
1 (2009)
ISSN
0963-8288
DOI
10.1080/09638280802355015
language
English
UGent publication?
yes
classification
A1
id
672714
handle
http://hdl.handle.net/1854/LU-672714
date created
2009-05-29 17:14:05
date last changed
2012-10-31 08:26:50
@article{672714,
  abstract     = {Objective. To describe physiotherapists' perceptions of fall risk and appropriate fall prevention interventions in rehabilitating stroke patients. 
Method. A web-based survey addressed to physiotherapy units on a stroke unit, general neurology department or rehabilitation ward/centre in Flanders. 
Results. Hospital response rate was 66.3\%,. Sixty-five physiotherapy units were taken into account. About 84.6\% recognised falls among stroke patients as an essential problem and 73.8\% thought falls interfered with the outcome. About 56.9\% agreed with the need of a standardised fall assessment at the beginning of the treatment and only 36.9\% reported that on their department stroke patients are screened on risk of falling. The most used fall risk assessments are: Berg Balance scale and Tinetti-test. The most popular fall prevention measures are: specific exercises for balance, gait and functional abilities (100\%), informative education (92.3\%,) and adapting or intensifying the treatment after a fall (81.5\%). 
Conclusions. Physiotherapy units acknowledge falls as an essential threat, implying a need for risk screening and prevention. However, results reveal that perception of the necessity of such screening is lower and that the performance is even less. This discrepancy underlines the necessity of guidelines and education of therapists working with stroke patients.},
  author       = {Baetens, Tina and Peersman, Wim and Cambier, Dirk},
  issn         = {0963-8288},
  journal      = {DISABILITY AND REHABILITATION},
  keyword      = {PREVENTION,PREVALENCE,CONSEQUENCES,FEAR,RISK-FACTORS,INPATIENT REHABILITATION,survey,physiotherapy,Stroke,falls,PREDICTORS,BALANCE,MODEL},
  language     = {eng},
  number       = {10},
  pages        = {818--824},
  title        = {Falls among stroke survivors: an online survey on perceptions and approaches among physiotherapists in Flanders},
  url          = {http://dx.doi.org/10.1080/09638280802355015},
  volume       = {31},
  year         = {2009},
}

Chicago
Baetens, Tina, Wim Peersman, and Dirk Cambier. 2009. “Falls Among Stroke Survivors: An Online Survey on Perceptions and Approaches Among Physiotherapists in Flanders.” Disability and Rehabilitation 31 (10): 818–824.
APA
Baetens, T., Peersman, W., & Cambier, D. (2009). Falls among stroke survivors: an online survey on perceptions and approaches among physiotherapists in Flanders. DISABILITY AND REHABILITATION, 31(10), 818–824.
Vancouver
1.
Baetens T, Peersman W, Cambier D. Falls among stroke survivors: an online survey on perceptions and approaches among physiotherapists in Flanders. DISABILITY AND REHABILITATION. 2009;31(10):818–24.
MLA
Baetens, Tina, Wim Peersman, and Dirk Cambier. “Falls Among Stroke Survivors: An Online Survey on Perceptions and Approaches Among Physiotherapists in Flanders.” DISABILITY AND REHABILITATION 31.10 (2009): 818–824. Print.