Issue: Vol.83 (No. 9)

Effect of adding chair-based group exercises to conventional rehabilitation on fear of falling after stroke: a systematically allocated controlled study

Authors:
Vesna Samardžić

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Background/Aim. Most patients who survive a stroke develop a fear of falling (FoF). The aim of this study was to evaluate the effects of conventional rehabilitation (CR) alone as well as of CR combined with chair-based group exercises on FoF in patients after a stroke. Methods. A total of 86 post-stroke patients were systematically allocated to two groups: a control group (CG) and a treatment group (TG); both underwent 3 weeks of inpatient rehabilitation. While CG received CR only, TG, in addi-tion to CR, also participated in a program of chair-based group exercises. The Fall Efficacy Scale – International (FES-I) was used to measure FoF. Functional mobility was assessed using the Timed Up and Go (TUG) test. To evaluate the impact of therapeutic interventions on patients’ functionality, their independence in activities of daily living (ADLs) was examined. The evaluations were performed at baseline and after rehabilitation, on discharge. Results. Following 3 weeks of interventions, both groups showed significant improvement, suggesting that the interventions were effective. According to the FES-I, FoF decreased in both groups: by 4.63 ± 1.98 [95% confidence interval (CI): 1.81–7.44; t = 3.316; p = 0.002] in CG, and by 10.07 ± 1.08 (95% CI: 6.97–13.17; t = 6.550; p = 0.001) in TG. Post-rehabilitation, both groups showed significant improvements in the time of the TUG test: CG improved by 2.83 ± 1.23 s (95% CI: 1.53–4.14; t = 4.391; p = 0.001), while TG had a greater improvement of 4.95 ± 1.86 s (95% CI: 3.14–6.75; t = 5.534; p = 0.001). Furthermore, a more significant improvement in ADLs was observed in TG than in CG. Conclusion. Chair-based group exercises, as an addition to CR, are effective in decreasing FoF, improving functional mobility, and increasing patient independence in ADLs.