ArticleBMC geriatrics2023
Relationship between fear of falling and fall risk among older patients with stroke: a structural equation modeling.
Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Whole-body vibration-based interventions and dynamic balance in older patients with stroke: a systematic review and multilevel meta-analysis.BMC geriatrics · 2026Pooled it
- Article
- Longitudinal Trajectories and Determinants of Fear of Falling in Post-Stroke Patients.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Article
- Who Falls After a Stroke? Evidence From a Prospective Stroke Cohort.European journal of neurology · 2026Article
- Fall risk and its determinants among home-dwelling older adults: A multivariate logistic regression analysis.Pakistan journal of medical sciences · 2026Article
- Fear of Falling, Balance Disturbances, and Health-Related Quality of Life in Post-Stroke Inpatients: A Preliminary Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Trajectories of chronic disease burden, depressive symptoms, and functional limitations related to falls in middle-aged and older adults: a matched longitudinal study.Frontiers in aging neuroscience · 2026Article
- Examining the relationship between fear of falling and depression in older adults in Turkey.BMC psychology · 2025Article
- Fear of falling among housebound older adults: a quantitative study.BMC geriatrics · 2025Article
- Narrative Review on Post-Stroke Outcomes Through Recognition of Frailty, Sarcopenia, and Palliative Care Needs.Healthcare (Basel, Switzerland) · 2025Review
- Risk of falls, fear of falling, and associated factors during pregnancy: a cross-sectional study.BMC nursing · 2025Article
- Association between life satisfaction and fall severity among hospitalized stroke patients.Scientific reports · 2025Article
- Article
- Collecting Real-World Data via an In-Home Smart Medication Dispenser: Longitudinal Observational Study of Survey Panel Persistency, Response Rates, and Psychometric Properties.JMIR human factors · 2025Observational
- Effect of increased fear of falling on falls in patients undergoing HD: A narrative review.Fukushima journal of medical science · 2025Review
- Perception of fall risk in hospitalized patients and associated factors: A cross-sectional study and path analysis.SAGE open medicine · 2025Article
- Frequency of Fals and Degree of Diability in Stroke Patients.Materia socio-medica · 2025Article
- Overall leukocyte levels link risk factors to Von Willebrand factor and Neutrophil Extracellular Traps in stroke thrombi: a Structural Equation Modeling analysis.Frontiers in neurology · 2025Article
- Advances in nursing care for post-stroke limb dysfunction rehabilitation.Frontiers in neurology · 2025Review
- Associated factors and gender differences of falls in older adults with hypertension: a national cross-sectional survey.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith reduced balance and mobility, older patients with stroke are more susceptible to fear of falling (FOF). A maladaptive form of FOF can cause excessive activity restriction, poor balance, and recurrent falls, forming a self-reinforcing vicious cycle. This study applied and adapted the FOF model to investigate the interaction between FOF and fall risk in older stroke patients.
methodsA cross-sectional study was conducted among 302 older stroke patients aged 60 and over. All participants were invited to complete the FOF, fall risk, physical activity, and balance tests, which were measured by the Falls Efficacy Scale International (FES-I), Self-Rated Fall Risk Questionnaire (FRQ), the long-form International Physical Activity Questionnaire (IPAQ-LF) and the Four-Stage Balance Test (FSBT) respectively. Data were analyzed using structural equation modeling.
resultsThe mean age of the respondents was 68.62 ± 7.62 years; 8.94% reported a high level of FOF, and 18.21% reported a moderate level of FOF. The structural equation model showed that FOF was directly associated with fall risk (β=-0.38, p < 0.001), and was indirectly associated with fall risk via physical activity (β=-0.075, p < 0.05) and balance ability (β=-0.123, p < 0.05). Depression (β=-0.47, p < 0.001), fall history (β=-0.13, p < 0.05), and female sex (β=-0.16, p < 0.05) affected FOF, while anxiety was not associated with FOF.
conclusionsThe increased risk of falling in older stroke patients results from a maladaptive FOF affected by depression, fall history, poor balance ability, and limited physical activity. Our results suggest that greater attention should be paid to FOF during stroke recovery and fall prevention. A multifaced intervention program encompassing physiological and psychological factors should be designed to address FOF and prevent falls.
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