Impact Of Cognitive Impairment On Falls Efficacy And Functional Performance In Stroke Patients

Research Article
Joshi S, Pandya P, Parikh H and Patel K
DOI: 
http://dx.doi.org/10.24327/ijrsr.2018.0908.2501
Subject: 
science
KeyWords: 
Cognitive impairment, Falls efficacy, Fear of falling, Functional performance, Stroke.
Abstract: 

Objectives: To evaluate falls-efficacy and functional performance in stroke patients. To determine the correlation between cognitive impairment and falls-efficacy and functional performance in stroke patient.

Methods: Health Status questionnaire was obtained, that included 80 patients’ demographic detail and brief history of stroke and fall related history. The cognitive function was assessed through the Mini-Mental State Examination, fear of falling was assessed using Modified Falls Efficacy Scale, and functional performance was assessed by the Functional Independence Measure.

Results: The MMSE shows a positive correlation with falls-efficacy of the patient(r=0.384). The functional performance measured by FIM has demonstrated negative correlation with cognitive function MMSE of the patient. (r=0.416). The fear of falling showed a strong positive correlation with functional performance of the patients(r=0.800).

Conclusion: The cognitive impairment post-stroke has a deleterious effect on falls-efficacy and functional capacity of the stroke patients. Emphasis on cognitive rehabilitation post-stroke is a warranted area.