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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(5):905-912.
Patient Falls in Stroke Rehabilitation.
Chun, Chang Sik , Choi, Kyoung Hyo , Chun, Min Ho
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine.
뇌졸중의 재활치료중 발생하는 낙상
전창식, 최경효, 전민호
울산대학교 의과대학 서울중앙병원 재활의학과
Abstract

Objective
The present study was prospectively designed to identify the incidence, risk factors and characteristics of falls in a patient with stroke.


Method
One hundred and three stroke patients admitted to the department of rehabilitation medicine between March 1, 1998 and June 30, 1998, were evaluated.


Results
Fifteen (14.6%) have falled at least one time, and most of the falls occurred in their own room while walking. Risks for falls were associated with multiple brain lesion involving both anterior and posterior circulation, the presence of the cognitive function disturbance, and presence of caregiver hired by the patient. Fifteen (78.9%) of total 19 incidents did not cause any problem, but 4 falls (21.1%) caused mild injury - pain, and simple contusion. Severe injury such as fracture or intracerebral hemorrhage were not caused by these falls.


Conclusion
The incidence of fall in a patient with stroke was 14.6%. And risks for falls were associated with multiple brain lesion, the presence of the cognitive function disturbance, and presence of caregiver hired by the patient.

Key Words: Rehabilitation, Fall, Stroke


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