Citation

Rapport LJ, Webster JS, Flemming KL, Lindberg JW, Godlewski MC, Brees JE, Abadee PS. Arch. Phys. Med. Rehabil. 1993; 74(6): 621-626.

Affiliation

Department of Psychology, Veterans Administration Medical Center, Long Beach, CA 90822.

Copyright

(Copyright © 1993, Elsevier Publishing)

DOI

unavailable

PMID

8503752

Abstract

The purpose of the study was to examine neuropsychological and general medical risk factors for falls among a high-risk patient group in an inpatient rehabilitation setting. The sample consisted of 32 nonambulatory males who had sustained a right-hemisphere stroke (R-CVA). The Fall Assessment Questionnaire (FAQ) was introduced as a measure of known risk factors for falls in an inpatient setting. Neuropsychological assessment included measures of attention, perceptual deficits, hemispatial neglect, and impulsivity. A predictive model generated using multiple regression found that the FAQ combined with a measure of behavioral impulsivity successfully predicted fall status in 78% to 81% of cases, depending upon the cutting score used (p < .003). R-CVA patients who fell were more impulsive (p < .001) and received higher FAQ scores (p < .001). Perceptual deficit as measured by the Rey-Osterreith Complex Figure and general inattention as measured by Digit Span (reverse) were associated with falls (p < .04); however, they did not add to the model predicting which of the R-CVA patients would fall. It was suggested that impulsivity may act as an important mediating factor in determining individual risk for fall.

Language: en