Denissen, S., Staring, W., Kunkel, D., Pickering, R. M., Lennon, S., Geurts, A. C., Weerdesteyn, V., & Verheyden, G. S. (2019). Interventions for preventing falls in people after stroke.
This study uses a quantitative method that researchers applied to study statistical data of various types of interventions for stroke patients. As a study design, the authors divided interventions into several groups and then studied the available articles by the categories. The critical variables in this study are the Rate of falls and the Number of fallers. This study independently reviewed the titles, abstracts, and descriptors of the data received via computerized searches, excluding unrelated research. They received the entire text of the remaining papers and assessed them independently for inclusion based on the review eligibility criteria.
The researchers calculated treatment effects using the rate ratio and relative risk, respectively, utilizing data on the rate of falls and the chance of falling once or more within a year. The study’s major findings were that there is very little evidence of therapies other than exercise that can help people who have had a stroke avoid falls. In addition, the interventions studied do not reduce the number of fallers. Thus, these data correlate with my research, as they allow the researcher to get acquainted with various types of interventions and their characteristics.
Mansfield, A., Aqui, A., Danells, C. J., Knorr, S., Centen, A., DePaul, V. G., Schinkel-Ivy, A., Brooks, D., Inness, E. L., & Mochizuki, G. (2018). Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial.
This study uses mixed research methods to examine the reports of participants and statistics regarding perturbation-based balance training (PBT). Study design is based on individuals suffering from chronic stroke were enlisted and allocated to either PBT or standard balance training at random. Eighty-eight participants with chronic stroke were invited as a sample. The participants’ personal experience was used as data, as well as data on the fall of two groups after the training. The research examined at the causes, conditions, and outcomes of falls in everyday life, as well as their reduction following various forms of interventions. This study’s main result is that PBT reduces the number of falls in patients, but constant support is required. These conclusions correlate with which intervention method should be chosen for my research.
Wei, W. E., de Silva, D. A., Chang, H. M., Yao, J., Matchar, D. B., Young, S. H. Y., See, S. J., Lim, G. H., Wong, T. H., & Venketasubramanian, N. (2019). Post-stroke patients with moderate function have the greatest risk of falls: A national cohort study.
This study uses a quantitative research method. The design is a cohort study that analyses risk factors based on national data. Open data on patients from 2011 to 2015 were used as a sample. The research included demographic and clinical factors and damage characteristics from the NTR for patients who had experienced falls. In this case, the article examines the indicators of patients from Singapore, data obtained from the National Registry of Diseases Office. Thus, the specified information was taken from open access or was obtained on request. The data were analyzed based on the indicators of the number of falls relative to the degree of stroke of the patient. The study’s preliminary results are that people with a poor functional status are less likely to be mobile, more likely to be physically sedentary, and hence are exposed to fewer situations where they may fall. This correlates with the topic of my work in the field of which type of population is exposed to the most significant problems associated with falls.
Xu, T., O’Loughlin, K., Clemson, L., Lannin, N. A., Dean, C., & Koh, G. (2017). Developing a falls prevention program for community-dwelling stroke survivors in Singapore: Client and caregiver perspectives.
This study uses methods of qualitative analysis, and the design is semi-structured interviews. The main variables in this article are data on the social status of patients and what methods they use. As a sample, various categories of the population were selected, which are patients who survived falls after a stroke, medical workers, and domestic helpers. The data were collected through interviews and verified through thematic analysis. The main result of this study is to determine what is needed for a client-centered fall prevention program. These conclusions are correlated with the proposed topic in the aspect that they allow us to study the opinions of various stakeholders in order to create the most thoughtful program.
Yang, F., Lees, J., Simpkins, C., & Butler, A. (2021). Interventions for preventing falls in people post-stroke: A meta-analysis of randomized controlled trials.
This article uses quantitative analysis methods, and the study’s design is a comparison of the data obtained from databases. The main variables highlighted by the authors are the mean difference and standard deviation for full risk factors. Accordingly, the primary sample is data on various interventions and their results in stroke patients. As mentioned earlier, the prior source of data collection is 11 open databases. The analysis of the obtained data was carried out by the Physiotherapy Evidence Database scale and the funnel plot. The findings of this study suggest that changes in the condition of patients and a decrease in the number of falls occur in rare cases. For my proposed topic, this article is an additional factor indicating the importance of creating a more comprehensive interventions program.
Synthesis of the Information from the Studies
The data obtained during the study of this literature indicate different results. Based on the various features of the conducted studies, various interventions are identified to prevent falls in stroke patients. However, there is also evidence that not all methods are reliable enough and, in fact, do not help patients. On the other hand, the needs of various stakeholders were identified, thanks to qualitative research with interviews. It was also possible to determine that perturbation-based balance training is one of the effective ways to prevent falls.
Discussion and Summary
The studied literature allows getting acquainted with modern research to avoid repetitions, as well as to expand the field of research. In addition, the data from these articles can be used as a guideline of which methods of interventions should not be considered given their inconsistency with the requirements. This will improve the quality of research by avoiding unnecessary data and information. Furthermore, data from these studies can be used to confirm the research question because it is possible to demonstrate which population categories are ahead of the most significant number of falls. It should also be noted that these studies highlight additional aspects that need to be considered in the study. They are mainly related to the fact that various factors influence the success of a particular program: financial situation, quality of life, and opportunities for visiting doctors.
References
Denissen, S., Staring, W., Kunkel, D., Pickering, R. M., Lennon, S., Geurts, A. C., Weerdesteyn, V., & Verheyden, G. S. (2019). Interventions for preventing falls in people after stroke. Cochrane Database of Systematic Reviews, 10, 1–66. Web.
Mansfield, A., Aqui, A., Danells, C. J., Knorr, S., Centen, A., DePaul, V. G., Schinkel-Ivy, A., Brooks, D., Inness, E. L., & Mochizuki, G. (2018). Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial.BMJ Open, 8(8), e021510. Web.
Wei, W. E., de Silva, D. A., Chang, H. M., Yao, J., Matchar, D. B., Young, S. H. Y., See, S. J., Lim, G. H., Wong, T. H., & Venketasubramanian, N. (2019). Post-stroke patients with moderate function have the greatest risk of falls: A national cohort study. BMC Geriatrics, 19(1).
Xu, T., O’Loughlin, K., Clemson, L., Lannin, N. A., Dean, C., & Koh, G. (2017). Developing a falls prevention program for community-dwelling stroke survivors in Singapore: Client and caregiver perspectives. Disability and Rehabilitation, 41(9), 1044–1054.
Yang, F., Lees, J., Simpkins, C., & Butler, A. (2021). Interventions for preventing falls in people post-stroke: A meta-analysis of randomized controlled trials. Gait and Posture, 84, 377–388.