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Related Experiment Videos

The Falls-Efficacy Scale, Swedish version: does it reflect clinically meaningful changes after stroke?

Karin Hellström1, B Lindmark, A Fugl-Meyer

  • 1Section of Physiotherapy, University Hospital, Entrance 15, SE 751 85 Uppsala, Sweden. karin.hellstrom@sjukgym.uu.se

Disability and Rehabilitation
|July 5, 2002
PubMed
Summary

The Falls Efficacy Scale (Swedish version) (FES(S)) effectively measures improvements in balance and motor function for stroke patients. This scale is as responsive as other clinical measures in assessing early and overall recovery post-stroke.

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Gerontology

Background:

  • Assessing functional recovery after stroke is crucial for effective rehabilitation.
  • Patient-reported outcomes, like confidence in performing tasks, complement objective measures.
  • The Falls Efficacy Scale (Swedish version) (FES(S)) is a tool to evaluate perceived confidence.

Purpose of the Study:

  • To evaluate the responsiveness of the Falls Efficacy Scale (Swedish version) (FES(S)) in detecting clinically meaningful changes over time in stroke patients.
  • To compare the FES(S) responsiveness with established measures of balance and motor function.

Main Methods:

  • A prospective study involving 62 stroke patients.
  • FES(S) scores were compared with Berg Balance Scale (BBS) and Fugl-Meyer balance subscale (FMB) changes.

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  • Assessments were conducted at admission, discharge, and 10 months post-stroke, using effect size indices to measure responsiveness across different time periods.

    • Main Results:

    • The FES(S) demonstrated responsiveness comparable to the BBS and FMB during early and overall recovery phases.
    • Significant correlations were found between FES(S) score changes and observer-assessed balance, motor function, and ambulation scores from admission to discharge.

    Conclusions:

    • The FES(S) is a responsive measure for perceived confidence in task performance among stroke patients with hemiparesis.
    • The findings support the use of FES(S) for tracking functional improvements in the early stages of stroke recovery.