{"title":"The Clinical Characteristics of Men and Women Living With a Stroke: Influence of Gender and Fall Self-Efficacy.","authors":"Rania Almajid, Nuha Alharbi, Zainab Sharahili, Dalal Alqahtani","doi":"10.1002/pri.70054","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Up to 66% of stroke survivors develop a fear of falling (FoF) which has profound detrimental quality-of-life effects. Gender-based patterns influence FoF, and cross-cultural differences exist, especially in cultures with differing norms for men and women. Studies exploring the interaction between gender and post-stroke FoF are lacking, including in Saudi Arabia, which differs in potentially important gender-based related cultural norms.</p><p><strong>Purpose: </strong>The aim of this study was to explore the relationship between FoF in Saudi men and women who survived a stroke, and identify clinical predictors of FoF in these populations.</p><p><strong>Methods: </strong>This cross-sectional study included 80 stroke patients (mean age = 63.9 years; 40 women). We used the Fall Efficacy Scale International (FES-I) to measure FoF, and collected clinical outcome measures to capture motor, affective, and cognitive functioning. For statistical analysis, we used Spearman rho correlation and stepwise multiple linear regression analysis with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>Balance confidence and cognitive function were significant predictors of FoF (R<sup>2</sup> = 0.65; p < 0.001). In women, FES-I scores significantly correlated with all of the motor outcome measurements conducted. In contrast, in men, FES-I scores significantly correlated with all of the affective outcome measurements conducted as well as with some of the motor outcome measures (p < 0.05).</p><p><strong>Discussion: </strong>Affective and cognitive functions are predictors of FoF in stroke survivors, but the association of FoF with clinical factors differs in Saudi men and women.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70054"},"PeriodicalIF":1.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.70054","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
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Abstract
Background: Up to 66% of stroke survivors develop a fear of falling (FoF) which has profound detrimental quality-of-life effects. Gender-based patterns influence FoF, and cross-cultural differences exist, especially in cultures with differing norms for men and women. Studies exploring the interaction between gender and post-stroke FoF are lacking, including in Saudi Arabia, which differs in potentially important gender-based related cultural norms.
Purpose: The aim of this study was to explore the relationship between FoF in Saudi men and women who survived a stroke, and identify clinical predictors of FoF in these populations.
Methods: This cross-sectional study included 80 stroke patients (mean age = 63.9 years; 40 women). We used the Fall Efficacy Scale International (FES-I) to measure FoF, and collected clinical outcome measures to capture motor, affective, and cognitive functioning. For statistical analysis, we used Spearman rho correlation and stepwise multiple linear regression analysis with statistical significance set at p < 0.05.
Results: Balance confidence and cognitive function were significant predictors of FoF (R2 = 0.65; p < 0.001). In women, FES-I scores significantly correlated with all of the motor outcome measurements conducted. In contrast, in men, FES-I scores significantly correlated with all of the affective outcome measurements conducted as well as with some of the motor outcome measures (p < 0.05).
Discussion: Affective and cognitive functions are predictors of FoF in stroke survivors, but the association of FoF with clinical factors differs in Saudi men and women.
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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