Assessing the fall risk with Stay Independent Questionnaire in people with stroke
ObjectivesThis study aimed to assess the psychometric properties of the Chinese version of the Stay Independent Questionnaire (C-SIQ) in evaluating individuals with stroke.DesignThe study adopted a cross-sectional design.SettingThe research was conducted at a university-based neurorehabilitation cen...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1476313/full |
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| author | Peiming Chen Peiming Chen T. W. Liu Shamay S. M. Ng Shamay S. M. Ng |
| author_facet | Peiming Chen Peiming Chen T. W. Liu Shamay S. M. Ng Shamay S. M. Ng |
| author_sort | Peiming Chen |
| collection | DOAJ |
| description | ObjectivesThis study aimed to assess the psychometric properties of the Chinese version of the Stay Independent Questionnaire (C-SIQ) in evaluating individuals with stroke.DesignThe study adopted a cross-sectional design.SettingThe research was conducted at a university-based neurorehabilitation center.ParticipantsThe study included a total of 100 individuals with stroke and 49 healthy older adults.MethodsOn Day 1, both individuals with stroke and healthy older adults underwent assessments using the C-SIQ. Additionally, individuals with stroke were evaluated using the Fugl–Meyer Assessment of Lower Extremity (FMA-LE), ankle dorsiflexion and plantarflexion strength, Berg Balance Scale (BBS), Timed-Up and Go Test (TUG), 10-meter walk test (10 mWT), Activities-specific Balance Confidence (ABC) Scale, Stroke Impact Scale (SIS), and Community Integration Measure (CIM). On Day 2 (7 days after Day 1), individuals with stroke were reassessed using the C-SIQ.ResultsIndividuals with stroke exhibited a higher C-SIQ score (6.22 ± 2.98) compared to healthy older adults (1.59 ± 2.01). The C-SIQ demonstrated good test–retest reliability (intraclass correlation coefficient = 0.847) and internal consistency (Cronbach’s alpha = 0.709). The Minimal Detectable Change in C-SIQ score was calculated as 3.05. Exploratory factor analysis revealed four factors with eigenvalues ≥1.0, explaining 57.17% of the total variance. The C-SIQ score exhibited significant correlations (ranging from −0.553 to 0.362) with completion times of the TUG and 10 mWT, FMA-LE, BBS, ABC, SIS, CIM score, paretic ankle dorsiflexion strength, and 6 mWT distance. A cut-off score of 2.5 was identified as the optimal threshold for discriminating fall risk between individuals with stroke and healthy controls.ConclusionThe C-SIQ emerges as a reliable and valid tool for evaluating fall risk in individuals with stroke, showcasing strong correlations with key measures such as TUG times, 10 mWT, FMA-LE, BBS, ABC, SIS, CIM score, paretic ankle dorsiflexion strength, and 6 mWT distance. The C-SIQ demonstrated good test–retest reliability and internal consistency. Exploratory factor analysis revealed that this is a four factors assessment tool. The identified cut-off score of 2.5 effectively distinguishes fall risk between individuals with stroke and healthy controls. |
| format | Article |
| id | doaj-art-e57b1da75ec04d5b9fbcb200b43af0f4 |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| spelling | doaj-art-e57b1da75ec04d5b9fbcb200b43af0f42025-01-03T05:10:16ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.14763131476313Assessing the fall risk with Stay Independent Questionnaire in people with strokePeiming Chen0Peiming Chen1T. W. Liu2Shamay S. M. Ng3Shamay S. M. Ng4Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaResearch Centre for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaSchool of Nursing and Health Studies, Hong Kong Metropolitan University, Kowloon, Hong Kong SAR, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaResearch Centre for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, ChinaObjectivesThis study aimed to assess the psychometric properties of the Chinese version of the Stay Independent Questionnaire (C-SIQ) in evaluating individuals with stroke.DesignThe study adopted a cross-sectional design.SettingThe research was conducted at a university-based neurorehabilitation center.ParticipantsThe study included a total of 100 individuals with stroke and 49 healthy older adults.MethodsOn Day 1, both individuals with stroke and healthy older adults underwent assessments using the C-SIQ. Additionally, individuals with stroke were evaluated using the Fugl–Meyer Assessment of Lower Extremity (FMA-LE), ankle dorsiflexion and plantarflexion strength, Berg Balance Scale (BBS), Timed-Up and Go Test (TUG), 10-meter walk test (10 mWT), Activities-specific Balance Confidence (ABC) Scale, Stroke Impact Scale (SIS), and Community Integration Measure (CIM). On Day 2 (7 days after Day 1), individuals with stroke were reassessed using the C-SIQ.ResultsIndividuals with stroke exhibited a higher C-SIQ score (6.22 ± 2.98) compared to healthy older adults (1.59 ± 2.01). The C-SIQ demonstrated good test–retest reliability (intraclass correlation coefficient = 0.847) and internal consistency (Cronbach’s alpha = 0.709). The Minimal Detectable Change in C-SIQ score was calculated as 3.05. Exploratory factor analysis revealed four factors with eigenvalues ≥1.0, explaining 57.17% of the total variance. The C-SIQ score exhibited significant correlations (ranging from −0.553 to 0.362) with completion times of the TUG and 10 mWT, FMA-LE, BBS, ABC, SIS, CIM score, paretic ankle dorsiflexion strength, and 6 mWT distance. A cut-off score of 2.5 was identified as the optimal threshold for discriminating fall risk between individuals with stroke and healthy controls.ConclusionThe C-SIQ emerges as a reliable and valid tool for evaluating fall risk in individuals with stroke, showcasing strong correlations with key measures such as TUG times, 10 mWT, FMA-LE, BBS, ABC, SIS, CIM score, paretic ankle dorsiflexion strength, and 6 mWT distance. The C-SIQ demonstrated good test–retest reliability and internal consistency. Exploratory factor analysis revealed that this is a four factors assessment tool. The identified cut-off score of 2.5 effectively distinguishes fall risk between individuals with stroke and healthy controls.https://www.frontiersin.org/articles/10.3389/fneur.2024.1476313/fullstrokelower limbfall riskbalanceassessment |
| spellingShingle | Peiming Chen Peiming Chen T. W. Liu Shamay S. M. Ng Shamay S. M. Ng Assessing the fall risk with Stay Independent Questionnaire in people with stroke Frontiers in Neurology stroke lower limb fall risk balance assessment |
| title | Assessing the fall risk with Stay Independent Questionnaire in people with stroke |
| title_full | Assessing the fall risk with Stay Independent Questionnaire in people with stroke |
| title_fullStr | Assessing the fall risk with Stay Independent Questionnaire in people with stroke |
| title_full_unstemmed | Assessing the fall risk with Stay Independent Questionnaire in people with stroke |
| title_short | Assessing the fall risk with Stay Independent Questionnaire in people with stroke |
| title_sort | assessing the fall risk with stay independent questionnaire in people with stroke |
| topic | stroke lower limb fall risk balance assessment |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1476313/full |
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