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eISSN: 1734-4948
ISSN: 0860-6161
Advances in Rehabilitation
Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
1/2022
vol. 36
 
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abstract:
Original article

Assess the risk of falling after cardiac surgery

Edyta Smolis-Bąk
1
,
Kamil Szcześniak
1
,
Ilona Kowalik
1
,
Anna Mierzyńska
1
,
Grzegorz Skorupski
1
,
Łukasz Lasecki
1
,
Jerzy Osak
1
,
Magdalena Furmanek
1
,
Hanna Szwed
1
,
Rafał Dąbrowski
1

1.
National Institute of Cardiology
Advances in Rehabilitation, 2022, 36(1), 18–24
Online publish date: 2022/03/14
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Introduction
Balance and coordination disorders are factors provoking falls in the elderly. Their fast and precise identification is therefore of vital importance. The aim of study was to assess the risk of falls and the influence of early hospital rehabilitation on the balance and coordination parameters in patients after cardiac surgery.

Material and methods
The study was conducted on 207 patients: 44 women and 163 men (mean age 60.2 ± 14.0), who participated in cardiac rehabilitation following cardiac surgery. The risk of falls were tested twice with the use of the FallSkip device: after the initial mobilization and before the discharge.

Results
After rehabilitation, improvement was noted in the whole group in all analyzed functional parameters and in the reduction of the risk of falls (p<0.0001). A significantly higher risk of falls was observed in women in comparison with men (p 70 in comparison with patients aged <70 (p<0.001). After rehabilitation the risk of falls decreased significantly in men (p<0.001) and in individuals aged <70, (p<0.001), as well as in patients with the BMI <30, p 30, p<0.012. There was a tendency for better results in men in all tested parameters.

Conclusions
Rehabilitation after cardiac surgery significantly improved the effectiveness of gait, time of reaction in response to audio stimuli, increased muscular strength of lower limbs and significantly reduced the risk of falls. The FallSkip equipment is useful in the assessment of the risk of falls in patients after cardiac surgery.

keywords:

falls, cardiac surgery, cardiac rehabilitation, balance disorders











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