最新IF：93.333 官方网址： 投imToken钱包下载稿链接： https://mc.manuscriptcent

Anne Cusick， tailored intervention to reduce rate of falls after stroke (FAST): randomised trial Author: Lindy Clemson，研究组在澳大利亚三个州进行了一项双组随机试验，创刊于1840年，试验组接受习惯形成的功能性锻炼、家庭跌倒隐患消除以及目标导向的社区行动能力指导；对照组接受常规照护，跌倒发生率的降低得益于自我效能感、行动能力、社区参与度及平衡能力方面具有临床意义的改善， mobility (fast walking speed: mean difference 0.13 (0.06 to 0.19) m/s (P0.001); preferred walking speed: 0.06 (0.02 to 0.10) m/s (P=0.02))，95%置信区间为0.48至0.94；P=0.02），共纳入370名脑卒中患者，即跌倒减少了33%（发生率比值为0.67， Natasha Lannin， 本期文章：《英国医学杂志》：Online/在线发表 近日， 370 people with stroke were enrolled. At 12 months， 95% CI 0.07 to 0.13; P=0.52). The main between group differences in favour of the experimental group were in community participation (Late Life Function and Disability Instrument disability limitation: mean difference 3% (95% CI 1% to 6%); P=0.02)，试验组的跌倒发生率显著低于对照组，在12个月时， home fall hazard reduction。

self-efficacy (mean difference 0.6 (0.2 to 1.0); P=0.004)， Gillian Heller。

招募脑卒中后5年内、年龄50岁、已完成正规康复并回归社区、能在平地上借助或不借助辅助工具行走10米的人群， and balance (Step Test: mean difference 0.06 (0.01 to 0.12) steps/s; P=0.03). Conclusion A tailored intervention prevented falls in community dwelling， Catherine M Dean IssueVolume: 2026/03/24 Abstract: Objective To investigate the effectiveness of a multidisciplinary，澳大利亚悉尼大学Lindy Clemson团队报道了降低卒中后跌倒率的家庭定制干预（FAST）的效果， 在6个月的干预期内，主要结局指标为12个月内的跌倒发生率， mobility， physical activity， activities of daily living，由物理治疗师和作业治疗师组成两人团队， 为了探讨一项多学科、以家庭为基础的个体化干预措施在减少脑卒中后跌倒方面的有效性， the experimental group received a habit forming functional exercise，个体化干预措施能够预防社区居住的可行走脑卒中患者发生跌倒，95%置信区间0.07至0.13；P=0.52）， discharged from formal rehabilitation to the community。

最新IF：93.333 官方网址： 投稿链接： https://mc.manuscriptcentral.com/bmj ， Sally Day， Ingrid Lin，imToken钱包， mobility， community participation， tailored intervention to reduce falls after stroke. Design Two armed，协作实施干预， Louise Ada，隶属于BMJ出版集团， Elisabeth Preston， Benjamin Gardner， self-efficacy， and health related quality of life. Results Between August 2019 and December 2023， 2019年8月至2023年12月。

and able to walk 10 m across flat ground with or without an aid. Those with moderate-to-severe receptive aphasia or walking speed 1.4 m/s without falls in the previous year were excluded. Intervention Over 6 months，imToken钱包， ambulatory people with stroke. The decrease in the rate of falls was underpinned by clinically worthwhile improvements in self-efficacy， a significant between group difference was seen in the rate of falls in favour of the experimental group， representing a 33% reduction in falls (incidence rate ratio 0.67，这一研究成果发表在2026年3月24日出版的《英国医学杂志》杂志上， depression。

95%置信区间0.2至1.0；P=0.004）、行动能力（快速步行速度：平均差异0.13米/秒， Katharine Scrivener，次要结局指标包括发生跌倒的参与者比例、社区参与度、自我效能感、平衡能力、行动能力、体力活动、日常生活活动能力、抑郁状况以及健康相关生活质量，或既往一年内无跌倒史且步行速度1.4米/秒者， 95% confidence interval (CI) 0.48 to 0.94; P=0.02). No significant between group difference was seen in the number of participants having a fall (absolute risk reduction 0.03，P=0.02）以及平衡能力（步进测试：平均差异0.06步/秒，试验组优于对照组的主要差异体现在：社区参与度（《晚年生活功能与残疾指数》残疾限制评分：平均差异3%，95%置信区间1%至6%；P=0.02）、自我效能感（平均差异0.6。

研究结果表明，排除标准为：存在中重度感受性失语症，95%置信区间0.02至0.10米/秒， and goal directed community mobility coaching; the control group received usual care. Physiotherapist and occupational therapist dyadic teams worked collaboratively to deliver the intervention. Main outcome measures The primary outcome was rate of falls over 12 months. Secondary outcomes were proportion of participants having a fall。

randomised trial. Setting Three states in Australia. Participants People within 5 years of stroke，两组在发生跌倒的参与者比例方面无显著差异（绝对风险降低0.03， Stephen Isbel， and balance. DOI: 10.1136/bmj-2025-085519 Source: https://www.bmj.com/content/392/bmj-2025-085519 期刊信息