Balance Confidence and Balance Ability among Community-residing Stroke Patients

뇌졸중 환자의 균형자신감과 균형능력

  • Kim, Jung-Hee (Department of Nursing, Woosuk University) ;
  • Kim, Ok-Soo (Division of Nursing Science, College of Health Science, Ewha Womans University)
  • 김정희 (우석대학교 간호학과) ;
  • 김옥수 (이화여자대학교 건강과학대학 간호과학부)
  • Received : 2010.05.05
  • Accepted : 2010.08.12
  • Published : 2010.08.31


Purpose: The purpose of this study was to investigate the balance confidence and balance ability among community-residing stroke patients. Methods: The sample for this study was a convenience sample obtained from patients who visited welfare centers for the disabled in three cities from October to December in 2009. The Activities-specific Balance Confidence Scale and Berg Balance Scale were used to measure confidence in task performance and balance ability. Results: The level of balance confidence and balance ability were low in these subjects. There was a significant relationship between balance confidence and balance ability (r=.424, p=.000). Subjects with less balance ability felt less balance confidence. Conclusion: Among community-residing stroke patients, falls are common. Falls prevention which may contribute to the incidence of fall and fall related injury should be part of stroke rehabilitation plan. Also, it is necessary that an intervention for falls prevention after stroke should take into account factors such as the balance confidence and balance ability.


Supported by : 한국연구재단


  1. Ashburn, A., Hyndman, D., Pickering, R., Yardley, L., & Harris, S. (2008). Predicting people with stroke at risk of falls. Age and Ageing, 37(3), 248-250.
  2. Balasubramanian, C. K., Bowden, M. G., Neptune, R. R., & Kautz, S. A. (2007). Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Archives of Physical Medicine and Rehabilitation, 88, 43-49.
  3. Beninato, M., Portney, L. G., & Sullivan, P. E. (2009). Using the International Classification of Functioning, Disability and Health as a framework to examine the association between falls and clinical assessment tools in people with stroke. Physical Therapy, 89(8), 816-825.
  4. Berg, K., Wood-Dauphinee, S., & David, G. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41 , 304-311.
  5. Bio, stat. Inc. (2000). Power and precision Version 2. Retrieved September 10, 2009, from
  6. Bonan, I. V., Colle, F. M., Guichard, J. P., Vicaut, E., Eisenfisz, M., Tran Ba Huy, P. et al. (2004). Reliance on visual information after stroke. Part I: Balance on dynamic posturography. Archives of Physical Medicine and Rehabilitation, 85(2), 268-273.
  7. Botner, E. M., Miller, W. C., & Eng, J. J. (2005). Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. Journal of Social Work in Disability & Rehabilitation, 27(4), 156-163.
  8. Hong, S. Y., & Lee, J. W. (2005). The relationship between visual perception ability and balance ability in hemiplegic patient. Journal of the Korean Society of Occupational Therapy, 13(2), 63-71.
  9. Ikai, T., Kamikubo, T., Takehara, I., Nishi, M., & Miyano, S. (2003). Dynamic postural control in patients with hemiparesis. American Journal of Physical Medicine and Rehabilitation, 82(6), 463-469.
  10. Jang, S. N., Cho, S. I., Ou, S. W., Lee, E. S., & Baik, H. W. (2003). The validity and reliability of Korean Fall Efficacy Scale (FES) and Activities-specific Balance Confidence Scale (ABC). Journal of Korean Geriatrics Society, 7(4), 255-268.
  11. Jung, D. Y., Shin, K. R., Kang, Y., Kang, J. S., & Kim, K. H. (2008). A study on the falls, fear of falling, depression, and perceived health status among the older adult. Journal of Korean Academy of Adult Nursing, 20(1), 91-101.
  12. Jung, H. Y., Park, J. H., Shim, J. J., Kim, M. J., Hwang, M. R., & Kim, S. H. (2006). Reliability test of Korean Version of Berg Balance Scale. Journal of Korean Academy of Rehabilitation Medicine, 30(6), 611-618.
  13. Jung, Y. M., Lee, S. E., & Jung, K. S. (2006). Prevalence and associated factors of falls according to health status in elderly living in the community. Journal of the Korean Gerontological Society, 26(2), 291-303.
  14. Kerse, N., Parag, V., Feigin, V. L., McNaughton, H., Hackett, M. L., Bennett, D. A. et al. (2008). Falls after stroke: Results from the Auckland Regional Community Stroke(ARCOS) Study 2002 to 2003. Stroke, 39(6), 1890-1893.
  15. Kim, J. Y., Lee, Y. H., & Ham, O. K. (2009). Factors related to fall in elderly patients with osteoporosis. Journal of Korean Academy of Adult Nursing, 21(2), 257-267.
  16. Kim, N. Y., & Kim, O. S. (2007). Family support, alcohol consumption and drinking motives in patients with liver cirrhosis. Journal of Korean Academy of Adult Nursing, 19(2), 295-304.
  17. Mackintosh, S. F., Hill, K., Dodd, K. J., Goldie, P., & Culham, E. (2005). Falls and injury prevention should be part of every stroke rehabilitation plan. Clinical Rehabilitation, 19(4), 441-451.
  18. Marigold, D. S., & Eng, J. J. (2006). The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke. Gait and Posture, 23(2), 249-255.
  19. Oh, H. Y., & Im, Y. M. (2003). Functional status and health care utilization among elders with hip fracture surgery from a fall. Journal of Korean Academy of Adult Nursing, 15(3), 432-440.
  20. Park, J. H., & Kwon, Y. C. (1989). Korean version of Mini- Mental State Examination (MMSE-K): Development of the test for the elderly. Journal of Korean Neuropsychiatric Association, 28(1), 125-135.
  21. Park, H. S., Chang, R., & Park, K. Y. (2008). Comparative study on fall related characteristics between single and recurrent fall in community-dwelling older women. Journal of Korean Academy of Adult Nursing, 20(6), 905-916.
  22. Park, M. H., & Song, K. Y. (2005). Risk factors of stroke patients falling in geriatric hospital. Journal of the Korean Gerontological Nursing, 7(1), 104-113.
  23. Powell, E. L., & Myers, A. M. (1995). The Activities-specific Balance Confidence (ABC) Scale. Journal of Gerontology, 50A(1), M28-M34.
  24. Rosen, E., Sunnerhagen, K. S., & Kreuter, M. (2005). Fear of falling, balance, and gait velocity in patients with stroke. Physiotherapy Theory and Practice, 21(2), 113-120.
  25. Rubenstein, L. Z., Josephson, K. L., & Osterweil, D. (1996). Falls and fall prevention in the nursing home. Clinics in Geriatric Medicine, 12(4), 859-880.
  26. Salbach, N. M., Mayo, N. E., Robichaud-Ekstrand, S., Hanley, J. A., Richards, C. L., & Wood-Dauphinee, S. (2006). Balance self-efficacy and its relevance to physical function and perceived health status after stroke. Archives of Physical Medicine and Rehabilitation, 87(3), 364-370.
  27. Shumway-Cook, A., Baldwin, M., Polisar, N. L., & Gruber, W. (1997). Predicting the probability for falls in communitydwelling older adults. Physical Therapy, 77, 812-819.
  28. Sim, J. J. (2008). Negative effects of alcohol drinking among the elderly. Korean Public Health Association, Spring, 6-8.
  29. Tyson, S. F., Hanley, M., Chillala, J., Selley, A., & Tallis, R. C. (2006). Balance disability after stroke. Physical Therapy, 86(1), 30-38.
  30. Yonsei University Health Promotion Division (2007). Costeffectiveness Analysis of National Prevention Programs for Cardiovascular Diseases, Seoul.