Cochrane · systematic review · CD008728

Interventions for preventing falls in people after stroke

Denissen, S, Staring, W, Kunkel, D, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 77.8%Low 2 · 22.2%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Exercise compared to control for preventing falls in people after stroke

Population: preventing falls in people after stroke
2 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls
Exercise vs control
Rate ratio 0.72 [0.54, 0.94]8 studies · 765 participantsLow
Downgraded: risk of bias
Number of fallers
Exercise vs control
RR 1.03 [0.9, 1.19]10 studies · 969 participantsVery low
Downgraded: risk of bias

Home visits compared to control for preventing falls in people after stroke

Population: preventing falls in people after stroke
2 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls
Home visits vs control
Rate ratio 0.85 [0.43, 1.69]1 study · 85 participantsVery low
Downgraded: risk of bias
Number of fallers
Home visits vs control
RR 1.48 [0.71, 3.09]1 study · 85 participantsVery low
Downgraded: risk of bias

Single lens distance glasses compared to usual (multifocal) glasses for preventing falls in people after stroke

Population: preventing falls in people after stroke
2 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls
Single lens distance glasses vs usual (multifocal) glasses
Rate ratio 1.08 [0.52, 2.25]1 study · 43 participantsVery low
Downgraded: imprecision
Number of fallers
Single lens distance glasses vs usual (multifocal) glasses
RR 0.74 [0.47, 1.18]1 study · 43 participantsVery low
Downgraded: imprecision

Servo‐assistive rollator compared to control for preventing falls in people after stroke

Population: preventing falls in people after stroke
2 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of falls
Servo‐assistive rollator vs control
Rate ratio 0.56 [0.19, 1.66]1 study · 42 participantsVery low
Downgraded: imprecision
Number of fallers
Servo‐assistive rollator vs control
RR 0.44 [0.16, 1.22]1 study · 42 participantsVery low
Downgraded: imprecision

Other interventions: tDCS compared to sham tDCS for preventing falls in people after stroke

Population: preventing falls in people after stroke
1 question
OutcomeEffectEvidenceStatus / GRADE
Number of fallers
Other interventions: tDCS vs sham tDCS
RR 0.3 [0.14, 0.63]1 study · 60 participantsLow
Downgraded: imprecision